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oete 9/27/93 TO POSTING� <br />'1-Z 7-q�l <br />Application For <br />PUBLIC iNORKS PERMIT <br />Print or Type Only <br />Dale Manner 2020 Lk Heights Dr Everett <br />[� .i'�i�3 <br />Describe Proposed Work <br />Project Address pf knowa) <br />MaiNng Address <br />Mailing Address <br />4930 Narbeck /wGnuf. <br />98208 337-0890 <br />City <br />� <br />Zip <br />y� S_ � <br />PUEI�c WorMa Permll • <br />4 <br />BIEp. Dept. + <br />PuOiic Works Fee <br />Totel Fee s <br />�ea6 AppL Fee PaiE S <br />Balence Due S � <br />� Atfach four 14) copies of plans for proposed work • Draw to scale and note the lollowing as applicable: <br />' • P�operty Lines • Centedine of street <br />- • Outline and dimensions of ali existing and • Indicate North <br />. proposed siructures on the lot • Show any proposad greding cha�ges <br />� � Existing and proposed utilities • Show measurements <br />F'hone <br />PERMIT CONDITIONS <br />' 1. All calls tor inepection shall be mede 24 hrs. in advance - phone 259-8810. <br />2. All wo:ic shall be performed In accordance with this permit snd current City ot Everett Design and Construction <br />:' Standarda end Specificatlona <br />3. Cell Locatlon Underground Service 48 hrs. betore yo�� dig. TOLL FREE NUMBEN 1•800�4245555. <br />4. Install rock construction entrance behind driveway as per city <br />atandard it208 and erosion control aa directed bY Public Worka <br />Inapector. <br />5. Kee� citv streete clean at all timea <br />6. Curb gutter and aidewalk in the plat are nem and undamaged, <br />any damage thareto oliell be replaced at the diecretion of the <br />Public Worke Inspector. <br />7. Any change in the drivaway cut muet be approved by the PW In- <br />apector, width at prop line limited to existing apron width. <br />8. Connect all roof, yard and driveway draine to atorm drain <br />eyatem provided to lot. • <br />' 9. Ad,iust water boxea to gradz at end of conetruction. <br />10. Driveways ehall be completelv cured before driving on them. <br />� 1. �-'C^.wt.�e 2wd rt�� 14[.e �x !-SiivL� c„�1^ b��i'�'w Q' � w� f-l� N�e..� <br />'t�II -t�if�k'F G Ca T SVt/• A KNOWLEDGEMENT OF CONDITIONS <br />Approved as Constructed <br />�PUBLIC WORKS OEPARTMENT <br />3200 Cedar Sireet <br />Everett WA 98201 <br />„ Phone:259•BB10 <br />C <br />W <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersigned owner/epplicant hereby agrees to hold and save harm• <br />less Ihe Cit� of Everett Irom any and all claims for dameges, costs. <br />expenses, or causes of action that may arise because of installalion <br />and maintenance of the improvement or other righhof•wey use hereto <br />applied tor and lurther agrees to remove same upon notice Irom the <br />Cil� an replac public property damaged thereby. � <br />Uate <br />WOFK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUEO AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. � <br />