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94 �f q 035— / <br /> PuOLc Works Permlt• <br /> Det@�L ppSTING �D - �-a`� eiao.oeo�.� 43266 <br /> Appl' etion For TO <br /> PUBLIC W RKS PERMIT PueToaiFeeFee s <br /> Lesa RDO�-Fea Pa�G S <br /> � <br /> 8 � � � � � � � � � ^ Belance Due � <br /> Print or Type Only � g � , -\ <br /> � .�i. "�.iw � iF � g o � ,O w <br /> .�i ~ � � \� .. <br /> Colony Craft 14410"BelaRed Rd Bel vu 9 07 '"644-2323 pnone <br /> sili Address �� � � Z�P <br /> Owner � �� � <br /> �o QQ J �— Fg N <br /> m� � GI m g + H <br /> SBIDe � '" <br /> Mailing Address Cily Zip Phona EJ <br /> qpplicant � <br /> Describe Proposed Work Ne w house — Basic 168 � <br /> W <br /> Prolect Address(it known) <br /> 5�n> >s* n cF � r 9A HAnAhrn � <br /> � <br /> Altach four(4)copies of plans for proposed work- Drew to scale and note the toliowing as applicable: � <br /> � properry Lines • Centerline of street <br /> • Outline and dimensions ot all ezisting and • Indicate North <br /> proposed structures on the lot • Show any proposetl grading changes <br /> • Existing and proposed utilities � Show measurements � <br /> DO NOT WRITE BELOW THIS LINE /� <br /> V <br /> PERMIT CONDITIONS � <br /> 1.All celis for inspectbn shell be mede 24 hra in edvence-phone 259-8810. <br /> 2.All work shall be p rfcrmed in eccordance wilh thla permit end current City ol Everelt DesiBn and Conatruclion <br /> Stendards and Specih^.etiona � <br /> 3.Call Locatlon Underground Service 48 hre.betore you dig.TOLL FREE NUMBER 7-800-4Z45555. <br /> 4. lestd rock constructlon eMronce behi�d dNveway es per city O <br /> dandard*208 and erosion control as dirocted by Pubic Works <br /> Inspector. <br /> 5.Keep city ttroeti cban at a�times � <br /> 8.Curb yutter and side►wk In the plat are nw+and undamaged, <br /> �iy damope theroto sh�l bs ropl�ced ri ths discrotion oi the � <br /> popic Worlcs Inspector. <br /> 1..Yiy chanye in lhe drive�wY cut mud be approved by the PW I�- O <br /> spector,widlh at prop ine fmited to existing apron wldlh. <br /> 8. Connect al rooi,yard and drivev+aY dnins to stortn drain � <br /> aystem provided to bt. <br /> 9 �ju��eshal be c mpkt N cu edibe(oro driving on ihem. <br /> 10.Dtivwv�ys <br /> � ACKNOWLEDGEMENT OF CONDITIONS <br /> n The undersignPd owner/applicant hereby agrees to hold and save harm� <br /> Y less the City ol Everell frora any and all clafms for damages, costs, <br /> expenses, or causes of aclicn that may arise beceuse of installation <br /> �i M/� „�l�/j „ _ /���� and maintenance of �he impnvement or other righ4obway use herelo <br /> �/l� /(_l�Ci � applied tor and lurther agrees to remove same upon notice trom the <br /> Date City a d to replace public property damaged thereby. <br /> App'oved for Con•tructi� — _ <br /> � . Lz -9y <br /> FINAL INSPECTION �Date Date <br /> Signature ol Ap licant <br /> Approved as Constructed WORK AUTHORIZED BY T 5 PERMIT MUST BE STARTED WITHIN <br /> PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEP.EAFTER IS TO <br /> ���� 3200 Cedar Street BE DILIGEhTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON TH�S <br /> Phona:259-8810 PROJECT OVER 90 DAYS DURATION. <br />