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8 � -za-g- � <br /> �8t@ 12�Z�93 TO PGSTING. G -Z-R� P°blicWork�Permite 3S <br /> �z'L' Applice�lon For BIOp.DaD�.• 4Z86 <br /> PUBUC WORKS PERMIT PueucWorxeFee <br /> To1nl Fea : , <br /> Leas�oo�Fee PeiE S <br /> Print or Type Only ea�.��e o�, s � <br /> V�� <br /> � sei lr� <br /> Owner Mailing Atldress City 2ip Phone <br /> Appiicent Mailinq Address City Zip Phone � <br /> < <br /> . Describe Proposed Work 5533 lst Dr W New house Basic 100 (Cedar) � <br /> W <br /> Project Address�if known� o ab k Di � <br /> Attach four(4)copies of plans for proposed work- Draw to scale and note the followin9 is applicable: � <br /> • Property Linas • Centerline of strcet � <br /> • Outline and dimensions of all existing and • �ndicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> �. • Existing and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> � PERMITCONDITIONS <br /> 1.All calls for Inspectlon ahall be made 24 hrs.in advance•phone 259•8610. � <br /> 2.All work ahal�be peAormed in accordance wilh this permit and cuRent Clty of Everett Design and Constructlon <br /> Standerda and Specfflcatlona <br /> 3.Cell Location Underpround Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800-424•5555. � � <br /> 4. Install rock construct3on entrance behind driveway ae per city <br /> standard fi208 and erooion control as directed bY Public Works O <br /> Inspector. <br /> 5_ Keep city atreeta clean at all timea <br /> fi. Curb gutter and sidewalk in thP plat are new and undamaged, � <br /> any damage thereto ahall be replaced at the discretion of the <br /> Public 'Aorke Inepector. � <br /> 7. Anv change in the driveway cut muet be approved by the PW In- <br /> spector, wilth at prop line limited to existing apron width. O <br /> 8. Connect all roof, ,yard and driveway draina to storm drain <br /> eystem provided to lot. � <br /> 9. Adiust water boxes to grade at end of conatruction. <br /> 10. DrivewaYs shall be completelv cured before driving on them. <br /> � ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm• <br /> less the City of Evereq trom any and all claims for damages, cosis, <br /> �� � expenses. o� ceuses of action that may arise because of installation <br /> '� `, . _ Q VY1C(i'„� t-1.,� g C�3 and maintenance of the improvemenl or other right•of•way use hereto <br /> C�.tn��i ' I rzc. <br /> �� applietl for and further agrees to remove same upon notice irom the <br /> Approved for Con uction Date City n to repl public pro ty damaged thereby. <br /> �� ��/-`jY ' <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signat re ol pplicant ate <br /> � PUBLICWORKSDEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedvStreet 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Evarett.W,�98201 BE DILIGENTLY PUFSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone:259 9810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />