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Date �-21-93 Il ' � " Z8"�" � <br /> PuEf¢WOAs Permit• <br /> . ApplicationFor TO POSTING � ������� BIOp-0apl.• _ <br /> PUBLIC WORKS PERMIT PuEi�cNb�tsFee - <br /> Touirae = _..._ <br /> Lesa RpO�-Fee PaIE S 'r ,_.__ <br /> Print or Type Only 9alance0ue s��`�' <br /> Select Homes 237 Elm St Everett WA 98203 258-1503 � <br /> Owner MeiNng Address Ciry Zip Phone <br /> Owner <br /> Applicant Mailing Address City Zip phone <br /> < <br /> . Describe Proposed Work new house j <br /> � W <br /> Project Address�if known) 5416 lat Dr W Lot 13 Hanabrook 4 � <br /> AtteCh four(4)coDies of plans for proposed work• Draw to scale and note the following as applicable: � <br /> • PropeAy lines • Centerline of street � <br /> • Outline and dimensions of ell ezisting and • Indicate North <br /> proDosed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed ulilities • Show measurements � <br /> DO NQT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for Inspection shell be made 24 hrs.in edvance•phone 259�8810. � <br /> 2.All vrork shell be performed in accordence with this permit and current City of Everett Design and Construction <br /> � StendaWs end Speciflcatlons. <br /> � 3.Cel�LoceNon Und ryround Service 48 hre.t�tore you i T L F EE NUMBER 1•800-4 '�555. � <br /> 4. Inatall rocTc conetruction entrance �h�n� �riveway an per c <br /> atandard it20B and eroeion control as directed by Public Worka O <br /> Innpector. <br /> 5. Keep city streete clean at all times <br /> B_ (�u�b gutter end sidewalk in the plat are neri and undanaged, � <br /> any damage thereto ahall be replaced at the discretion of the <br /> Public Worke Inapector. � <br /> 7. Any chnnge in the driveway cut must be approved by the PW In- <br /> aper.tor, width at prop line limited to exiating apron width. O <br /> 8. Connect all roof, yard and driveway drains to atoc� drain <br /> syetem provided to lot. � <br /> 9. Ad,iuet water boxee to grade at end of construction_ <br /> 10. Drivectaye ahall be completely cured before driving on them. <br /> � ACKNOWLEDG[MENT OF CONDITIONS <br /> The untler;.igned owner/applicant hereby agrees to hold and save harm• <br /> — � less the City ol Everett irom any and all claims lor damages, costs. <br /> L expenses, or causes of action that may arise because of installetion <br /> 3 and maintenence of the improvemeot or olher right�of-way use herelo <br /> applied for and luriher agrees to remove same upon notice Irom ihe <br /> Appr ed for Con uclion � a�e Cily and to�eplace public property damaged lhereby. <br /> �.��_- 3-� �y <br /> FINAL INSPECTION ��1e '��" � �_3_'� <br /> Approved as Constructed Signat re o�Ap icant Date <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CederStreet BE UILIGENTIY PURSUED TO 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 />