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� __ �. Z' _ ..� <br /> 3-10-94 � v�oc:wo�k.Pumn. <br /> Date Tn ��cT�n,(� 1-L ' e�ao o�o� • 43746 <br /> Application Fgr� <br /> PUBLIC WORK� PERMIT P�DIicWorkaFee <br /> Total Fee s <br /> 8 Leia�OGL Fee Pa�G S — <br /> Print or Type Only r <br /> 5888 `�t3, S � 8 8 8g "'"`°°"° s2U ^ <br /> m .-. +mto.po � oo� pp � � o� ni ^ <br /> PM M M M M N � O M � �`�i! N //( J,,\' <br /> M I v <br /> Select Homes 237 Elm St Ev ett WA 98203 �'� 15 � I <br /> Owner MaiNng�dle � � � � � -.. �� �i � �� Phone .._./ <br /> " � �� � � � � � � <br /> Owner <br /> � � � � � � o <br /> Applicant <br /> Mailing Address City Zip Phone � <br /> G <br /> DascriGe ProposeA Work _ <br /> new house L <br /> Lot 34 Hanabrook 4 <br /> �6�� - W <br /> Proiect Adtlrrss�il known� � lst Dr W'� _ _._ � <br /> �� <br /> Attach four(4)copies of plans for proposed work- Draw to scale and n;�e�tie following as applicable: � <br /> . • Properry Lines • l'.:nterline of street <br /> • Outline and dimensions of ail existing and • ladicate North <br /> proposed slructures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measuremenis M <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS � <br /> 1,All calls for Inspectbn shall be mede 24 hrs.in advance-phone 259•8810. <br /> 2.All work ehall be pertormed in accordence with this permit and current City of Everetl Design end Construclion <br /> Standards and Specificalions. � <br /> 3.Call Location Underground Service 4B hrs.betore you dig.TOLL FREE NUMBER 1-800�424•5555. <br /> 4. Inqal rock constnutfon entrance behind d�e�wy as par ciry O <br /> st�ndard f208 aod erosfon control as dirocted by Pubic Works <br /> Insp�ctor. <br /> 5. Keep city stroels cban at al tlmes ■ <br /> 8.Curb gutter and side�wk in the pW ara new and undam�ged, r <br /> �ny damape thercto shal be roplaced ri the discretion of Ihe � <br /> PuWc Wo�ks Insp�clor. <br /> 7.My chanpe in tha d�ivev�y cul must be approved by the PY! In- O <br /> tp�ctor,widlh N prop I�e imked lo existing aproa widlh. <br /> 8. Connect al root,yard and drive�wy dnins to stortn dnin � <br /> sytbm provided to bt. <br /> 9.AdJust w�1or boxes to yrade at end oi construclion. <br /> 10. Driwv+ays shal be compbtety curod baforo driving on 1ham. <br /> ACKNOWLEDGE6IENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm• <br /> less the Giry ot Everett irom any and all claims br damages, costs, <br /> ezpenses. or causes o1 action that may arise because oF installetion <br /> — /� �/j C/r__ � �� �f� �y¢ and maintenance of the improvement or other right•o1•wey use hereto <br /> ��� JI 1 It��X� applied tor and further agrees to remove same upon notice Irom the <br /> qpproved lor Con t�n ua�e Ciry and to rep1l�ce pu6lic pro rty damaged t reb <br /> � 6-i7 w �� �huo � 3 2 9Y <br /> FINAL INSPECTION Date Date <br /> Signature ol Applicant <br /> ApProved as Constructed WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � PUBLICWORKSDEPARTMENT 180 DAYS OF OATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Ceder Street BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everet4 WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�8810 PROJECT OVER 90 DAYS DURATION. <br />