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! <br /> � � � <br /> H <br /> C H <br /> ��y <br /> l� <br /> � H� H - � �2�-4 <br /> H y ~ D2te 9/1/92 PuObc\YorFaPe�m�l• �� Z � ' � <br /> EijO� ApplicationFor TO PQSTING 3 3(—q3 eicg.000�-• 37881 __ <br /> HC <br /> 7[ PUBLIC WORKS PERMIT '°°°""°'""`e 5 <br /> �-y TaInlFee <br /> ��� Lesa Appi.Fce Paitl 5 � <br /> Bnlance Duc 5 ���� <br /> � H� Print or Type Only <br /> Hy <br /> gy <br /> H <br /> f�C(n Colony Craft 14410 Ae1-Red Rd Re�l�.��+� ORnm a�{ vz�� -�� <br /> � ��q r Owner Mailing Address . , Cily � Zip PhOne � <br /> td �HO[yi� � l <br /> Applicant Mailing Address City Zip Phone . <br /> �_. <br /> Describe Proposed Work New house Basic 1G9 <br /> _ --- W <br /> Pwiect Address Iif known) ~��� �Q��V(L'�\� LN �T � <br /> Attach lour(4)copies ol plans for pro0osed work� Draw to scale and note lhe lollowinc�as applicable � <br /> • Property Lines • Centerline of s�reet ♦^ <br /> • Outline and dimensions of all existin9 and • Indicate North V� <br /> proposed siructu�es on the lot • Show any proposed gradmg changes <br /> '�� • Eaisting and proposed uYlities • Show meesuremenls M <br /> ' ' DO NOT WRIiE BELOW THIS LINE W <br /> � O <br /> PERMIT CONDITIONS <br /> '�`' 1.All calls lor inspeclicn shai�be ma�a 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shall be peAormed in acccraance with ihis permit and wrrenl City ot Everett Design and Conslruction <br /> ' ' Standards and Specilications. <br /> � 3.Cnll Locetion Underground Serv�ce 48 hrs.belore you dig.TOLL FREE NUMBER 1-800•424•5555. � <br /> ��' q. Install rock construction entrance hehind driveway as per city <br /> standard N208 and erosion control as directed by Public Works � <br /> Inspector. <br /> '�' S. Neep city streets [lean at all times <br /> �1 6. Curb gutter and sidewalk in the plat are new and undamaqed, � <br /> any damaqe thereto shall be replaced at the discretion af the <br /> ' Public Works Inspector. � <br /> 7. Any chanqe in the driveway cut must be approved 6y the PW In- <br /> '_' spector, width at prop line `.imited to ezisting apron width. � <br /> 8. Lonnect all roof, yard and driveway drains to storm drain <br /> ' system pravided to lot. a <br /> 9. Ad�ust water bozes to grade at end of construction. <br /> �1 10. Driveways shall be completely [ured before driving on them. <br /> ' �r ACKNOWLEDGEMENT OF CONDITIONS <br /> A The undersigned owner/applicanl hereby a9�ee5 to hold and save harm- <br /> � less 1he City ol Everett Irom any and all claims lor damages, costs. <br /> � � eapenses. or causes of action that may arise because ol installation <br /> jL /%� and maintenGnCc ol lhe Im wvement of Other righ4obway uSe here:o <br /> (,L�(.,P " pp C�� /�/� applied for nnd lurther a9rees to remove same upon not�ce Ir�m Ihe <br /> Approver.lor Constr clion — ��«' Ciry and lo replace puhlic pmperty damaged thereby. <br /> �/ 7 <br /> % r- �- .�Y-s�� �� /f � �iai1 ,LC� <br /> Date 1�-�- � <br /> FINAI INSPECTION Signa ure of App i ❑� �0�� <br /> �nn�ovctl as Constructed <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE ST�47TED �NITFIIN <br /> PUBLICWORHSDEPARTMENT 1B0 DAYS OF DATE PERMIT IS ISSUED AND TFIEREAFTER IS TO <br /> �A�Y� 3200 Cetlar StreM BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT M0.V BE <br /> E Everet�,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORI;ON THIS <br /> Phon�:259�8810 PF70JECT OVER 90 DAYS DURATION. <br />