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Date <br /> 7-21-93 ' I`�� PUE4c Worha Permii• — <br /> TO POSTINGz��-- Biaq DeD� • <br /> qpplication For <br /> PUBLIC WORKS PERMIT �ublitNo�bFee <br /> Tatal Fee s <br /> Less RpP�Fee PaiC S� <br /> Balan<e Due f <br /> Print or Type Only � <br /> �,1 <br /> Select Homes 237 Elm St Everett WA 98203 258-1503 <br /> Owner Mailing Address City :ip Phone <br /> Owner <br /> � -� <br /> qpplicant Mailin9 Address Cily 2ip Phone � <br /> new house <br /> 1 <br /> Describe Propused Work _ <br /> ,, W <br /> Prolecl Addre551if known) <br /> 5419 lst Dr W Lat 23 Hanabcook 4 � <br /> � <br /> Attach four(4)copies of Plans for proposed wo��k•Oraw to scale and note the�ollowing as applicable: � <br /> • �nnterline of street <br /> • Property Lines • Indicate North <br /> • Outline and dimensions of all existing and � Show any proposed grading changes <br /> proposed structures on the lot � Show measuremems M <br /> • Existing and proposed utilities W <br /> DO NO?'NRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS � <br /> 1.All cells for inspection shall be made 24 hrs.in advance•phone 259•8810. <br /> 2.All work shell be performed in accordance with this permit and current City of Everett Design and Consiruction <br /> Standards end Specifi�ations. � <br /> 3.Call Location Underground Service 4B hrs.before you dig.TOLL FREE NUMBER 1•800-424•5555. <br /> 4. Install rxk conatruction entrance behind driveway ae per city <br /> atandard f1208 and eroaion control as directed by Public Worka O <br /> Inapector. <br /> 5_ Keep city atreeta clean at all timea <br /> 6. (airb gutter and sidewalk in the plat are neW and unda�aged, � <br /> any damage -Sereto ahall be replaced at the discretion of the � <br /> Public Worke Inapector. <br /> 7, Any change in the driveway cut muat be approved by tt_e PW In- O <br /> spector, width at prop line limited to exiating apron Width_ <br /> 8. Connect all mof, yard and driveWay draine to etorm drain � <br /> syatem provided to lot. <br /> 9. Ad3aet water boxee to grade at end of conatruction. <br /> 10. Drivewaye ehall be completely cured before driving on them. <br /> ,�, ACKNOWLEDGEMENT OF CONDITIONS <br /> /I V <br /> �.l\"- The undersignetl oN ner/applicant hereby agrees to hold and save harm• <br /> '� less the City ot Everett Irom any and all claims for damages, costs, <br /> L � expenses, or causns ol action that may arise because ol installation <br /> an maintenance cJ the improvement or other righ4o4way use hereto <br /> applied for and further agreec to remove same upon notice Irom lhe <br /> Appro d r Construction � � �e Ciry and to replace Public properry damaged ihereby. <br /> �� 5-�� �'� � 9-/s"-93 <br /> FINAL INSPECTION 1e Date <br /> Approved as Construded <br /> S nature of APP'i,.ant <br /> W('.iiK AUTHOR�ZED BY THIS PERMIT MUST BE STARTED WIT <br /> �A�� PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED ANP THEREAFTER IS TO <br /> 3200 Cedar Street BE D�LIGENTU PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Fverelt,WA 98207 CANC:ELLED B'(THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�BB70 PRO.ECT OVEa 90 DAYS DURATION. <br />