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j. <br /> 4/29/93 •' _ I^Za^� PeOecWarwaPermu� _'C''1�� <br /> Date 3 <br /> AppllcetionFO� 'rn Qr.1STINf,_._�/�q q3 eiac.oeat.• <br /> PUBLIC WORKS PERMIT PueucWo�bFee <br /> iotel Fee s <br /> Les�RpD��Fee PaiC s <br /> Bal�nce Oue <br /> s J—�` <br /> F:int or Type Only <br /> t <br /> Colony Craft 14410 Bel Red Rd Suite 200 Bellevue WA 98007 "'L <br /> Owner <br /> MaiNng Address City � Zip Phone <br /> Owner <br /> Applicant <br /> Mailing Address City Zip Phone � <br /> G <br /> new house � <br /> Describe Proposed Work <br /> W <br /> Project Address(it known) <br /> 5717 lst SE Lo[ 44 Hanabrook Div 2 � <br /> � <br /> Attach four(41 copies ot plans lor proposed work• Draw to scale and note the tollowing as appiicahle: � <br /> • Propehy Lines • Centerline of street <br /> • Outline and dimensions of all existing and • Indicate Norih <br /> proposed slructures on the lut • Show any proposed grading changes <br /> • Exisling and proposed utilities • Show measurements M <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS � <br /> 1.All cells for Inspectbn ahell be mede 24 hrs.in edvance•phone 259-8810. <br /> 2.Alt work ahall be peAormed In accordance with this permit end currenl City of Everett Deslgn end Conatructlon <br /> Stendards and Specificationa � <br /> 3.Call Location Underpround Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800�4245555. <br /> 4� 8�ana;,rar 2p8 andte bsion cont ol asedirected by PublicQWorkeY O <br /> jnepector. <br /> 5. Keep city streets clean at all times � <br /> g_ �rb gutter and sideaalk in the plat are ner� and unae�ged' � <br /> any dsmage thereto shall be replaced at the diacretion of the <br /> Public Works Inspector_ the PW In- O <br /> 7 AnY �han8e in the drivewaY cut muet be aPP�ved bY <br /> apector, width at F�P line limited to exiating apron width. � <br /> g_ Connect all roof, yard nnd driveWay draine to etoc� drain <br /> syatem provided to lot. <br /> 9_ Ad,�uat water boxes to gcade at end of construction. <br /> 10. ih'i�eWaYB ehall be c�pletely cuc'ed before driving on them. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> r��`� The undersigned owner/applicant hereby agrees to hold and save harm• <br /> less the City of Everetl irom any and all claims for damages, costs. <br /> /'1 ezpenses, ur causes of action that may arise because of installation <br /> ! /��C'j:� C�q�iy and maintenance of the improvement or other righFobway use hereto <br /> ��� �'G�' � L �� applied for and further agrees to remove same upon notice irom the <br /> Approved for Go�rur,tion Date to replace public property damaged there6y. <br /> .� -�__- s-�� -s3 /3 �3 <br /> FINAI INSPECTION Date Date <br /> gnalure ol A icant <br /> qpproved as Cons�ructed RK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CederStreet BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259•8810 PROJECT OVER 90 DAYS DURATION. <br />