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£ <br /> l'l � � <br /> � � H <br /> � Hxfn <br /> Hx � <br /> � y � T�1 nncTING__.Sa7- � Z �•.. <br /> "�tl H � 11/3/92 � aoci��wo�k+r�«.�u. <br /> N � � 38567 <br /> eioc Deo� •— <br /> x Z� App�icalion For <br /> pUBLIC WORKS PERMIT °"°'""`°"'�°° 5 <br /> _ <br /> o�� e ,o�o�F« — <br /> � � �y �ese noo�Fcc va�a 5 f' — <br /> (7� n Balanco Duo 5 `�> <br /> y y� �rint or Type Onty <br /> t" <br /> gHy <br /> y �+ C�� .•ny Craft Inc 14410 Sel-Red Rd 11200 Bellevue 98007 644-23z3 Phone <br /> n b y Mailiny Adaress ���y Z�P � <br /> �� � Owner . � <br /> H O V! CitY ZiP Phone � ,'. <br /> � Applicant Mailin9 Address <br /> Descri6e Proposed Work New ho�..se - Basic ll4 <br /> W <br /> 5702 Parkview Ln Lot 8, Hanabrook Div 2 � <br /> Prolect Address(il known) _� <br /> AUach lour(4)�opies ol P�ans for pmposed work- Draw to sca�e antl note�Ceolerline of���ti;able: � <br /> • property Lines • Indicale Norih <br /> • Outline antl dimensions of all ezisting and � ghow any proposed gradin9 changes <br /> proposed struclures on the lot � Show me2surements /� <br /> � • Ezisling antl pwposed utilities W <br /> ' 1 DO NOT WRITE BEIOW THIS LINE O <br /> ,�' PERMIT CONDITIi�NS � <br /> '�� 1.All calls for inspection shall be made 24 hrs.in advan�e�phone 259•8810. <br /> 2.All work shall be pedormed in accordance with lhis nermit and current City of Eeerett Design and ConslrucGon <br /> ' ' Standards and Specifications. � <br /> � 3.Call Location Underground Service 48 hrs.betore you dig.TOLL FREE NUMBER 1•800•424•55 . <br /> q. Install ro�k construction entrance 6ehind driveway as prr city O <br /> f�' standard N208 and erosion control as directed by Pu61ic Works <br /> Inspector. <br /> �e' S. Keep city streets clean at all times � <br /> 6. Curb qutter and sidewalk in the plat ar� new and undamaged, <br /> �e any damage thereto shall 6e replaced at the discretion of the /� <br /> ' Public Warks Inspector. roved by the PW In- _/ <br /> 7. Any change in the driveway [ut must he app � <br /> spector, width at prop line limited to existinq apron width. <br /> '�1 B. Connect all roof� yard and driveway drains to storm drain � <br /> system provided to l�t. <br /> 1�' 9. iid)ust water boxes to qrade at end of constr�ction. <br /> 10. Driveways shall be campletely cured before driving on them. <br /> ��; �I1� qCKNOWLEDGEMENT OF CONDITIONS <br /> �rW The undersi�ned owner/applicant he�eby ag�ees to ha .and sa:e harm� <br /> less the Gty ol Eveietl lrom any and all claims lor tlam2ges, costs. <br /> /"� expense5. or causes ot aclion Ihat may arise because ot installation <br /> ,l J� �,/�� ( I� I�l—y and mainlenance of the imProvemenl or other right�of�way use hereto <br /> u1 rL � � � apDPed �o� end lurther . rees to remove same upon notice Irom the <br /> qpproved�or Construction <br /> Dale Ciry i to replace Puh6 p perty damaged Ihereby. <br /> ��� <br /> r�r� 5�' �. — <br /> FINAL INSPECTION Date Dale <br /> Si9nature ol A i���� <br /> Approvetl�s Consiructed WORK AUTHORIZ! D BY THIS PERMIT MUST BE STARTED WITHIN <br /> ��7 PUBLIC WORKS DEPARTMENT 1B0 DAYS OF DA E PERMIT IS ISSUED AND THEREAFTER IS TO <br /> /V�✓ 3200 Cedar Street �E DILIGENTLY PURSUED TO COMPLETION.TiIS PERMIT MAY BE <br /> Everell,WA 98:01 CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS <br /> phone�.259�8810 PROJECT OVER 90 DAVS DLIRATION. <br />