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�� - I -1-�5_�{- - <br /> D�fe 3�10 93 (� (�, vmimwo���a���mn. ����'f`/�C7 � <br /> ApptiCation FCr �� �"������ -7���� '� � Waa oeni •��41� ' __ <br /> PUBLIC WORKS PERMIT �°°°°,�°�,�°°- - <br /> imai Fee S <br /> Lessnpnl FeePa�� $ <br /> � <br /> p �� Print or Type Only o.,�,��a o�� s � _ <br /> � y �' -t- <br /> � Adventure Homes 22928 57th Ave SH Woodinville 98072 48G-7395 <br /> Owner Mailing Atldress City Zip Phone <br /> �y 7�d l,a <br /> �H � Steve Tfatthews same as aUove <br /> VJ H — <br /> � Z� Applicant Mallin9 Atltlress City Zip Phone <br /> �� <br /> O H � DeScribe Proposed lNork ��W }1ou50 � <br /> � �g ��1]V (�] <br /> z> y � <br /> r r-i H — � <br /> g� � Pioler,t AOd�^ss(il knownl �V� ��� I� DI� � --;,,,^t 1-3�—[�i-dget+oetl TeiT•m�=;�iy—�-I � <br /> ry� AIIFlch foui(41 copies ot plBns lor proposed wo�k� Dr:Iw to sc.11e dntl note ina I011owing a5 apulic�ble � <br /> �v <br /> • Property Lines • Centedme ol streel 'A <br /> � y • Outline and dimcnsions ol all ecisling and • Indicale North V� <br /> proposetl structures on Ihe lot • Show any proposetl 9rnchng changes <br /> � • E.isting antl PmPosed utiG�ies • Show measurements � <br /> DO N071NRITE 8[lOW TH�S LINE <br /> � PERMIT CONDITIONS O <br /> � 1.All wlls lor inspection shall be matle 24 hrs.in advance-phone 259•8810. � <br /> � �� 2.All work shall be peAormed in accordance wilh this permit and Current City of Everett Design antl Consiruction <br /> �,� Standards und Speci6cations. <br /> . 3.Call Location Undergmund Service 48 hrs.belore you dig.TOLI FREE NUMBER 1•800•424•5555. � <br /> 4. Install. rock construr,tion entrance tx:hind driveWay ae per r_ity <br /> '� ��� standard ri208 and eroaion control as directed by R�blic Worka O <br /> � Inspector. <br /> 5. Keep city streets clean at all times <br /> 6. G1irh �rtter and sideWalk in the plat are neW and undamaged, H <br /> � any damaqe thereto ahall be replaced at the discretion of tlie <br /> �'� A�bli� Worka Inspector. � <br /> 7. Any change in the driveway cut muat be approved by the FW In- O <br /> spector. Width at prop line l.imited to existine %+pron uidth. <br /> � t3. fonnrrt all roof, yard nnd driveNa�� drains t,n storm drain � <br /> �,�� syst=m provided to lot. <br /> '� 9. Ad,iust Uater lwxes to Rrade at. end of con�trur_tion. <br /> 10. DrivaNays shull be r_ompletely cured bef�ire drivine un them. <br /> �� <br /> ��I I, �rLQ ACKNOWLEDGEPdENT OF COY�ITIONS <br /> � � <br /> The undersi9ned ownrr/apphcant h��reby anrees to holA and save hnnn� <br /> ----- less t�,�e Gty ol EvereU fmm any and all claims Inr tlama�es. costs <br /> ea,enses or causes of aclion ihat may anse hecause ol inslallation <br /> `` /�, ��'���;� �iIA . ,r' (y ��1 and maml?nnnce ot ihe improveme�t or o�her right�of�way usr hereto <br /> u- ��� �� / appiied loy and further aflr es lo remove same upon notice irom ihc <br /> Approved for Const Iion Date ;,i�y anA Iq�replace public roperty damac�eA Iherehy. <br /> �` '`�� `�-3�' -:� ���1� <br /> FINAL INSPECTION Dalc � --�-�-�—'=> �L'�Lro <br /> qpproved as Consiructed Signatwe of Ppplicant �ate <br /> i_-{ Pl16LICWORMSDEPARTIdENT `NORK AUTHnRIZED 8Y THIS PER�11T MUST BE STARTED WITHIN <br /> '�,f--1 3200CedarSlreet �80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> ��!�l4'FIlEIT Everet6 WA9B20t BE DIIIGENTLY PURSUED TO COMPLETION. iHIS PERAIIT MAV BE <br /> `�� Phone:259�BBt0 CANCELLED BY THE CITY UPON ANV STOPPAGE OF WORK ON T:ilS <br /> PFOJECT OV[F 90 DAVS DURATION. <br />