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. . : __ _ - -,r _ <br /> „ _ -�--•,�.,.--- - . - --�----_-„--- --- ......_--_ _ � . _. _. <br /> ' � <br /> Date 10-_�6-93 ' C'1 - I-Z �i �4 CJ ^� [J — <br /> . P:�GIip Worke Permii• /7�'Y t� <br /> � ApplicationFor n� TO POSTING -z _ qy Bi°a.oao��• 4zi6G <br /> PUBLIC WORKS�ERMIT PUELCWorbPee <br /> T Tolal Fee S <br /> � Lew�ppl Fee V�iE S <br /> Print or Type Only � o �, g � � �; � � �� �+�<eDue s_.:7— <br /> �L � <br /> � �f t7 O O '�h C] O !T O l!1 �f] ' <br /> �O `J `O —. H CJ I� [� C7 C� . � ., <br /> N .Y M M w +R M .; O .-a p� <br /> Select' Homec 237 F.lm St EvereP$ yWA 98703 �58-1�U3'" �' �� "' t. � <br /> Owner MaiNng Addq3s5� � xG�y •i o r7i , Phone <br /> � r� � yC/' � c� ci'W� .. <br /> O O � �JtW.] u � � CJ 3Wt� (� � F- I�ii <br /> UM`if2L a -..�s nJi 2 S o�. 6] L� a Vi :i ] O � � � � . <br /> V <br /> Applicant Mailing Address City Zip Phone � <br /> Describe Proposed Work new huuse ' ` ' <br /> Lot 36 Hnnabrook Div 4 � • ' <br /> --.. ...... <br /> Project Address(if known) 5�!��� — � � ��:. �� ' '� � <br /> Attach lour(4�copies of plan�for proposed work- Draw to scale and note the lollowing as applicabte: �� , <br /> � Property Lines • Centerline of street � <br /> • Outline and dimensions of all existing antl • Indicate North <br /> proposed structures on the lot • Show any proposetl grading chenges <br /> • Existing and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> ' PERMITCONDITIONS O <br /> 1.All calls for inapectbn ahell be made 24 hrs,in advance•phone 259-8810. � <br /> - 2.All work shall be pedormed in eccordance wit�this perm(t and cunent City of Everetl Design end Constructlon <br /> Stenderda and Specificatfons. <br /> 3.Call Lxatlon Underground Service 48 hrs.before you dlg.TOLL FREE NUMBER 1•800�4245555. � <br /> 4. lnstell rock ronatrurtion entrancr Lel�i.nd rleicewa�� a� per cit�i <br /> standard qG08 an�d erusion control �is �9ix�ertcd by Pub.lic Work� O <br /> Inapector. <br /> 5. keep city streeta r_lean at 271 time:� <br /> 6� Curh gut.tPr apci sidewallc in the plac ace new and undamsged, � <br /> any dlmarre tbereto shall i,e replaeeci �t the ciiflcretion of the � <br /> PuUlic W�rks Inr�Fertsor. <br /> '1 , qny ch+�nee in ihe rlrivewaY cut, must be approved b�� the FW In- O <br /> �peci;or. . wir.lth at. prop ].ine l.i.niitad to �,siating apro❑ widtli. <br /> 8. Connec�t. �,11 rocf, yr.ird and dri�reway draine t„� storm drain � <br /> sv:�„em provided 'c.n lot . <br /> :� . 1diusr, water Uo:ceE� to drade >t. end oi' ��in:;truction . <br /> 1C . Dr±.vaw3ye 3ha11 hF comoleCely ct�recl I�e�fore ch�ivin� ,n tlieni. <br /> i � <br /> :;�l7 ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm• <br /> less the City ol Everett from eny and all claims for damages, Cosis, <br /> � ezpenses, or causes ot action tiiat may arise because of installalion <br /> � ��^ JI J(�� �.Gv! i �]7 and maintenance ol the improvement or other right•obway use herero <br /> "� applied for and fur;her agrees tu remo�e same upon notice irom the <br /> Approved for Construdion. Date City a t replace blic p�oparty derna/ged thereby. <br /> , t ;�d-YYL.' �'-s�i� <br /> �y;. .��:r'- �_ c: � > >, <br /> FINAL INSPECTION . - a�e �i(�L} ��.CU��/Lx-� lI" � —`7 � <br /> Approved as ConsVucted Signatur of Applicant .�.. Date • � <br /> � PUBLICWORKSDEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet 180 DAYS OF DATE PEFMIT IS ISSUED AND THEREAFTER IS TO <br /> �F» Everet4 WA98201 BE DILIGENTLY PURSUCD TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259-8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DA1�S DURATION. <br />