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� <br /> ; <br /> � <br /> � <br /> � � I <br /> � � <br /> t"H V� � <br /> �� � � r�n�,�wo�.a re���a+ � ��� I <br /> � TO POSTING � �� �- � <br /> � �,H Date_�8�2 omu oon�.•—q2/35?88-- ' <br /> ApPliwtion For I <br /> o�� KS PE R M IT °"°"``"°,"`"° -- <br /> PUIBLIC WOR_ .o�a�F�e S— <br /> ��g Lesa nno�Feo an n $ <br /> pr � , uaienco oue S__ � <br /> �p.i� Print or Type O�IY , , <br /> H � ' ` � ' I <br /> i ' �i � <br /> � f+ H � ��� � �� rsnql 574 0644 � <br /> E 4Q20 Main �"Su ' �� ' 9920 <br /> �H Hanabrook Inc ��Y ��A �p Phone <br /> � d w Owner MaJ(n9 AdCr ss � . <br /> �CJ.' ` � � <br /> [a� � i i i <br /> H�A OWner ` I � . � � Uly '. . . ZiP PhoC^ p � , <br /> y�� qpplicant Mailinc�AUtlress /" <br /> new SFR /�w�-� as –� � � <br /> Describe Proposed Work �----- <br /> W <br /> ,. .,o (o O�Z� - 1, 5T DIZ S E � <br /> Pm�ect Address iil known) –y� �� . <br /> Attach four(4)copies ol Plans lor p�oposed wo�k-Oraw to scale and note�Centedine ol stPeel a�le: � <br /> • properly Lines • InJicMe North <br /> • OuUine and dimensions ol all existing a�d � Shcw any proposed 9rading changes <br /> proposed stmctures on the lot � Show measurements M <br /> ��� -�\ • Existing and P�oposed utilities W <br /> I ��' DO NOT WRITE BE:OW THIS LINE O <br /> t <br /> � � � PERMIT CONDITIONS � <br /> 7.All calls lor inspeciion shall be made 24 hrs.in advance-phone 259•(i810. <br /> '_� 2.All work shall be peAormed in accordance wilh Ihis pe•rit antl current City ol Everett Desipn and Constroction <br /> I L� StandardsendSpecifications. y <br /> 3.Call Location Underground Service 48 hrs.belore you dig.TOLI FREE NUMBER 1•800•424•5555. G <br /> , 4 . LnaY.all r•nrk r,an,trurtion entrance hrrhin� �iri.vewav as p�=r r.it.y � <br /> �� standarri tt^.OB nnd erosion contrul. %�n dir��cter3 by Publir Wnrks <br /> � I �� Tnspector. <br /> , 5. Keep city 9treeta rlean at. al.l t.imPs ` <br /> i,. G'urh Futter and 9idewalk 1n the plat are new and undamaged. � <br /> anY damaqe thereto shall Y,� reFlacer! �Y, the di�cretinn �f thP r^ <br /> ri <br /> �� Pvblic Wnrk� Tngp�rtnr. � <br /> 7 . AnY chanee in the driv�way cui. must be aFProved bY tha Puhlin <br /> W�rks Tnnpactnr. � <br /> R. Ti�htline aLL roof, yard anc drivrway dra.ins to etorm drain <br /> I .�� stal�e at lixek 9ide of ei�lawa7k. <br /> 9. Ad.iuet; 4iater bor.ee to �ra�e at: ?nd ��f con�truction. <br /> ]�. Dri_vewavG ah211. UP r_�mFlete7p nured hef�re drivinF on th�=m. . <br /> �� ACKNOWLED6EMENT OF CON�ITIONS <br /> ��1� r� • The undersipned owner/applicanl hereby agrees to holA and save harm� i <br /> less Ihe Ci1y of Everett imm any and all claims lor dama�es, cosls. <br /> expenses, er causes o1 acli0n Ihat may arise because ol installation <br /> —� ) � (I`1C I/ I _,, ` _�} L and maintenance ol the imp�ovement or olher ricJhl-ot�way use herolo <br /> / � I �� � app�ied for and lurlher agrees lo remo+e same upon notice Irom the <br /> Aoproved for Construction Date Cily and to rep�:+ce public property dama9rd thereUy. <br /> ,/ / • _ c <br /> �;'`ii��;_ & .�- >� ��-L ��w----_ > �' 1�- <br /> -��� �ate J� 9 Dale <br /> FINAL INSPECTION Signaiurc of ApPlicanl <br /> ApprovedasConstructed yyORK AUTNORIZED BY THIS PERMIT MUST BE STARTED WITHW � <br /> �I�� PUBUCWORKSDEPARTMENT 180 DA\'S OF UATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> .. f 3200CedarStreet B[ DILIGLNT�Y PURSUEO TO COMPLETIO�.THIS P[RMIT MAY BE <br /> A��J Everett,WA 9B20t CANCELLED BV THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phonc:259�Bd10 PROJECT OVER 90 DAYS DURATION. <br />