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�. � �8 <br /> Date 1-4-94 � �� p��TI � PublicWorYSPermit• <br /> Application For <br /> N1.7 7'Zq-q`� B�aaDeo� + 431 <br /> PUBLI WORKS PERMIT PuEecWorksFe� <br /> Totei Fae s <br /> less Rppl Fee ParU f <br /> Pfint Of Type Only $ g $ g �j S 8 $ g g � BeianceDue S �' <br /> � � � �M � � � � M � w <br /> Select Homes 237�1m St Ever�$t 98 3" �258-1503 N <br /> Owner � Mailing Atld�s `n Zip Phone <br /> Owner � � � �'' s' � m � � � ..". $ t3 <br /> Applicant Mailing Atldress City Zip Phone i 1 <br /> kl <br /> Describe Proposed Work new houae � <br /> � <br /> - - W <br /> Projec!Address(if known� 5529 ls[ Dr W Lot 32 Hanabrook 4 � <br /> Attach lour(4)copies of plans for proposed work- Draw to scale antl note the following as applicable: � <br /> • Property Lines • Centerline of street � <br /> � • Outline and dimensions of all existing antl • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measuremenis � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All r,epg�or inspectiori shell be mede 24 hrs.in advance•phone 259�8870. � <br /> 2.All work ahell be pertormed in accordance with this permit and cunent City of Everett Design and Construction <br /> Stendards and Specificetions. <br /> 3.Call Location Undergr�und Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800�424•5555. � <br /> �. Insul rock cor�slrudion amnnce behind drive�wy ac per city O <br /> qandard i208 aed�rosioo control as dirocted by Pubfc Works <br /> Insp�dor. <br /> 5. K�ep cNy tlntlt ckm a1 allimas � <br /> 8. Curb q�Ccler and oWewak in tha plat aro nwv and und�moged, <br /> �iy damag�th�rNo shsi be roplaced ri ths dfscrotlon ot the /A <br /> Publc Works Insp�ctor. V� <br /> 7.Any changs in 1M driverray cul muq be spprowd by the PW In- O <br /> sp�ctor,width at prop fne imMed to exiclfng apron width. <br /> 8.Conn�ct al root,yard and drivwwy dr�ins to qorm drafn a <br /> ry�iem provided to bt. <br /> 9.AdJud waler bons to gnde tl artd of constructlon. <br /> 10.Drive►wyc shsl be completey curod be/oro driulny on them. <br /> ,�]�� ACKNOWLEOGEMENT OF CONDITIONS <br /> �N The undersigned owne�/applicant hereby agrees to hold and save harm- <br /> less the Clty of Everet� from any and all claims for damages. cos�s, <br /> � _J expenses, or causes of action that may arise because of instaltetion <br /> 1 ' n IM �`., 1 � ��GI� and maintenance of the improvement or other righbof•way use hereto <br /> ��«'�X' � � � F"eK' � � � applied for ar . further agrees to remove same upon notice Irom the <br /> Approved for Construction Date City �n�t�o re�pl pu6lic prope(�damaged thereby. <br /> ���i 5`//• 9y /�U'L(i�� ��1 J �2'('LC/ <br /> FINAL INSPECTION Date Lu� �'��— � ZI��� <br /> Approved as Constructed Signalu e ol Applica � <br /> � PUBLIC WORKS DEPARTMENT WORK AUTI'ORIZED BY TH�S PERMIT MUST BE STARTED WITHIN <br /> 3200CodarStreet 1B0 DAYS UF DATE PERMIT IS �SSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUED 70 COMPLETION. THIS PERMIT MAY 8E <br /> Phone:259-8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />