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` T <br /> � <br /> I <br /> I <br /> , <br /> � <br /> � <br /> � <br /> i <br /> I <br /> ��� �_ � <br /> ���� � � � � <br /> ��� . ; ; <br /> Vuo��c\Po�kaPermll� `� `. ("1�' <br /> ��� Date��14-92 �7 �-- 92/35335 �_ _ � <br /> X <br /> ApplicationForTd POSTING �0. � emy.oem • � <br /> o�d PUBLIC WORKS PERMI'T PuebcWoikaFm S <br /> iomi he i <br /> � ��J '. La��Aon'.Poe Pa�d S i <br /> Q� O . � . , � . .9eieMe�ue S � <br /> sCCC � i � - r� <br /> y� Prinl or Type Only L; n ` r, , .,_ f . ; <br /> r� �, a <br /> 1-i H - „ � ,• .�� '� , <br /> g�y Hanabrook Inc E. 4020 Main Spok'ane�1A �,99202 � (509) 534-0644 <br /> Madinp Atld�Css ' '� .,CiIY i n . ;- ZiP �.' . Phone <br /> C Owner . � - n o r� � r �l w � - I <br /> t�q r c� �- '.� i i r � i.i c-�. . <br /> [SI �� i.�i � i `v � .n c- i oi ,:i :' j <br /> Owner f' � <br /> y �� Mailin9�Add�ess C�ty 2iP Phonc ` , <br /> Applicanl f' <br /> JI <br /> Describe Proposed Work <br /> new SFR LOT 27 I <br /> I <br /> t <br /> W ' <br /> — p 1C.o — 15� i�2 SE — �.. I <br /> Prolecl Address(il knov.�n) � I <br /> � <br /> Al;ach lour(4)copies ol plans lor proposed work� Dr2w to scale and note the lollowing as applicable: � � <br /> • Property Lines • Centeriine ol slreet <br /> • Outline antl dimensions of all eaisting and • Indicate North <br /> proposed structures on ihe lol • Show any proposed grading ch3nges <br /> /' �"�� � Existinq and proposed utilities • Show measurements M <br /> r \ W <br /> I C�P �� DO NOT WRITE BELOW THIS LINE O <br /> �e <br /> 1 � PERMITCONDITIONS <br /> 1.All calls lor inspection shall be made 24 hrs.in advence�phone 259•8810. � <br /> ,_� � 2.All work shall be pedcrmed in nccordance with Ihis permit and current Cily of Everett Design and Construction <br /> j `� Standerds and Specifications. <br /> � 3.Call Localion Underground Service 4B hrs.belore you dip.TOLL FREE NUMBER 1•800-424•5555. � <br /> I A . Insta] � rcr_k construction entrance hehind drivewal� as Fer city O <br /> '�� sta:idar�l Y?_OS and erosion control as directerl hy Fubl ir, Work:; <br /> �,�� In=.pect�r. <br /> ' 5. Keep city streeY,s clean at all. time, � <br /> 6. Curh eutter and si.d�walk in the plat are new and undamaged, <br /> anv dama�e thereto shall be repl.ar_e�] at t.he discretion of Che ♦A <br /> .�� Puhlic Works Tnspector. ��� <br /> 7 . Any chan�e in t:he dri.vewaY r.ut must Ue approved hY Y.he Publi� � <br /> Works Ingo�ctor. <br /> �+..� F. Ti�ht].ine all roof. Yard and drivewaY drai.ns to sturm drain ^ <br /> ;,,,'�� yY.uUF at; hack side of Al(�P.WdlIS. `i' <br /> �. qd,ii�at. w�t.Pr li�xea t� er•adF at and of con�tructi.on. <br /> 10. Dri.vewav:, :;l�al l he �,"mrl�>t��lv cured Uefore drivi.n� on t,h�m. <br /> �� � <br /> � ACKNOWIE�GEMENT OF CONDITIONS <br /> � � <br /> \ The unCersiqned owner/apPlic�nl hereby a9rees to hold anA save �arm� <br /> less ihe City ol Everett Irom any and all claims br damages, r,osts. <br /> expenses. or wuses ol action Ihat may arise because ol installatio�� <br /> ��� I��� i .y and mamlenance of Ihe improvement or olher righl�ol�way use hereto <br /> � � � �` G%�- � ' ( - � � applied for and further a�lrees to remove same upon nolice Irom the <br /> p.pproved tor Construdlon Date G:N and�o replace public properry damaged thereby. <br /> �� � � ' <br /> `' �— > L l <br /> ���_.{�.�i —_ .. J i� j�/ 7 - _ <br /> FINAI INSPECTION Dale �� ����� � i Dah <br /> ApProved as Con�irucled Sipnalure ul APPlicant <br /> NJORK AUTI10RI2FD BY THIS PERMIT MUST BE STARTED WIThiIN <br /> �� PUBLICWORKSD[PARTMENT 1A0 DAYS OF DATE P[RMR IS ISSUED AND THEREAFTER IS TO . <br /> 3200CedarStreet BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everelt,WA98201 CANCELLED BV THE CITY UPON ANV STOPPAGE Of WORK ON THIS <br /> Phonr.259�BP10 Pf70JECT OVER 90 DAYS DURATION. <br />