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Date 5-4-93 H - � -28�4 �j j <br /> Pu01ic Wo�Ma Permil� � <br /> Applicetlon For 7 Pp���NG 2�"_�. eieq.oeo�.� 41 565 <br /> PUBLIC WORKS �ER1fA1T-✓ PUEbcWorksFee <br /> Tolel Fee s <br /> Less A00��Fee VeiE s <br /> P�i�1 Of TypB Only e�i��oso�e S �,� <br /> Colony Craft 14410 Bel-Red Rd 11200 Bellevue WA 98007 644-2323 � , <br /> Owner Meiling Address City Zip Phone <br /> Owner <br /> Applicant Mailing Address City Zip Phone � <br /> Z <br /> Dascribe Proposed Work new house � <br /> W <br /> Project Address(if known) 5627 lst �t SE Lot 40 Hanabrook 2 � <br /> Attach tour(4)copies of plans for proposed work- Draw to scale and nole the following as applicable: � <br /> • Property Lines • Centerline ol street � <br /> • Outline and dimensions of ell ezisting and • Indicete North <br /> proposed structures on the lot � Show any proposed grading changes <br /> • Existing and proposed utilities • Show meesurements � <br /> DO NOT WRITE BEIOW THIS LINE <br /> PERMIT CONDITIONS O <br /> 1.All cells for Inapection shell be made 24 hrs.in advance-phone 259-8810. � <br /> 2.All work ehell be peAormed in accordance with this permit and cunent City ol Everett Design and Conatructlon <br /> Standarda and Specificationa <br /> 3.Cell Location Underground Service 48 hrs,betore you dig.TOLL FREE NUMBER 1•800-424-5555. � - <br /> 4. Inetall rock construction entrance behind driveWay ae per city <br /> atnndnrd it208 and arosion control as directed by Public Workn <br /> Inspector_ O <br /> 5, Keep city etreeta clean at all timas <br /> 8. �rb gutter and aidetralk in the plat are ner� and undamaged, � <br /> ury demege thereto ahall be replaced at the diacretion of the <br /> Public Worke Inepector. � <br /> 7. Any chenge in the driveway cut muat be approved by the PW In- <br /> apector, aidth at prop line limited to existing apron width. O <br /> 8. Connect all roof, yard end driveway drains to atorm drain <br /> syetem provided to lot. /� <br /> 9. Ad3uet water boxea to grade at end of conetruction. �i <br /> 10. Driveways ehall be completely cured before driving on th�. <br /> _(�J� ACKNOWLEDGEMENT OF CONDITIONS <br /> ��� The undersigned owneqappliwnt hereby agrees to hold antl save harm• <br /> less the City ot Everett Irom any a��d all claims tor tlamages, costs. <br /> ,��n7,�� ezpenses, oi causes of action that ,nay arise because of installation <br /> ,��{,/,/[�/ L�/eii /�_� 92 �C71 nnd maintenance ot ihe improvement or other right•ol-way use hereto <br /> {� // � /L<.l. fdL L J �✓ applied for and further a9rees to remove seme upon notice from the <br /> Approved tor Constr ction Date City antl to replace public properry damaged thereby. <br /> .� 3 � •9 p <br /> FINAL INSPECTION ate yZ !' /� 5=13 <br /> Approved as Constructed Si ure ol Applicant Dste <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZEL BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THERFAFTER IS TO <br /> Everet4 WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PEFlMIT MAV BE <br /> Phene:259•BB70 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />