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� I —�_� PuOn:Wor�.Permit• �� �f� / <br /> 11-15-93 "��5 <br /> Date eiau o�o�.• <br /> ppplicelion For <br /> TO POSTING- �'- <br /> PERMIT P�Oi�cworteFee s-� <br /> pUBLIC WORKS TotelFee <br /> Leu AOV��Fee PsiE s.�� <br /> Belence Duo s ��/� <br /> Print or Type Only ' ' 1 <br /> �.J <br /> Select Homes 237 Elm St Everett WA ' Z�p Phone <br /> , Mailing Address <br /> City <br /> Owner <br /> ' O�m¢i � CitY Zip Phone � <br /> App <br /> licent Mailinq Address � <br /> �----- � <br /> Describe Proposed Wotk <br /> new house _ <br /> W <br /> — 5503 lst Dr W Lot 27 Nanabrook 4 � <br /> prole�t Address(if known) — <br /> Attach four�4)copies of plans for proposad work- Draw to scale and nole�CQ�ieWine of stpeei;able: � <br /> � Propehy Lines • Indicate North <br /> • Outline and dimensions of ell ezisting and � Show any proposed grading chan9es � <br /> 'i proposed slmcWres on the lot • Show measurements <br /> � • Existing and proposed utflities O <br /> DO NOT WRITE BELOW THIS LINE <br /> � PERMIT CONDITIC IS � <br /> 1,pll calls tor Inspectlon shell be mede 24 hra.In edvance-phone 259-88�0• <br /> , 2.All work ahall be peAormed in accordance wilh this permil and current City of Everett Oesi9�24 5555uction � <br /> Standards and Specilications. T C ity <br /> 3.Call Locetion Underground Service 48 hra before you dig.TOLL FREE NUMBER 1- O <br /> 4. Inatall rock construction entrance behind drivewaY 8a P� <br /> standard fi208 and erosion control as directed by Public Works <br /> Inapector. <br /> 5. Keep city streets clean at all times � <br /> g, Curb gutter and sidewalk in the plat are new and undamaBed, � <br /> any damage theretoc�orll be replaced at the diacretion of the <br /> Public Worka InsPe roved by the PW In- O <br /> 7. Any change in the drivewaY cut must be app <br /> spector, width at PBrd andedriveway drains9tonatorm drainth � <br /> 8_ Connect all roof. Y <br /> syetem provided to lot. <br /> 9. Ad3uat water boxee to grade at end of conetruction-on them. <br /> 10. DrivewaYg ahall be completelv cured before driving <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � The undersigned owner/applicanl hereby agrees ro hold and save harm- <br /> �1 less the City ol Everetl irom any and all claims for dama9es, costs, <br /> 1' <br /> ezpenses, or causes of aclion that may arise because of inslallalion <br /> � and maintenance of ihe improveme�I or other righ�-oi-way use hereto <br /> , CYn p, �.� applied tor and further agrees to remove e herebyn notice trom the <br /> Fx'�� Date lac P� �� ProPertY dam� <br /> City an to P <br /> qpprov d or���io� <br /> �//- � ' <br /> Date Date <br /> FINAL ION <br /> � Signa ure Applicant <br /> qpprovedasConslrucled WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHI <br /> PUBLICWORKSDEPARTMENT � 30 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> �� 3200 Ceder Slreet BE DILIGEN7LY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everelt WA 98201 PRW ECT OVER 90 DAYS DURATION.STOPPAGE OF WORK ON TNIS <br /> Phone:259-8810 <br />