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�- I-2Pr� / <br /> Date 8/31/93 �7 I� PUEImWarkaPermn• �� O <br /> � ApplicationFor �� ���TI�"- `�—�I'7� eieq.oaa�.. 41880 <br /> PUBLlC WORKS PERMIT PueToelFeeFee s <br /> Less RpOI Fe5 Pe�O s��� <br /> Print or Type Only e.�.��ao�e S /.� <br /> J <br /> GolonySraft 14410 Ael-Rad Rd Ae17ev�a 9R007 644-2323 <br /> Owner Mailing Address � City Zip Phone <br /> Owenr <br /> Applicant Mailing Address City Zip Phone � <br /> G <br /> Describe Proposed work New house — BASIC 167 <br /> � <br /> ProlectAddress�ifknown) S�O�� 15tAve 6E Lot 37 Hanabrook Div 2 � <br /> � <br /> Attach four(4�copies of plans for proposed work• Draw to scale and note the following as applicahle: � <br /> . • Property Lines • Centerline of street � <br /> • Outline and dimensions ot all ezisting and • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> 1.All celis for Inapection shell be mede 24 hrs.in advence•phone 259�6810. � <br /> 2.All work shell be peAormed in accordanca with this permit and current City of Everett Design end Consiructlon <br /> Standerds end Specifications. <br /> 3.Cell Location Underground Service 48 hre.betore you dig.TOLL FREE NUMBER 1•800�424•5555. � <br /> 4. Inatall rock construction entrance behind driveway as per city <br /> standard p208 and erosion control as dire�ted by Public Worka O <br /> Inapector. <br /> 5. Keep city etreets clean at all timea <br /> 6. Curu gutter and aidewalk in the plat are new and undamaged, � <br /> anY damage thereto shall be replaced at the discretion of the <br /> Public Worke Inspector. � <br /> 7. Any change in the driveway cut must be approved ty the PW In- <br /> spector, width at prop line limited to oxiating apron width_ O <br /> 8. Connect a.11 roof, yard and drivewa,v drains to atorm drain <br /> sYstem provided to lot. /� <br /> 9. Adjust water boxea to grade at end of conatruction. ii <br /> 1C�. Driveways ahall be completely cured before driving on them. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save ha�m- <br /> less Ihe City of Everetl irom any and all claims for damages, costs. <br /> �� A� / /��/� ezpenses. or causes of action that may a�ise because of installation <br /> v �L and maintenance ol the improvement or other right-ohway use hereto <br /> applied for and further agrees to remove same upon notice Irom the <br /> Approved or Conshudion Da� City and ro replace public property damaged thereby. <br /> �� 3- � •y� c�<u ' ����� " �d•/,3•y3 <br /> FINAL INSPECTION Date <br /> Approved as Constructed ignature of Applicant Date <br /> PUBLICWORKSDEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> �� 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA9B201 BE DILIGENTLY PURSUED TO COMPLE710N.THIS PERMIT MAY BE <br /> Phone:259•8810 CANCELLED BY THE CITY UPON ANY S70PPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />