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�a�. . / <br /> Da�@ 1/18/94 st /� r Pueiicwaraspermua �� L�z <br /> Applicatloa�For �t' ! �1TING — aiao�oeo�.� 43270 <br /> PUBLIC WOR�S PERMIT PuEilcWark�Fee <br /> To1el Fea S <br /> Les�AoO�Fee P�itl S <br /> Print or Type Only � gM g gp g � $ � BelanceDue s_7� <br /> N M M M N � M � N <br /> Colony Craft 14410 Bel~ e Rd Bellevue 98007 644-2323 <br /> Owner Maifi �A sc,�s c� City Zip Phone <br /> Same o 8i � � ffim � � <br /> Applicent Mailing Address City Zip Phone � <br /> New house - Basic 168 < <br /> Describe Proposed Work <br /> � <br /> Project Address(if known) 5730 Parkview Ln Lot 2 Hanabrook Div 2 � <br /> � <br /> Attach four(4)copies of plans for proposed work• Drew to scale and note the following as applicable: � <br /> • Property Lines • Centerline of street � <br /> • Outline and dimensions ot eil existing and • Indicate Norih <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONOITIONS <br /> 1.All calls for inspectbn shell be made 24 hrs.in advanca•phone 259�8810. � <br /> 2.All work ahall be peAormed in accordance with this permit and curtent City oi Everett Design and Construction <br /> � 5tenderds and Speclficatlons. <br /> ' 3.Call Locatlon Underpround Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800-424•5555. � <br /> 4. Inslal rock coestruction eMnnce b�hind drivw+ay n per city <br /> standard�208 and�rosion control ac dirocted by Publc Works O <br /> Insp�dor. <br /> 5.Ke�p cMy dnMs ckm st al tknes <br /> 6. Cutb pdtK and sidw+Mc In 1M pYt aro new and undamaged, � <br /> sny dam�p�tMrMo shal bs ropdced at ths discrotion of the <br /> Pubic YVork� Intp�dor. N <br /> T.Any chanpe in tM driverwy cut must bs approwd by the PW In- O <br /> sp�ctor,wldlh at prop Ins Imfled to exi�tiny apron widlh. <br /> 8.Comroct al rool,yard and drive►wy dnie:to stortn drain � <br /> ystem provided to lot. <br /> Y.Adjust water boxes to gnde at end of construction. <br /> 10. Drhuv+�ys shal be compleley curod beforo d�iving on them. <br /> , �Of ACKNOWLEDGEMENT OF CONDITIONS <br /> �J,� 7he undersigned owner/app�icant hereby agrees to hold and save harm- <br /> less the City of Everett trom any and all claims br damages, cocts, <br /> I,,/� / expenses, or causes of action that may arise because of installation <br /> , p��iC/'�- !nr /— �—�� and mainlenance of lhe improvement or other right•of-way use hereto <br /> a �'� applied lor and furiher agrees to remove same upon notice irom the <br /> Approved fo�ruction Date Ciry an to replace public properry damaged thereby. <br /> <.%�L{� 7/1:lj� (- <br /> FINAL INSPECTION � Date <br /> Approved as Constructed Signa ure of Ap licant Uat <br /> � PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY T PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA9B201 8E DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phona:259•BB70 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />