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Date 5/3/93 4 �3 � <br /> �- �I —��^ PuOLc Worka Vorm�it a <br /> � eiae�oeo�.• 40 <br /> Application For — <br /> PUBLIC WORKS �EI�MIT /; P°°°°W°�k°Faa : <br /> n � ^ �(/ —(t` 9 J Talal Fee <br /> �" J <br /> _. �efa Appl.Fea Paltl S <br /> Print or Type Only Balar�ceDuo S� <br /> Colony Craft Inc 14410 Be1=Red Rd Bellevue 98007 644-2323 <br /> ��'� <br /> Owner Maifing Address City Zip Phone <br /> Owner <br /> Applicant Mailing Address Cily Zip Phone l� <br /> < <br /> New house — basic 168 <br /> Describe Proposed Work �) <br /> W <br /> Project Address(it known� 5617 Parkview Ln Lot 54 Hanabrook Div 2 � <br /> Attach four(4)copies ot plans for proposed work• Draw to scale and note"�he lollowing as applicable: � <br /> • Property Lines • Centerline of street � <br /> • Outline and dimensions ol all existing and • Indicate North <br /> proposed structures on Ihe lot • Show any proposed grading changes <br /> • Ezisting and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shall be mede 24 hrs.in advance•phone 259•8810. � <br /> 2.All work shall be performec in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> 4. Install rock conatruction entrance behind driveway as Fer city <br /> standard it208 and erosion control as directed by Public Works O <br /> Inspector. <br /> 5. Keep city streets clean at all times <br /> 6. �rb gutter and sidexalk in the plat are new and undamaged, � <br /> any damage thereto shall be r.eplaced at the discretion of the � <br /> Public Works Inspector. <br /> 7. Any change in the driveway cut must be approved by the PW In- O <br /> spector, width at prop line limited to existing aFron width. <br /> 8. Connect all roof, yard dnd driveWay draina to storm drain � <br /> system provided to lot. <br /> 9. Ad,iust uater boxes to grade at end of ronstrurtion. <br /> 10. DriveWays shall be completely ��ured before driving on them. <br /> ';1 ACKNOWLEDG[MENT OF CONDITIC�NS <br /> �V�� The undersigned oH�ner/applicant hereby agrees to hold and save harm- <br /> less the City ol Everett Irom any and all claims for damages, costs, <br /> /� n ��,/ /� expenses, or causas of action that may arise because of installation <br /> �1�/;, (/ �VIL'[�,,. r—IZ��'�� and maintenance of the improvement or other right-ot�way use hereto <br /> �����- � FX'�� ✓ applied for and further agrees to remove same upon notice irom the <br /> Approved for Cg�truction� �a1e City an replace publlc property damaged thereby. <br /> // � , <br /> � /�1� ��'.",5' � , �� /3 �. <br /> FINAL INSPECTION Date � — <br /> Approved as Constructed i nature ol Ap�1j ant Date <br /> ��r� PUBLIC WORKSDEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet 180 DAYS OF DA7E PERMIT IS ISSUEL' AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUEO TO COMPLETION.THIS PERMIT MAY 6E <br /> Phone:259•BB70 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />