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fi <br /> � <br /> i <br /> i <br /> I <br /> � <br /> � <br /> ��� <br /> �►,w ' <br /> �`�� �3�Z � � <br /> 9� ' <br /> r�o���wo��e va�mn• � <br /> ��� Date 9/27/91 91/27816 � <br /> c�aa neo� •— <br /> Aoplication For i <br /> �, ... —_ <br /> � <br /> o�" PUBLIC WORKS PERII�IT °"°°`"'°."„°° 5 _ � <br /> TO�flI(nC <br /> n �.: Less Aoo�Feo Pa�C S <br /> t! <br /> p� � � n � � n r.� U p C� Aabnce�ueo 5 - . <br /> �y`� TO POSTING �/zz��� � ,� �, �. ,, �� �� o . � - � <br /> �H� Pflflf Of TypB Only ' � �; �� � ,� �� o �*- ci � �''t , <br /> H 1� ,- i.i n. .n ��i r-� r o o r., <br /> in d', eP '+ ui ... '1'� oi � <br /> 1"I � r�� � �P C al � �A n, � �P <br /> g� � � � ____ <br /> r+ r �n�n �i + c„�v..,,., o <br /> H hr k 7 --�-r-�-�--� ,�. .. c- z �+� � �' Phone <br /> C�l�U1 Maihn9 Aamess .� C�tY c..> ; ni ot '�� in o i � <br /> Owner O �� UJ T 0-' '� n �L "'� ['J E.`7 c. • �-' � <br /> Q� O O Ll iil U L) � O 3 [� O P_ O �'.. P. <br /> \ O . J J bJ O W �� O 2 O O l. � <br /> aivn_ y_ cno W Ji •� YC ..SSc'i :_� i <br /> �� Mailin9 Adtlress Gity Zip Phone � j <br /> . . APPlicant j <br /> i <br /> DescribeProp��sedKbrk New Tri-level res Lot 64 Nanabrook Div ill � <br /> — � <br /> u� <br /> Project Address(il known) <br /> s���_1�t ��z s� �- <br /> p7 <br /> Attach lour(A)coPies M plans tor pmposed work� Draw to scaia and note the lollowin9 as applicable: �� <br /> • Property Lines • Cenlerline ol sireet j <br /> • Indicate Norih <br /> • Outline and dimensions ot all existing�nd � Show any P�oPosed yrading changes <br /> proposed���uctures on the lot � Show measure.menls /N <br /> r"� �-'� • Exisling and proposed utilities W !i <br /> I C�i DO NOT WRITE BELOW TNIS LINE O <br /> ( r PERMIT CONDITIONS ^ <br /> I _ 1.All calls tor inspectlon shall be made 2a hrs.in advance-phone 259•8810. <br /> , 1 � 2.All work�hall be pertormed in accum:nce with ihis permil end current City of Everetl Design and Constmction ♦ <br /> i��� Slanaards and Specifications. � <br /> � 3.Call Location Undarground Service 48 hrs.belore you Ui9.TOLL FREE NUMBER 1•800•4243555. <br /> i 4. Iast.all rock constructian antrance behind driveway as per city � <br /> �� standard #�C" and �rosion co:itrol as directed bv Public Wor3ce <br /> � ��� Inapec' �r. <br /> 5. Keeo city streete clean at. all ti.mes � <br /> 6. CurU gutter and sidewalk i-n thc� plat: are new and un6amaged. � <br /> �'�. iny damae;e Y.�7P.1'P.t.O aha7.] he replaced at the di:�c'•etion of the <br /> ' `� publir. Worke rnsper.tor. <br /> 7. Any chantte in the dri.vewaY cut �anst be apprnved bY the Publi.o O <br /> Works Ir.apector. � <br /> �"�� R. Tightline all. roof. Yard and drivewa,v di•ains to s::orm drain <br /> i ��,.� stuUs at: hack side of sidewal.k. <br /> g, pd,iust ivaY.er boxea to grade at end of �:onstrur.tion. <br /> 10. Driveways shall Lie completel.Y cured before drivi.n� �n them. <br /> '�1—1 ACKNOWLEDG�M[NT OF CONDITIONS <br /> ^nn The unders�gned owneUaop����ant hereby agrees Io holtl and save harm� <br /> - �Y� lest the Gty ol Evere�l Irom any and all claims lor Aamages, costs. <br /> eapenses, or causes ol action thal mny arise because ol installation <br /> y G and maiNenance ol Ihe improvem��i or oiher righPof�wey usi� hereto <br /> � NI .rJ2,fL 1� -�' � apPlied �oi and �urther o9rees Io remov^ same upon notice fr�in Ihe <br /> qpprovetl tor Constmction Cate i Cily and to repl blic proper �magetl thereby. <br /> I� <br /> �C/�j/".� G -f-s' � � � _ <br /> FINAL INSPEGTION Date � ate <br /> Signa�ure o N ��can <br /> Approved as Conslructed WORK AUTIIORIZED Y Tf PERMIT MUST BE STARTED WITHIN . <br /> � PU�LICWORKSDEPARTNENT 180 DAYS OF D:.TE - MIT I� ISSUED P.ND THEREAFTER IS TO <br /> � 3200 Cetlar Slreet BE DILIGENTLY PURSU�D TO COMPLE110N.Ti1;S PERA7IT h1AY BF. <br /> Evereu,WA 9820i CANCELLED BY THE CIT�U?ON ANY STOPPAGE OF WOPK ON THI3 <br /> Phono:259-8870 PROJECT OV[R 90 DAYS DURATION. <br />