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Date 3-12-93 �•���,���o�.:�=...m��. `��l%4� —. <br /> rn hn�TiNG `'��1q3 o��9oro, .�,b <br /> Apphcation For . <br /> �7�-1 PUBLIC WORKS PERMIT °°°.o~����`�" 5 <br /> y r ryp ��.+s nom F�o va�� S <br /> p �1 N PriN or Type Only o,�,,��eo�� 5 G��� r <br /> � Htn a'f_ <br /> H �H Colony Craft 14410 Sel Red Rd //200 Bellevue iJA 98004 � <br /> � H]� Owner A1a�ling Adtlress City Zlp Phone �-- <br /> 'i1M� <br /> y~ Onwer <br /> x x� Applicanl Mailin9 Adtlress Gty Zip Phone � <br /> [s1 Q <br /> ONd � <br /> H �� Describe Proposed Worh neW hOUSe • <br /> s"' � N <br /> zy � <br /> � Hy W <br /> � I <br /> Otyfn ProjectAddresslilknownl 5731 Ist DT SE L�} y� �'� Z' � <br /> �� � AOnch four(4)cooies of plans lOr propo5etl work� Draw l0 SCale and noie the lollowing a5 appliCahle: � <br /> yH y • Property Lines • CeMedine of streel /^ <br /> 0 • Outline and dimensions ol all exisling antl • Indicate Norih V� <br /> � ProPosea struGtUres on Ihe lot • Show any ProPuscA gratlin9 changes <br /> • EaiSI ng and p�opo5ed u�ilities • Show ineasuremen(s /�A <br /> � � DO NOT WRITE BEL(�W THIS LINE O <br /> PERMIT CONDITIONS <br /> �� 1.All calls for inspection shall he made 24 hrs.in advance-phone 259•8810. � <br /> 2.All work 5hall be pe�tormed in accordance with this permit antl current City ol Everelt Desi�n and Construction <br /> Stsndards and Specilications. <br /> � C II L ca i n Und rB�ound Service 46 hrs.belore you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> . �nn9,.i�� r����F; rnnst.nir.tion r.ntrnnr.e behind drivev�y as per city <br /> ' ._�, stindru•d it.^•.08 and er�aion r,ontrol ae direr.ted by Public Worka � <br /> + `�� InSWactr�r. <br /> � Ci. Keep r.it.y fltreet.s clean at all timea <br /> 6. Glirb cn�tter and sideaalk in the plat are neu and undamaged. � <br /> ' any daroage thereto shall be reFlaced at the disrretion of the <br /> ��� ['nblic Wnrka Tnepr_r_tor. ,p <br /> 7. Any ch�mge in the driveaay cut muat be approved Fry the PW In- V, <br /> spr>ctor, uidth at prr,p �ine limited to existin� apron Width. O <br /> � R. C�nnert. il7 roof., yard and driveNny drains to storm drain <br /> ��1 � 9y�tem provided to lot. � <br /> 9. Ad.ivat Nater boxes to grade at end of conatniction. <br /> IO. D7'IVPHFI,V9 nhall br. COIOFIP,tF1V cured before driving on them. <br /> I � <br /> � ACKNOWLEOGLMENT OF CONDI7IONS <br /> � The unders�9netl owner/apPlicant hereby ac�rees lo hold and save harnr <br /> less the Cdy ol Everetl Irom any and a�l claims tor damac�es. cosls. <br /> ,�/� expenses. or causes of action ihat may anse because of inslallaiion <br /> �_��,,� I��C�C+ 114��t�Lf 1 ��I ��� antl mainlenance ol ihe improvement or other righl-obway use heieto <br /> applied for antl luriher ag�ees lo remove same upon notice Irom Ihc <br /> Approved for Conalruction Date City and lo rep�ace pubhc properry dama9ed Ihere6y. <br /> �� ' - �. <br /> ���•=- -= s�-.��. S 3 LL;e-�� Gc<.� ' �-s 9� <br /> RNAL INSPECTION Dale � �—"� �' <br /> Approvr.d as Gonslructed S�gnaWre ol APPlicant Dale <br /> �� PUBUCWORKSDEPAR7MEN7 WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> �v�� 3200CedarSireet 180 DAYS OF DATE PERMIT IS ISSUEO AND THEREAFTER IS TO <br /> Evere�l.WA 5�20i 8E DIIJGENTIV PURSUED TO C0�IPLETION. THIS PERMIT A1AV B[ <br /> POone'259�8010 CANCELLLD BY THE CITY UPON�NV STOPPAGE OFIVORK ON 7HIS <br /> � PROJC-CT C 'EF7 90 DAVS DURAIION. <br />