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,h � z' 4 / <br /> Puol�c Wo�ka Permit• ���� <br /> �ate 9/20/93 TO FC�STf NG__3_z — B,aa oeo, • <br /> qpplication For — <br /> Pu01ic Warb Fee <br /> PUBLIC WORKS PERMIT To,a��ee S- <br /> Less noo��Fee Pa�e S�� <br /> BalanceDue s �nf <br /> /'._' <br /> Print or Type Only � <br /> Colony Craft 14410 Bel Red Rd Bellewe 98007 644-23ZP phone N <br /> Owner <br /> Mailing Address City . <br /> OWnet Zip Phone �� <br /> qpplicant <br /> Mailing Address Ciry Z <br /> Describe Proposed Work New house - Basic 168 N <br /> W <br /> O 1�SY A�e SF int F+7��—u----^�1"'—^--^ � <br /> Projecl Address(if known) �� � <br /> Attach lour(4)co;,ies of Plans for proposed work-Draw to scale and nole�Ce�l�eWine cf slpeeii able: � <br /> � prpperty Lines � Indicate Nor�h <br /> • O��tline and dimensions ot all ezisting and � Show any proposed grading changes � <br /> proposed struclures on the lot � Show measurements <br /> • Ea�sling and proposed utilities <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS � <br /> 1.All calls lor inspection shell be made 24 hrs.in advence-phone 259'8810, <br /> 2.All work shall be peAormed in accordaace with lhis permit and current City ot Everett Design and Construclion � <br /> StendardsendSpecifications. ag per City <br /> 3�cai�InstalldrockdconstructionYentran�ceRbeh nd drBvewaY-5 <br /> standard �208 and erosion control as directed by Public Works O <br /> Inspector. <br /> 5. Keep city streets clean at all times � <br /> 6. Curb gutter and sidewalk in the plat are new and undamaged, <br /> any damage thereto shall be replaced at the diacretion of the � <br /> Public Works Inepector. <br /> 7 . tlny change in the driveway cut muat be approved by the PW In O <br /> apector, width 8t pard and drivewav drainsstonatorm�drainth. <br /> 8. Connect all roof, A <br /> aystem provided to lot. li <br /> 9_ Adjuat water boxes to grade at end of construction. <br /> 10. Drivewavs shal.l be completely cured be£ore driving on them. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> .�2�, The undersigned owner/applicant hereby agrees to hold and save harm� <br /> less the City ol Ev..relt irom any and all claims for damages, costs, <br /> expenses, or causes of aclion that may arise because ot installalion <br /> � L2/1 and maintenance ot ;:�e improvement or other right-ol-way use herelo <br /> Ir� � Q mG� �7ea�i%`�' ,Q3 applied lor and furiher agrees to remove same upon notice trom the <br /> Da�e Ci:y and to replace pu6lic properlY damaged ihereby. <br /> Approved lor Cons rucUon ' <br /> ��f'�►� 3 7 �l G�lu � ��•�' � <br /> e � �ale <br /> FINAL INSPECTION re ol APPlicant <br /> qpprovedasConstrucled yypRK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLICWORKSDEPARTMENT 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTEF IS TO <br /> D� 3200CetlarStreet BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE , <br /> Everett.WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�8810 PROJECT OVER 90 DAYS DURATION. <br />