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; <br /> ; <br /> i <br /> , <br /> ' i <br /> i <br /> �r� i <br /> �� � �- � <br /> � <br /> �� ; <br /> ��� PueLc Worl.s Vrrmn. �1 ~_ / <br /> ��� Date 9 27 91 '- I <br /> ,�, ema oso� • 91/278 9 <br /> Applicu�ion For I <br /> o�" PU'..SLIC WORKS PERMIT PuUhcWorhaFee S <br /> ��g ,o,,,,Fee � <br /> 'y � , Lxa�nuc� Fee Pa�e S_— i <br /> � �> � � , ; , � ; , �, ., TO POSTING a �o � <br /> y y� Print or Type Onl7 < < ' <br /> � 1_ G ��� � t i 4O t >�. D.) <br /> rMy � , i im _ � i � � r r �i � <br /> ��H , , I <br /> j d y HanaUrook Inc E 4�,'10 Main Snokane 9�202 5�4-0644 <br /> � O w n m °'"� �- r Maitl s9.��Q r�5�'' �' CitY ZiP Phone ( <br /> � � i c' `{ � i n <br /> f� J t (r 3 f L .� � <br /> O f t .�i 1 � �� F I�i 7 <br /> O� C p FJ u` '1 �t Y -T i o f�h �1 <br /> � qpplican! Mailing Address Gity Zip Phone ( �� <br /> V— I <br /> Describa Proposed Work New sPlit level SFR �� <br /> W <br /> S Z3 - 1 st Diz s� �.. � <br /> Pmje-�Address(if known) � <br /> Atlach lour(4)copies ol plans lor proposed work-Draw to scah and note Ihe tollowing as applicahle: � � <br /> • Properry Lines • Centerline of streel ♦A <br /> • Outline aod dimensions ol all existing and • Ir,dicate Nor�h V� <br /> . _, proposed sVuctures on�he lot • Snc.v any proposed gratling changes <br /> (I/ �\ • Exisling 2nd proposed utili�ies • Snow measuremen�s � � <br /> f C�i DO NOT WRITE BELOW THIS LINE O <br /> 1 ' PERMITCON' ITIONS <br /> �_ . 1.All calls lor inspection shall be made 24 hrs.in advan^.e-phone 259•8810. � <br /> 2.All work shall br:pedormed in accordance with ihis permit and wrrenl Ciry of Everett Design and Construction <br /> i �I Standerds and Specitications. <br /> 3.Call Location Underpround Service 48 hrs.before you dig.TOLI FREE NUMBER 1-800•424•5555. � <br /> I � 4. Install rock construction entrance behind driveway as per city O <br /> i �-� atandard ri20R and eroaion control as directed by Public Works <br /> I� Inspector. <br /> i 5. Keep city atreeta cleon at all. ti.mes � <br /> � 6. Curb gutter and sidewalk in the plat are new and undamaged. <br /> i !� anY dama�e thereto shall. be replar_ed at the disr_retion of the � <br /> �' public Wnrks Inapector. <br /> 7. AnY r_han�e in the driveway cut muat be appmved by the Public O <br /> Works Inqpector. <br /> � R. TighY.line all roof, yard and driveway drains to storm drain � <br /> �,►� st�tbs at Uar.k eide of si.dewalk. <br /> J. Ad,IllHY, W21Y.AC boxea to �rade at end of construction. <br /> t0. Drivewavs ehall Ue completely cured before driving on them. <br /> ��. /I�. . ACKNOWLEDGEMENTOFCONDITIONS <br /> �,�.,, <br /> Tho undersigned owner/apPliwnt here�y agrees to hold and save harm� <br /> less Ihe Ciry ol Everetl Irom any and all claims Wr tlamages. costs. <br /> enpenses, or causes of action Ihat may arise because of installation <br /> � pO l O_-1 �1 and maiMenance ol Ihe improvement or other righl�ol�way use hereto <br /> applied lor and 1 ��jre.s lo r e same upon notice Irom Ihe <br /> Approved br Cons ruclion Date City and to r ace p �c p� y damaqed thereby. <br /> ,1 / <br /> / <br /> ,;l' �tl (/.._— � � 7 z - � . .'1- - <br /> FINAL INSPECTION Datc ' ! �,,.. � <br /> Approved as Constructed ��� we ol AprA+caN Date <br /> � WORK AUTHORIZED BY THI RMIT MUST BE STARTED WITHIN <br /> ,Vr� PUBLICWORKSDEPARTMEN7 1B0 DAYS OF DATE PERMIT IS ISSUE� AND THEREAFTER IS TO <br /> 3200 C�tlar Sireet BE DILIGENiLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> EveretL WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259-BB70 pRQJECT OVER 90 DAYS DURATION. <br />