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y - 1-28�F � �'.3 <br /> PUEIic wmks Permi�• <br /> Date a'4-93 q�'I, ema o.o� • <br /> TQ PQS?fNG _- ���� <br /> qpplicatian For puEl�c Wo�kf Fee s_— <br /> PUBLIC W�RKS PERMIT TotelFee <br /> Less ROD�Fee P�iE S ��� <br /> � Balmce Due <br /> Print or Type Only � �� <br /> Colony Craft 14410 Bel-Red Rd #200 Bellevue WA 98007 64ZP2323 phone \ <br /> Owner <br /> Mailing Address City <br /> OHitei ZiP Phone 2 <br /> Mailing Address City <br /> qppl,cent --r <br /> new house <br /> Describe Proposed Work --- <br /> ve. Lot 41 Hanabrook 2 _ � <br /> 5631 lst Bt SE � <br /> Proiect Address(if known) � <br /> • Centerline of streel <br /> Attach four(4)copies of plans for proposeC work•Draw to scale and note the following as applicab e: <br /> • ProperlY Lines • indicate North <br /> • Outline and dimensions of all existing and � Show any proposed grading changes � <br /> proposed structures on lhe lot � Show me2surements <br /> • Ezisling and proposed ulilities O <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS hone 259•881U• � <br /> �,All calls for inspection shall be mede 24 hrs.in advance•p <br /> 2.All work shell be performed in accordance wilh this permit end curtent City of Everetl Design and Construct on � <br /> 45555. <br /> Standerda and Speclficatlons. d L y NUMBER 1•BOO'��ty <br /> behQnd driveaay ae per <br /> 3.Call Location Underground Service 4B nra betore you �9•T � F E �blic Wor� O <br /> q. Inatall rock conatruction entrance <br /> $t�dard g2pg nnd eroeion control as directed bY <br /> I�pectar. <br /> 5. Ke3p city streets clean at all timea � <br /> 6. qyrb gutter and sides�alk in the Plat are new and undema8°d � <br /> �y damnge thereto ahall be rePlBced at the diecretion of the <br /> Public Worlte InsPector. �.�red bp the PW In- <br /> q �y �h�ge in the driveway cut muet ba 8PP a �n Width_ O <br /> spector, width at p�a �aedrivewaY draineeto�storm drain � <br /> 8_ �Onnect all roof, Y <br /> system provided to lot. <br /> 9. Ad3ust water boxes to Bt'ade at end of construction-on them. <br /> 10_ Dciveways ahall be completely cured before driving <br /> ACKNOWLEDGEMENT OF CONQITIONS <br /> The undersigned owner/applicant hereby agrees to hold and seve harm- <br /> � less the City of Everett irom any and all claims tor damages, costs. <br /> � ezpenses, or causes ol aclion lhat may arise because ol inslallation <br /> /��� �r and maintenance ot lhe improvemenl or olher righhohway use hereto <br /> L/ / (�� ��� �•� ypplied for and further agrees to remove same upon notice irom the <br /> 1��� a Date City and lo replace public property damaged thereby. <br /> qpproved for Construcl�on / �i— G' � <br /> 3. �•y �� �� <br /> Dale <br /> Date I�cant <br /> FINAL iNSPECTION gnature oi App' <br /> pppro:�eAasConstructed WORK AUTHORIZED BY THIS PERMIT MUST BE `:fARTED WITHIN <br /> PUBL�CWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND T'iEREAFTER IS TO <br /> � 9200 Cedar Streel BE DILIGENTLY PURSUED TO COMPLETIOY.TF��S PERMIT MAY BE <br /> Everelt.WA 9B2G1 PROJECT OVER 90 DAYS DURAT ON.STOPPAG2 OF WORK ON THIS <br /> Phone:259-8810 <br />