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oete 9/1/92 ..� �„�TiNr 3�-93 ►+- � -Z�,--9- yz / <br /> Puellc WorMe Permit� � <br /> AppliCation For � eiao.oeoi.. 37878 <br /> PUBLIC WORKS PERMIT PueTolelFeeFee s <br /> ' ' �eaa r1p0�.Fae PeiC S <br /> �-, �-� r: o :" n� nc.��— <br /> . �-; c� c.� .n r�r_ci in.- �---- <br /> Print or Type Only � , a.�.��a o�, S� <br /> r-� r., n u� n: ,-��7r;.;.[-. <br /> . , �l .;F [T.� �, I <br /> . . � I,l � ... ... <br /> Colony Craft 14410 Bel-Red Rd ' B��e � <br /> we 98007 644�?a�a <br /> Owner MailingAddress�: i.; i,-� Cdy. � �. � ��� �,:�, ..��.���y i,� Phone <br /> c� , ,r � <br /> . - ci ��i .�ii�P. � r. . <br /> _.. � � . . . . � ':� -. ,� i...t'� ' . <br /> Applicant Mailiro Address City Zip Phone <br /> �� <br /> Describe Proposed Work New house Basic 166 � <br /> P�o�ect Address(il known) � ( E�V LN Ld�"' � <br /> Attach four(4) couies of plans lor proposed work- Draw to scale and note the following as applicable: � <br /> • Properry Linee • Centedine of streel � <br /> • Outline e�d dimansions of all existing and • Indicate North <br /> proposed structures on the lot � Show any proposed grading changes <br /> • Exist'ng and proposed utilities • Show mezsurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> 1.All calls for Inspection shall be made 24 hra in advance•phone 259-8810. � <br /> 2.All work ahall be poAormed in accordance whh this peimit and current City of Everett Design and Construction <br /> Standarda end Specificetions. <br /> 3.Call locetlon Untlerqround Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800-424•5555. � <br /> 4. Install ro�k constructian entrance behind driveway •s per city <br /> standard M208 and erosion cantrol as directed by Public Yorks <br /> Inspector. O <br /> 5. Keep city streets clean at all times <br /> 6. Curb qutter and sidewalk in the plat are new and unda�aged, � <br /> any dasaqe thereto shall be replaced at the discretion of the <br /> Public Yarks I�spectar. � <br /> 7. Any chanqe in the driveway cut �ust be approved by the PM In- <br /> spector, width at prop line liaited to existing apron width. O <br /> 8. Cannect all roof, yard and driveway drains to store drain <br /> syste� provi4ed to lot. � <br /> 9. Adjust water bozes to grade at end of construction. <br /> 10. Driveways shall be con�pletely cured before driving on the�. <br /> ��"' ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the City ol Everett irom any and all claims for damages, costs, <br /> � �� ezpenses, or causes of action that may arise because ot installation <br /> and maintenance of the improvement or other right-of-way use hereto <br /> applied lor and further agrees to remove same upon notice Irom the <br /> App ved lor Construc io Date Clty and to replace public properry damaged thereby, <br /> �1�/c�"� �- sr- s3 � G 2�i q2 <br /> FINAI INSPECTION Date S� 4 .� 4 \ 0 rn � � <br /> Approved as Consiructed Signature ol pplicant Da e <br /> � PUBLICWORKSDEPARTMENT WORK A ORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreel 180 DAYS OF DATE FERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259•8810 CANCE�_LEO BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />