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� � C 3Z! <br /> Date 1/18/94 � I PublrtWorkaPermn• _— <br /> tl , . STING _�T`� — Biau.o"oi.. 43269 <br /> ApplicationrFoR n�1 7^�f-9 7 <br /> PUBLIC WOR�S PERMIT Pu04tWorkaFeo <br /> Totel Fee s <br /> � LB55 RDDL F!!POid s <br /> Print or Type Only =¢ g $ $ $ �., $ $ $ $ � $; B°'°"`°o�e s � <br /> o M ppM MN Oa� O � � � I � <br /> Colony Craf r 14410 Be�Re�, � �Belle u� '9 0'!� ~ �k�-2323 N� <br /> ,o ' <br /> Owner Maili ss � � � �ZiP Phone <br /> � � � � � � � � � � � � <br /> Applicant Meiling Address City Zip Phone � <br /> 2 <br /> Describe Proposed Work . New hou�e - Basic 168_ � <br /> W <br /> 5505 lst Ave SE Lot 32 Hanabrook Div 2 � <br /> Project Address(if known) <br /> Attach four(4) copies of plans lor proposed work- Draw to scale and rote the following as applicable: � <br /> • Property Lines • Centerline of street � <br /> • Outline and dimensions ot all existing ond • Indicale North <br /> proposed structures on the lot • Show any proposed greding changes <br /> • Existing and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All cells tor inspection shall be mede 24 hrs.in advance•phone 259•8810. � <br /> 2.All work shall be performed in accordance with this permit and current City af Everetl Design end Consiruction <br /> Standards and Spocificalions. <br /> 3.Cell Location Undarground Service 4B hrs.before you dig.TOLL FREE NUMBER 1•800-424•5555. � <br /> 4. Instsl rock construction eMronce behind drive�wy as per cffy O <br /> standud�208 and erosion controi as directed by Publc Works <br /> k�:peclor. <br /> 5.Keep city streets ckan at al limas � <br /> R.Curb gulter and sider+ak in the plat aro new and und�maged, <br /> arry d�maqe theroto shal bs mpl�ced at the discretion of Ihe � <br /> Pubfc Works Inspector. <br /> 7.Nry chanpe in the drive�wy cul must be approved Dy the PW In- O <br /> ipector,wi�lh at prop fne 6.7iled to e�Isting apron v+idlh. <br /> 8.Connect al rooi,y�rd and drfve►wy drains to stortn drain � <br /> �ystem providad to bt. <br /> 9.Adjust water boxes to gndc at end oi construction. <br /> 1 p.0�lveways shal be compbtey curod be(oro drnring on ihem. <br /> ,+�(Y�' ACKNOWLEDGEMENT OF CONDITIONS <br /> �`W The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less ihe Cily ol Everet� Irom any and all claims for damages, costs. <br /> � ���� expenses, or causes of action that may arise because of installation <br /> `��7 and maintenance of ihe improv=meM or other righbol-way use hereto <br /> }-C% applied lor and further agrees to remcve same upon notice irom the <br />��� Approved for nstructi n �a1e City an to replace public property damaged thereby. <br /> �� 7'/1 c � I i `( <br /> FINAL INSPEGTION �a�e ' Date <br /> Approved as Conslructed Signa ure of pplicant <br /> � PUBLIC WORKS DEPARTMENT <br /> BORDAYSTOFRDATE PERMIT ISESSUED AND THEREAFTER IS TIO <br /> 3200CedarSireet BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Everetl,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phcne:259•8810 PROJECT OVER 90 DAYS DURATION. <br />