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Date 12-28-92 �a nO�TI C <br /> r r Puelm wo�ks Parmn. _,J�� • <br /> Application For � �v—& "q.;�j I OIaB��vol.• 3910 <br /> PUBLIC WORKS PERMIT PUOTo�qIFeeFco S <br /> Less nooi Fee Pa�a 5 <br /> Print or Type Only Balance Due s �' <br /> Colony Craft 14410 Bel Red Rd 11200 Bellevue WA 98007 644-2323 <br /> Owner Mailing Address Cily Zip Phone <br /> Owner _\ <br /> Applicant MaJing Atltlress Ciry Zip Phone ,' � \1 <br /> Describe Proposed Work neW }touse 1� <br /> �o�— — W <br /> Project Address�il known� 5425 lst $r SE Lot 28 � <br /> Altach lour(4)copies ol plans for p�oposed work-Draw to scale and note mo lollowing as applicable: � <br /> • Property Lines • Centerline ol slreel � <br /> • Outline and dimensions of all existing antl • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measure�-ants � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> 1.All calls for inspection shall be made 24 hrs,in advance-phone 259•8810. � <br /> 2.All work sl�.all be pertormed in accordance with ihfs permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.betore you dig.TOLL FREE NUMBER 1•800�424•5555. � <br /> 4. Install ruck ronstrurtion entrance behind driveway as per city <br /> atandard 3t20$ and erosion control as directed by Public Works O <br /> Inapector. <br /> 5. Keep city streets r_lean at all times <br /> 6. G�rb gutter and sidewalk in the plat ac•e neN and undamaged, � <br /> �v damage thereto shal.l be replaced at the discretion of the � <br /> Public Worka Inspertor. <br /> 7. Any change in the driveaay cut mu.t be approved by the PW In- O <br /> apector, aidth at prop line limited to exiating apron width. <br /> 8. Connect all roo£, yard and dri.veWay drains to storm drain � <br /> syatem provided to lot. <br /> 9. Ad,iust water bnxes to grade at eud of construction. <br /> 10. DriveWays ahall be romFletely cured before drivinE on them. <br /> � ACKNOWLEDGEMENT OFCONDITIO�IS <br /> � _ The underslgned owner/applicant hereby agrees to hold and save harm� <br /> less Ihe Gty of Everelt from any and all claims for damages, costs, <br /> � /^q /� /7 expenses, or causes ol action that may arise because ol installation <br /> �„ //�//�{���� /�y,��i3 — antl mainlenance ol �he improvement or olher nght-o4way use hereto <br /> 4J,,.(, M �� applieC lor and turther agrees lo �emove same upon notice Irom the <br /> Appr ved lor`,pnstruction Data ��nd to replace pubhc property dama9ed ihereby. <br /> ��-Y-"�— J-� " 7 3 <br /> I� �ti a tic �o c{�- I- l9 - �3 <br /> FINAL INSPECTION Date <br /> Approved as Consiructed Signature ol Applicant Date <br /> �Ar��� PUBLIC WORKS DEPARfMENT WORK AUTHORIZEO BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everet4 WA98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259�8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />