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� �� <br /> H <br /> C Ix-i <br /> � H!A <br /> K � n <br /> y � Date 3-13-92 T� �ncTIPJ� 3-3/- 3 PubbcWmksPermn� �.L'Z�/ <br /> � y p�y ApPlication For r�e� o�o�.• 35960 _ <br /> � x � PUBL.IC WORK� pERMIT Pu0LClYarhSFPt <br /> O �� toixi Fee g <br /> tesanooi.Fee va�e S <br /> F� t�+1 O eam�co o�e 5 _ <br /> �„ � Print or Type Only <br /> H <br /> � H� Select Homes 237 Elm SC Everett WA 98203 Randy Clark 258-1503 or <br /> g� Owner MaiNnq Adtlress • � City ZiP Phone <br /> �y - <br /> ��(�-y� Owner <br /> y Uj Applicant Mailing Address Ciry Zip Phone � � <br /> Hov� � � � <br /> oescdbearoposedwork nea construction Lot 18 Plaple 11107 '�idctwooe/ �- <br /> ����3 W <br /> Prolect Address pl knownl C�� l sr p p, SE � <br /> Attach four(4�Copies ol plans(or proposed work� Dran'to scale mitl note Ihe following as appliW6le: � <br /> • Property Lines � CeNedine ol slreel /^ <br /> • Outline and dimensions ol all exislin9 antl • Indicale Nor�h V� <br /> proposed siructures on the lot • ShOw any propo5ed 9rndin9 Changes <br /> • Existing antl proposed utilities • Snmv measurements � <br /> '�1 DO NOT WRITE BtLOW 7H15 LINE O <br /> ' ' FERIdIT i3ONDITIONS <br /> � 1.All cafs lor insFecGon shall be made 24 hrs.in advance�phone 259•8810. � <br /> 2.All work shall Ue pedormed in accortlance wilh this permit and current City of Everett Design and Construction <br /> '�1 Standards and Spetifications. <br /> 3.Call i.owtion Untlerground Service 4d ivs.belore you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> ��. inetall rock conctruction entrence hF-hi.nd drie.��ia,�v :�; w�r ,�i��� <br /> ��� :t,�ndard it208 �nd erosion r,nntro; �s dire��i:�ri },�� I�lib]ir W,-,�Ls. � <br /> inspP�tnr. <br /> 'v1 5. KeeP ri.ty streets clean at a11 time; <br /> � � ii. Q�rh �itter nnd sideHalk in the nl�t�. :o•o i���:r �,i��3 im�ian�,re�l, � <br /> anv d�maee theretn shal] be repla��ad ,st r,in= rii;�,ret.inu �,f t}�,� <br /> � Ri},li�: Wnrka ineyecr.nr. //0 <br /> ��' ". AnY chanee in the driveW�v r.ut must be appmved by the PW In- �/♦ <br /> 1 ' apeci.or, width it. prnp 'ine limi.ted to exi�tin� aprnn width. O <br /> � R. Conner.t •all rnof, yard and driveW�y drains to storm drain ' <br /> `�1 sy�t�m n�.�vided to ]r�t. � i <br /> � 9. hd,iust w,aY.ar bcxes te i=rnd� at end of constru:tion. <br /> ' ' ]0. Dri•✓e�a�y; sha11 be cnm�l�t,elv cured before drivin� on t.hem. �i <br /> � <br /> �I. 5��ar�te. ��bi�c. 1�/u� ks �e.rM �� �e..�� �re` 1:,.- r-oci��- <br /> '� O�� 4 � t�l I ACKNOWLEOGEMENTOFCONDITIONS � <br /> ' The undersigneA owncr/applicant hereby a�rees to hold antl save harm� � <br /> � - - less Ihe Gly o� Everutt irom any and all claims br dai��ages, costs. �� <br /> ,,ff expenses, or causes of achon Ihnt may arise becau5e nf inStallaiion <br /> { � (� ��,�I G�{� _ I� .Cl� and maintenance o' Ihe imprOvc-i enl Or p�her righbol�wuy use here!• <br /> �._LRt.L� � � appbetl br and lurlher aqree: •�•move same upon nohce Irom Ih <br /> Approvetl lo�Consfr ' � Dale City and to replace public proP lamag�d Ihere6y. <br /> �.�'I,���'�... - �Q • ��/�L `-� '� <br /> PINAL INSPECTION Date , _- f'S'�IL � <br /> ��nM����'d ns Construcled Signature oi Ap icant Daio , <br /> �' ��/ PUBLIC WORKS DEPARTMENT �'ORK �UTI10RI2ED BV THIS PERMIT AtUST BE STARTED WITHIN <br /> �� �200CetlarSlreet 100 DAYS OF DATE PERMIT IS ISSUED AN� THEREAFTER IC TO <br /> ,�-KJ,T BE DILIGENiLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> ��•• Everett,W498201 CANC[LLED BY THE GTY'UPON ANV STOPPAGE OF WORK ON THIS <br /> Phone'.259�BBt0 PqpJECT O1'GR`�0 f7A�'S DURATION. <br />