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Date 4-4-94 <br />>� <br />�: <br />Applicati9n For <br />PUBLIC WOF�CS <br />¢ <br />a <br />O <br />Print or Type Only r <br />� <br />N <br />Mitch Davis 4938 Nazbeck Ave $i <br />Owner <br />Owner <br />Describe Proposed Work <br />U — 35— zq —�- <br />PER�IOII�STING � -�c <br />O� C�O lrnl0 N O o 06U71 <br />,oc.ioo�or; vi o.r� <br />�r ,-� a� �. w ci � o t� c�a m <br />M�M eRM tli TM M W�.�-' <br />erett WA 9820� 3�d-773� <br />ess � -� L�.�i �, 'Gl �" mW � � <br />onic�ai�r�'n�.� o�—o�Nw <br />ma �W rnEi����ui�� <br />Mailing Address <br />new house <br />Lot 5 of Triada Granada <br />Project Address �it known� 5i�Z �i'�if �(� :�VG <br />cny <br />Atltch four (4) copies of plans tor proposed work • Draw to scale and note the following as applicable: <br />• Property Lines <br />• Outline and dimensionc of all exi,ting and <br />proposed structures on the lo� <br />• Existing and proposed utilities <br />�� <br />Approved as � <br />�A� <br />PuOh[ Warkc Pnrmil i 9�{ /��_ <br />BIJB� Depl. • 43998 <br />Total Fee � <br />Less ApO� Fao Paia s <br />� <br />Balance Duu S _ <br />• Centerline ot street <br />• Indicate North <br />• Show any proposed grading changes <br />• Show measurements <br />Phone <br />rnone <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be mede 24 hrs. in edvance - phone 259•881 O. <br />2. All work shall be performed in accordance with this permit and current City of Everett Declr.n and Consiruction <br />Standards end Specifications. <br />3. Call location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800•424•5555. <br />4. Instal rock construction eMrance behind drive�vay �s per cNy <br />standard �K208 and erosion control as directed by Pubic Works <br />Inspector. <br />5. Keep city streets ckan at al times <br />6. Curb gulter and sidewak in the plat aro aew and undamaged, <br />any damage thereto shal be replaced at the discrotion of the <br />Pubic Works Inspector. <br />7. /kry change in the driveway cut must be apprmred by the PW I�- <br />spector, widlh al prop ine imited to exisling apron Nidlh. <br />8. Connect al �oof, yard and drive�vay drains to storm drain <br />system provided to bt. <br />9. Adjust water boxes to gnde at end oi construction. <br />10. OriveVays shal be compktey curod before driving on them. <br />PUBLIC WORKS DEPARTMENT <br />3200 Ceder Street <br />Everett WA 98201 <br />Phone: 259•8810 <br />4 �q q�4- <br />Date <br />io .. ✓ <br />Date <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the City of Everett irom any and all claims for damages, cosis, <br />expenses, or causes of action that may arise because of installation <br />and maintenance ol the improvement or other righFol•way use hereto <br />applied for and further agrees to remove same upon notice Irom the <br />City and to replace public property damaged thereby. <br />}�lu� f �i� S a-�� <br />Signature oi Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERM�T MAY BE <br />CANCELLEO BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATIUN. <br />