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G-, � -z8 -� - <br /> Date 12�2/93 / <br /> PUEI¢Wod�Parmll� _ � <br /> �=-6 ApplicatlonFor TO POSTING �-z—�'� a�aooep, . y3864 <br /> PUBLIC WORKS PERMIT PUOTotelfeeFee s <br /> � - Lnss�p0�.Fee PaiE f_T_ <br /> Print or Type Only BalenceDue S 20 <br /> -C� <br /> Select Homea 237 E�m v rnrr 987p� 75A—ISl1�� � <br /> Owner MaiHng Address City Zip Phene <br /> i <br /> Applicanl Mailing Address City Zip Phone <br /> � <br /> Describe Proposed Work New house — Basic 107 (Maple) < <br /> L <br /> i <br /> i <br /> Pro�ect Address(if known) 5606 lat Dr W Lot 47 Hanabrook Div 4 • � <br /> � Atfach four(4)copies of plans for proposed work• Draw to scale and oote the following as applicable: � <br /> � • Property Lines � <br /> • Centerline of sireet � <br /> • Outline and dimensions of ell existing and • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposatl utilit:es • Show measurements <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS O <br /> 1.All cells for Inapection shall be made 24 hrs.In advance-phone 259-8810. <br /> � 2.All work ehell be pertormed in ecco�dance with thia permit and cuneM City of Everett Design end Construction ' <br /> Stendarde and Specificatlons. <br /> 3.Call Locallon Underground Service 4B hrs.befoie you dig.TOLL FREE NUMBER 1-800�4245555. <br /> 4_ Install rock construction entrance behind driveway as per city Z <br /> standard #208 and erosion cantrol as tlirected by Public Worka <br /> Inspector. O <br /> 5_ Keep city atreeta clean at all times <br /> 6. Curb gutter and sidewalk in the plat are new and undamaged, <br /> any damage thereto shall be replaced at the diacretion of the � <br /> Public Worka Inapector. <br /> 7. AnY change in the driveway cut muat be approved by the PW In- � <br /> epector, width at prop line limited to existing apron width. <br /> 8. Connect all roof, yard and driveway drains to atorm drain <br /> syatem provided to lot. � <br /> 9_ Adjust water boxes to grade at end o£ construction. <br /> 10. Driveways ahall be completely cured before driving on them. <br /> /�� ACKNOWLE�GEMENT OF CONDITIONS <br /> y The undersigned owner/applicant hereby agrees to hold and save harm• <br /> less the Ciry ol Everetl irom any and all claims for dameges, costs, <br /> � ezpenses, or causes of action that may arise 6ecause of installation <br /> � �G�� f�l.,.. A�p and maintenance of the improvement or other riqhl•of•way uea he�eto <br /> ���� �J � applied for and further e rees to remove 58me u on notiCe from Ihe <br /> Approved for Constru i�f Date 9 P <br /> / Ciry t replace lic property aged thereby. <br /> �"i�- yy ^q <br /> FINAL INSPECTION ate <br /> APnrovetl as Conslructed Signat re of Applicant Date <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST 8E STARTE� WITHIN <br /> 3200CederStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAF';F_R IS TO <br /> Everett WA98201 BE DILIGENTLY PURSU[D TO COMPLETION. THIS PERMI�i MAV BE <br /> Phone:259•8810 CANCrLLED BV THE CITY UPON ANY STOPPAGE OF WORK��N THIS <br /> PROJECT OVER 90 DAVS DURATION. <br />