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/ <br /> 7-21-93 I� � I I Z� "� r�oo�wo«.v��mn. � <br /> Date 3- Ld -9� <br /> Application For TO POSTING 81tlp °`°'.. <br /> PUBLIC WORKS PERMIT PuOTotelFeeFee s <br /> LCis Pppl iee PaiE S <br /> BatanceDue S � <br /> Print or Type Only � <br /> � <br /> �C ' <br /> Select Homes 237 Elm St Everett WA 98203 258-1503 <br /> Owner Mai4ing Address City• Zip Phone <br /> OwReL j <br /> Applicant Mailing Address City Zip Phone . <br /> !. <br /> Describe Proposed Work <br /> new house �� <br /> W <br /> Projec�Address(if known) <br /> 5404 lst Dr W Lot 18 Hanabrook 4 � <br /> � <br /> Attach lour(4)copies of plans lor proposed work• Draw to scale and note the following as applicable: � <br /> • Property Lines • Centerline of sireet <br /> • Outline and dimensions of all ezisting and • Indicate North <br /> proposed siruc�ures on the lol • Show any proposed gratling changes <br /> • Ezisting end proposed utilities • Show measurements M <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS � <br /> 1.All calls tor inspection shall 6c made 24 hrs.in advance•phone 259•8810. <br /> 2.All work shell be pedormed In acwrdance with this permit end current City ot E.erett Design and Constmctlon <br /> Standards end Specifications. � <br /> 3.Call Locetlon Undergr�und Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800�4245555. <br /> 4. Inetall rock conatruction entrance behind drivevay as per city <br /> standard #208 and eroeion control as directed by R.blic Worke O <br /> Inapector. <br /> 5. Keep city atreeta clean at all timea <br /> 6. (�rb gutter and sidec�alk in the plat are new and undamaged, � <br /> any demage thereto shall be replaced at the diacretion oi the <br /> Public Worka Lnspector. � <br /> 7. AnY change in the driveway cut must be aFProved by the PW In- O <br /> apector, width at prop line limited to existing apron width. <br /> 8, Connect all roof, yard and driveway drains to atorm drain � <br /> system provided ta lot. <br /> 9. Ad,iust water boxes to grade at end of construction. <br /> 10. DriveWays ahall be completely cured before driving on them. <br /> � ACKNOWLEDGEMENT OF CONDITIONS <br /> � The undersigned owner/appUcanl he•eby agrees to hold and ave harm- <br /> less the Clty ot Everett Irom any and all claiins for damages, ccsis, <br /> �� � � �� expenses, or causes of action that may arise because ol insta�lation <br /> and mainlenance ol the improvement or other righPot•way use hereto <br /> ' applied lor and furiher agrecs to remove same upon notice Irom the <br /> Appro ed for Constr tion Date City and to replace pubhc pwperty damaged thereby. _ <br /> .�, � �8 - yy � <br /> �� 3 � <br /> FlNAL INSPECTIONi ate � Date <br /> Approved as Consiructed Signature of ApPli nt <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED W�- HIN <br /> �Ar� PUBLIC WOPKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CetlarSireet BE DILIGENTLY PURSUED 70 COMPLETION. THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�8810 PROJECT OVER 90 DAYS DURATION. <br />