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� � <br /> Date�1/18 q'��uatwaterboxectogrs�e�tendoiconstruction. � U3 ' ' <br /> .Driue►wys shal De completi�sl cured bePoro driuing on them. P�o���wo,M.P.���.�. <br /> Applicatlon F�Qr emo oeci . 43271 <br /> PUBLIC WOR� PERMIY Publ�cWarkaFee <br /> Tme�Fee s <br /> TO PO�TING � 'z3-9�1 �effApplFeePuOS <br /> Print or Type Only � g g $ g � g g g—� B�I�ncn Oue �e 7-('r" <br /> � � � � Mx � � � � M � -�� <br /> Colony Craft 14410 Bel-Re R Bellevue 98 7 6 2323'" <br /> Owner MaiHng dc � i� � ip Phone <br /> _ s�e � � � � � � � � � � � <br /> Applicant Meiling Address City Zip Phone <br /> v <br /> ' Describe Proposed Work New house - Baeic 169 � <br /> � <br /> _ W <br /> ' Project Address(if known) 5507 Parkview Ln Lot 59 Hanabrook Div 2 � <br /> Attach four(4)copies of plans(or proposed work- Draw to scale and note the following as applicable: � <br /> • Property Lines � Centerline of street � <br /> • Outline and dimensions of all ezisting and • Indicele North <br /> proposed structures on the lot • Show any proposed grading chenges <br /> • Ezisting and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All cells for inspectbn ahall be made 24 hrs.In advance-phone 259$810. � <br /> 2.All work shell be performed In accordance with thia permit and curtent City of Everett Design and Constructlon <br /> Standarda and Specificetlona <br /> 3.Call Locaticn Underground Service 48 hrs.before you dlp.TOLL FNEE NUMBER 1•800�42455.ri5. � <br /> 4. Msla1 rock coeqrucibn�ntrmc�behind dtiwrMy as per ciy <br /> dsndard�R208 snd �rosbn coMrol at dirocted by Pubic Workc O <br /> Insp�cla. <br /> 5.Ke�p cMy etnMc clnn at al times <br /> d.Curb guM�r and sid�v�nk in tM piM ars new and undamaged, � <br /> �ry damage tMroto ahal bs r +d at the discrotion otihs <br /> Pu61c Wwks Inspector. � <br /> 7.11�ry ehanpe M tM d�ivwwy cul must be approved by the PW In- O <br /> �p�ctor,width a1 prop Ine Imk�d fo ebsting apron vuidih. <br /> 8. Conn�ct al root,yard md drhrevay dnins to storm dnin � <br /> system provided to bt. <br /> � !.AdJuN water bmros to grade at end of constructfon. <br /> 10. D�iuewaya shd be compktey curod bsforo driving on them. <br /> �ry , ACKNOWLEDGEMENT OF CONDITIONS <br /> . <br /> 1\ The undersigned owner/applicant hereby agrees to hold and save harm• <br /> . less lhe Ciry of Everell Irom any and all claims for damages, costs. <br /> , ���� /I ezpenses, or causes of action that may arise because of installation <br /> �'�� and maintenance of the improvement or other right-of•way use herato <br /> applied for and further agrees to remove same upon notice Irom the <br /> Appro ed for Construct' n Date City and replace puolic property damaged thereby. <br /> �� — G � zz •Qy -- � G <br /> FINAL INSPECTION D te <br /> Approved as Constructed Signat e ol Appli anl Date <br /> � PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY T I PERMIT MUST BE STARTED WITHIN <br /> 3200CederStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everelt,WA98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY F E <br /> Phone:259-B810 CANCElLEO BY THE CITY UPON ANY STOPPAGE UF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />