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K-3U-19-5 / <br />Date 5/3/93 w°i•cw."P.'". <br />Application For TO POSTING_ It-24-23 awN arm. 4 <br />PUBLIC WORKS PERMIT P°°:a:;::re° S <br />Lru xP°r re. Pem S �� <br />8@4-ir Due <br />Print or Type Only <br />Bradley Gilbert 11327 28th Dr SE Everett 98208 337-5227 <br />Owner Mailing Address City Zip Fror.e <br />Eothford Const 334-1340 <br />Applicant mailing Address City Zip Phone <br />Describe Proposed Work <br />Project Address lit known) <br />Attach four (4) copies of plans for proposed work • Draw to scale and pole the following as applicable: <br />• Property Lines • Cenlerline of street <br />• Outline and dimensions of all casting and • Indicate North <br />proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />PERMIT CONDITIONS <br />I. All calls for inspection shall be made 24 hrs. in advance • phone 259-8810. <br />2. All work shall be performed to accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 1.800-424.5555. <br />4. Schedule a meeting with the Public Works inspector (339-7403) prior to <br />beginning work on driveway cut installation. <br />5. Hoof drains shall be connected to the side sewer - not splashblocks. <br />1 <br />AppiAved for Construction Dale <br />FINAL INSPECTION Date <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett WA 98201 <br />Phone: 259-0810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />T� <br />_I <br />ca <br />0 <br />n <br />Z <br />0 <br />0 <br />a <br />The undersigned owner/applicant hereby agItplic, hold and save harm. <br />lass the City of Everetl from any and d s for damages, costs, <br />pcpanses, or causes of action tha ay,a ise because of installation <br />and maintenance of the imPev ant or other right -way use hereto <br />applied for - or agr move same upon notice from the <br />City and t ace publi perry Oamag reby. <br />WORK AUTHORIZED BY THIS I-ERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED 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 />PROJECTOVER 90 DAYS DURATION <br />