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i <br /> � " � <br /> H <br /> C N <br /> 9HN <br /> � <br /> H� � <br /> FC C] <br /> H xl <br /> �N � / <br /> � �. <br /> y Uate_ 11�3�92 TO POSTING_S a��� P�Oi�cWork�Perm�B�z <br /> � x�' Dioq.000�.� <br /> j.� �pplication For <br /> � � � PUBLIC WORKS PERMIT P°°:o,aFao`°° 5 -- <br /> �" �� �esanoo�Fce ve�a 5 'f <br /> 7. H � Baiancc Duo S /-� � <br /> C y z Print or Type Only <br /> Hy <br /> g�' <br /> H <br /> � C� Colony Craft Inc 14410 IIel-ked Rd 1E200 Bellevue 98007 G44-2323 <br /> �� Owner Mai�in9 Ad.ress City Zip Phone <br /> HOvi <br /> Applicant Mailing Address Ci1y 2ip Phone � <br /> New housc - IIasic 175 �' <br /> Describe Proposed lNork <br /> W <br /> Project Address(il known) 5714 Parkview Ln Lot 6, Hanabrook Div 2 � <br /> Atlach tour(4)copies ol plans lo�Proposed work• Draw to scale and note Ihe lollowing as applicable: � <br /> • Property Lines • Centerline ol street 'A <br /> • Outline and dimensions of all existing and • Indicate North V� <br /> proposetl slructures on the lot • Sho�v any proCosetl c�rading chan9es <br /> f�1 • E:isling and proposed utililies • Snow mezsurements M <br /> � ' W <br /> DO NOT WRITE BELOW THIS LINE � <br /> � <br /> '�' PERMIT CONDITIONS <br /> 1.All calls lor inspection shall be made 24 hrs.in advance•phcne 259•8810. � <br /> 2.All work shall be pertormetl in accordance with this permit e id current Cify of Everett Design and Consiruction <br /> 1�' Standards and Specilications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER �•800•424•5555. � <br /> '�' q. Install rock construction entrance beliind driveway as per city <br /> � standard N208 and erosion control as directed by Publ::c Works O <br /> �� Inspector. <br /> 5. Keep city streets clean at all times <br /> �' 6. Curh qutter and sidewalk in the plat are new and ur,damaged, � <br /> ' any damaqe thereto shall be replaced at the discretion of the <br /> Public Works Inspector. r^ <br /> 7. Any change in the driveway cut must be approved by the PW In- Y/ <br /> �=' spector, width at prop line limited to existing apron width. O <br /> ' 8. Ca�neci all roof, yard and driveway drains t� storm drain <br /> �� system provided to loi. ^ <br /> �� <br /> 9. Ad]ust water 6oxes to qrade at end of construction. rr <br /> 10. Driveways shall be completely cured before driving on t em. <br /> �' ACKNOWLEDGEMENT OF CONDITIONS <br /> ^t� The undersi9ned owneqapplicant hereby agrees lo holtl and save harm� <br /> Y less thr. Gty ot Everell Irom any and all claims lor damages, costs. <br /> expenses, or causes ol actlon ihat may arise because ol installation <br /> � �` I���u 'I� (� �i� and maintenance ol �he improvement or olher right-ol-way use hereto � <br /> T�.= � � � applie lor and luriher agre s o remove same upon notice irom the <br /> Approved lor Cons uclion Dale ity a d to replace ubhc p ooe� y damaged thereby. <br /> i �-.r .p, � <br /> �_.-�� <br /> FINf.L INSP[CT!ON �a�� �gnaWre of Applican ���e <br /> nun�nw�.�f ;�s Conetructed <br /> � WORK AUTIIORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLICWORKSDEPARTMENT 180 DAY� OF DATE PERMIT IS ISSUED AND THEREAFTER �5 TO <br /> 3200CedarSlreM BE DILIGENTLY PURSUED TO COAIPLETION. THIS PERMIT MAY BE <br /> � Everclt WA08201 CAtdCELLFD BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�eB10 PROJECT OVER 90 DAYS DURATION. <br />