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Date �/7/93 €� ����+TING -��-ci�-- Pu�licWorFSPe���12 /3 .3{.�J <br /> Applica�i0n For eiog Deo�.+-.-- <br /> PUBLIC WORKS PERMIT PuOTotrFeyFec S <br /> �ess ApO���ee Pau g <br /> r <br /> Batan�e Oue $ <br /> Print or Type Only — <br /> Adventure Homes 22928 57th Ave SE Woodinville 98072 486-7395 <br /> . Owner Mailing Address Ciry Zip PYone <br /> Steve Matthews same as ahov� <br /> � Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work New hoLse Basic 206 _ <br /> W <br /> Project Address�if kn .i) 6108 lct Dr CF. ?�t���#� � <br /> Atlach four 14) copies � plans lor proposed work- Draw b scale and nole the lollowing as applicable: � <br /> • Property Lines • Centerline ol slreet � <br /> • Uutline and dimensions of all ezisting and • Indicate Nor�h <br /> proposed structures on ihe lol • Show any proposed grading changes <br /> • Existing and proposed utilitins • Show measuremenis M <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shall be made 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shall be peAormed in accordance with this permit and curreid City of Everelt Design and Construction <br /> Standards and Specifica�ions. <br /> 3.Call Localion Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800-424-555.ri. � <br /> 4. Inntall rock r_onstrurtion entrance behind driveWay as per city <br /> standard x206 and erosion control as directed by Public Works O <br /> Inspector. <br /> 5. Keep city streeta clean at all timea <br /> 6. �rb gutter and sidewalk in the plat are neW and undamaged, � <br /> any damage thereto shall be replaced at the discretion of the <br /> Publi.c Worka Inspector. (^ <br /> 7. Any change in tiie driveway cut must be approved by the PW In- �I r <br /> spector, width at prop line limited to existing apron Nidth. O <br /> 8. Cc�nnect all. roof, yard and driveway draina to storm dra�.n <br /> system provided to lot. a <br /> 9. Ad,iust water Uoxea to grade at end of construction_ <br /> 10_ DriveNays ahall be completely cured before driving on them. \\ <br /> ��� ACKNOWLEDGEMENT OF CONDITIONS <br /> �([J" The undersic�ned owneUapplicanl hereby agrees to hold and sare harm- <br /> less Ihe Gty of Everett from any and el! claims tor damages, cosis, <br /> _--_�/����y� . � lC/�Gl �� eapenses. or causes of action that may arise because ot installation <br /> // ��� J and mamtenance ot the i9 provement or other right�ol�way use hereto <br /> / <br /> I applied t r and furiher a rees to remove same upon notice rom the <br /> Appr ved lor Construction Date City an to replace public pr erty damaged thereby. <br /> .JOi�� _ �/ �e —'1J � �i 7j_ <. <br /> FINAL INSPECTION Date Date <br /> Approvetl as Constructed ig at e of Applicant <br /> �A�� WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLICWORKSDEPARTMENT 180 DAYS OF DA� E PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Cedar Slreel gE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett,WA98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259-8810 I PROJECT OVER 90 DAYS DURATION. <br />