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�^ I' �� '� pubiic Works Pe�mlt� _�l�-�/ <br /> 10-1-93 ^/��TI BIOp UeO� • ����� / <br /> oace Tn ��� � NG_ <o -Z-R�f <br /> Applicalion For <br /> PUBLIC WORKS PERMIT PUEIicWa�keFea s <br /> Totsl Fee <br /> Less�VO�Fea PUE s <br /> eei�nce o�e s,6� <br /> Print or Type Only �,.11� <br /> V/ <br /> Select Homes 237 Elm St Everett WA 98203 258-1503 Z'P phone <br /> Owner <br /> Mailing Address City . <br /> Ownei Phone <br /> qpplicant <br /> Meiling Address C'�Y Z�P � <br /> Z <br /> Describe Provosed wo�k new houae Lot 30 Hanabrook 4 ,� <br /> W <br /> sszi igc n= w/ � <br /> Projecl Address(if known) � <br /> Attach four(4)copies ol plens for proposed work- Draw to scale and note�Ceo11eWine of st�ee�able: � <br /> • Property Lines • Indicate North <br /> � Outline and dimensions of all existing and � Show any proposed grading chenges <br /> proposed slructures on the lot � Show measurements � <br /> � Existing and proposed utilities <br /> 00 NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS � <br /> 1.All cells for Inapection shell be mede 24 hrs.in edvance•phone 259•8810. <br /> 2,All work shall be peAormed in eccordance with lhis permi'and current CNy of Everelt Design and Construclion <br /> Stendards end SpecH�oe��ons. � <br /> 3.Cail Locatlon Underground Service 48 hrs.be�ore you dig.TOLL FREE NUMBER 1-500'424•555 . <br /> 4. Install rock conatruction entrance behind drivewav ae per cit'i O <br /> etandard �208 and erosion control as directed by Public Worka <br /> Inspector. <br /> 5. Keep citY etreets clean at all timea � <br /> 6. Curb gutter and sidewalk in the plat are new and undemaged, <br /> any damaBe thereto ahall be replaced at the diacretion cf the � <br /> public Worke Inapector. <br /> 7. Any change in the driveway cut must be apProved by the PW In O <br /> spector, width at prop line limited to exiating apron width_ <br /> 8, Connect all roof, yard and driveway drains to atorm drain � <br /> sYBtem provided to lot. <br /> 9. Ad�ust water boxes to grade at end of conetruction_ <br /> 10. Driveways ahall be completelY cu:ed before driving on them. <br /> 1�n ACKNOVJLEDGEMENT OF CONDITIONS <br /> ,p.. <br /> V� The undersigned owner/applicant hereby agrees to hold and seve arm- <br /> � less the Cily ot Everelt Irom anY and all claims lor damages, casts, <br /> e.penses, or causes ot action that may erise because of Instalietion <br /> C �/� /� � and maintenence of the improvement or other right•of�way use herelo <br /> (if/ applied for and further agrees to remo�a same upon notice irom the <br /> Date Cit a lo r plac . public proper damaged thereby. <br /> Approved for Co^s�ruc� <br /> /7 �-/i - 9y � — <br /> J�� Date Date <br /> FINAL INSPECTION Signat re of Applicant <br /> Approved as Conslrucled WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � PUBLIC WORKS DEPARTMENT BE DD.pIGENTLY�PURSUED TO'COMPLE�TION.DTH SEPERMIT MAY BE <br /> 3200 Gedar Stteet <br /> Everett,WA 9820� pqp�ECT OVER 90 DAYS DURAT ON.STOPPAGE OF WORK ON THIS <br /> Phone:259-8810 <br />