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Date tt-tF-93 r�� PosT�Nr, =ZL�_ 93�s�y / <br /> PUEIic Worka Vermlt• <br /> Application For eiae�Deo�.• G971 A <br /> PUBLIC WORKS PERMIT PUEficWorqFee <br /> Totai Fee s <br /> Les�Appl Fee P�iE s <br /> Print or Type Only BeiancaDue S�— <br /> Sl <br /> Colony Craft 14410 Bel-Red Rd fl200 Bellevue WA 98007 644-2323 <br /> Owner Mailing Atldress City 2ip Phone <br /> Owner <br /> Appiicant Mailing Address City Zip Phone , 1 <br /> �O <br /> Deacribe Proposed Work new house � <br /> � <br /> Project Address�if known� 2Z � �� /\VG s� Lot 64 Hanabrook 2 � <br /> Attach lOur(4)copies of plans lor proposed work• Draw to scale antl note the following as applicable: � <br /> � Property Lines • Centerline of street � <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 mexsurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for Inspection ahall be made 24 hrs.in advance•phone 259�8810. � <br /> 2.All work ahell be peMormed in eccordance with this permit and current City of Everett Design and Construction <br /> Standerda and Specificatfons. <br /> 3.C II L tion U derqround Service 48 hrs.before you dig.TOLL FREE NUMBER 1�800-4245555. � <br /> �. �nata3l rock conatruction entrance behind drivewa,v as per city <br /> atandard #208 nnd eroaion control as directed bv Public Worka <br /> Inapector. O <br /> 5. Keep city atreeta clenn at all timea <br /> B. Curb gutter attd aidewalk in the plat are new and undamaged, � <br /> any damage thereto ahall be replaced at the diacretion of the <br /> Public Worka Inapector. � <br /> 7. AnY change in the drivewaY cut muat be approved bY the PW In•- <br /> spector, width at prop line ].imited to exiating apron widtli_ O <br /> 8. Conneet all roof, yard and driveway drains to storm drain <br /> system provided to lot. � <br /> 9. Adivat water baxes to grade at end of conatruction. <br /> 10. Driveways shall be rompletely cured before driving on them. <br /> ,��� ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> Inss Ihe City ol Everett from any ano all claims for damagea costs. <br /> � expenses, or causes of action �hat may arise because of installation <br /> ��L,� � Z3 q3 and maintcnance ol ihe improvement or other �ighbof•way use hereto - <br /> Approved for Consiru io� applied lor and further agrees to remove same upon notice from the <br /> Date City and to replace public properry damaged thereby. <br /> G . z z _� ��� �.�(1 /z�! � 9 3 <br /> FINAL INSPECTION Dat <br /> Approved as Constructed nature ol Applicanl Date <br /> �� PUBLICWORKSDEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CederStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WAg8201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PEFiMIT MAV BE <br /> Phone:259-8810 CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS �URATION. <br />