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_ 10/"/93 �- �-28'� �J / <br /> DatQ — a�oec wo�ea varmn• / � <br /> Ap�licationFor TQ !'QSTING 3.-Z�-9 � eioa�oeoi.• 4 51 _ <br /> PUSLIC WORKS PERMIT PubTotnlFeeF:e , <br /> less Apol 1 ee PaiC S <br /> Balanco oue S_���� <br /> Print orType Only _,` <br /> Select Homes Inc 237 Elm St Everett 98203 258-1503 \J ' <br /> Owner Mailing Atldress City Zip phone ` <br /> Owner <br /> Applicant Mailing Atldress City Zip Phone <br /> � <br /> Descri6e Proposed Work New houce - Racir 1p1 '� <br /> 1 <br /> - W <br /> Prolect Address(ii known) � <br /> Attach lour(4)copies ol plans lor proposed work- Draw to scale and note ihe lollowing as applicable� � <br /> • Property Lines • Centerline ol street /w <br /> • Outline and dimensions of all existing and • Indicate North V� <br /> proposed slructures on the lot • Show any proposed grading chanqes <br /> • Existing and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> � PERMITCONDITIONS O <br /> 1.All calls for Inspection shall be made 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shall be peAormed in accordance with this permit and current City of Everett Oesign and Construction <br /> Standerds end Specifications. � <br /> 3.Call Location Underground Sarvice 48 hrs.belore you dig.TOLL FREE NUMBER 1-800-424•5555. � <br /> 4. Install rock construction entrance behind drivewaY as per city <br /> standard �208 and erosi.ot� control as directed by Public Works O <br /> Insper_tor. <br /> 5. Keep city streeta 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 Inspector. � <br /> 7. Any change in the driveway cut must be approved by the PIQ In- <br /> apector, width at prop line limited to existing apron width. O <br /> 8. Connect all roo£, yard and driveway drains to storm drain <br /> svatem provided to lot. <br /> 9. Adjust water boxes te grade at and of construction. a <br /> 10. Drivewaya ahall be completely cured before driving on them. <br /> ��� ACKNOWLEDGEPAENT OF CONDITIONS <br /> � <br /> Thr.undersigned owner/applicant r�ereby agreas to hold antl save harm- <br /> ��� � less thr Cily ot Everett Irom any and all claims for damages. cosls. <br /> ,q /// expenses, or causes of aclion thaf may arise because of installation <br /> / �{/./- 2 �T and maintr,nance of the improvement or other righ!�ol-way use hereto <br /> w v / applied for and further agrees to remove same upon notice irom the <br /> Approved lor Construction ate Cit nd to rePlac <br /> /yp public prope y damaged ihereby. <br /> �� 3 'R - `� �� i„'�-.(.f'�t,'f' , , ,. 7 <br /> FINAL INSPECTION � Date �1�_ <br /> Approved as Const�uctetl Sig im . ot Applicaet Dale <br /> �A� PUBLIC WORKS DEPARTMENT 14'O�;K :1LTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet �a0 DAYS OF DATE PERMIT IS ISSUE� AND THEREAFTER IS TO <br /> Everett,WA 98201 OE DILIGENT�Y PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259•8810 '�ANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />