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Date Z-15-94 i T/1 AI1Cj'�I� -l�_ � �8Z . <br /> V Poplic Warb Permll• <br /> Application For � � ema oeo� • 43525 <br /> PUBLIC WORKS �ERMIT PueTo�Fae��� : <br /> � �ea.eoo�.Fee aa�a S <br /> Print or Type Only � � � g g g g �; g g g ' °� s�— <br /> M mNN �.pN I � MN O O � F ��pj I�(� <br /> N N M M N M O M M � N �a! <br /> Select Homes 237 Elm St Everett'�(�iTA 98203' 258-1�� M �� <br /> Owner MaitingAddross � City� � _Z � � Phone <br /> pp o `� x c.� cn a f5 .+ �+ <br /> N 00 U � 0 q � C 3 .+ <br /> Owner � � 8� � `�' fi � 35m '" t3 <br /> Applicant Mailing Address City Zip Phone � <br /> < <br /> Describe Proposed Work new house � <br /> W <br /> Project Address(if known� 5612 lst Dr W Lot 9 Hanabrook 4 � <br /> Attach tow(4)copies of plans for proposed work• Draw to scale and nole the following as apoRca6le: � <br /> • Property Lines • Centerline ol slreet /w <br /> • Outline antl dimensioas ol all existing and • Indicate North V�� <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Ezisting and propose�d utilities • Show mezsurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shell be mede 24 hrs.in advance•phona 259•8810. � <br /> 2.All work shell ba performed in accordance with this permit and current City ot Everett Design and Construction <br /> Stenderds and Speciflcatlona <br /> 3.Cell Locatlon Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800-424•5555. � <br /> 4. Inctsl rock constructfon emnnce behind driveway as per ciry O <br /> tlaod�rd A►208 and ero�bn coMrol as dirccted by Publc Works <br /> Intpector. <br /> 5. K�ap clly streNs cN�n at a111mes ■ <br /> 8.Curb gutur and sidewalc in the pW are new and undarr,ayed, r <br /> ary damags therNo thal bs ropbced at the discrotloa of the � <br /> Pubic Works Inspector. <br /> 1.My chaoge in the drlwv+ay cut must be spproved by the PW In- O <br /> cpector,wfdth at prop ine ImRed to exicliny apron width. <br /> B.Connect al roo(,y+rd and drfve�+�ay dnlns to dortn droln � <br /> sysl�m provided to bt. <br /> 9.Adjuct water boxas to grade at end ot constructlon. <br /> 10.Drivev�ys shal ba compbtey cured before drivinp on them. <br /> —n�,� ACKNOWLEDGEMENT OF CONDITIONS <br /> �Ill�•• <br /> ��• The undersigned owner/applicant hereby agrees to hold a�d save harm• <br /> — less the City of Everell Irom any and all claims for tlamages, costs, <br /> ��ff expenses, or Causes ol aclion Ihat may arise hecause of installation <br /> �C�ji _ �zL�^q� and maintenence of the improvement or other right•of�way use herelo <br /> �����v applied fo and further agrees to remove same upon notice from the <br /> Approved for Construction Date Cit d t replace public property damaged Ihereby. <br /> � ��' <br /> �✓� � 5//-9 , , . <br /> `/ � <br /> FINAL INSPECTION Oat Y<n L�. r � —0 � <br /> qpproved as Constructed � nature ol Apnlicant Date <br /> PUBLIC WORKS DEPARTMENT W RK AUTHORIZED BY THIS PERMIT MUST BE STARTEO WITHIN <br /> 3200CedarSireet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUF.D TO COMPLETION.THIS PERMIT MAY BE <br /> Phona:259-8810 CANCELLED BY'THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />