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� <br /> Date li2�i94 � TO POSTING-� Z�{c �ubGtWorksPe�ma� �r � ' <br /> Appiication'� � eieo.oeo�.. 43382 <br /> PUBLIC WORK� PERMI?' Publ�tWorkaFee - <br /> ToblFee S <br /> LossADD� FeeP�iE s <br /> y ^ � p ^ o p O Q � � O Beiance Due S Z� <br /> Print or T pe Only = a o a u.µ•i c� o o �� <br /> M M �O `� � M �i �p O (� t� �W J � <br /> �t M M O .-1 M '+ P <br /> Select Homes 237 Elm St Everet[� 9 �3 258-150 M M M � N � <br /> Owner Mailing x � �n�y Phone <br /> � �l � L � � � � � s � � .�i � <br /> � _ <br /> Applicant Mailing Atldress City Zip Phone � <br /> New house - Basic 217 (Sycamore) { <br /> Describe Proposed Work � <br /> W <br /> Prolect Address(if known� 5630 lst Dr W _ Lot 7 Hanabrook Div 4 � <br /> Attach four(4)copies of plans for proposed work- Draw•to scale and note the following as applicable: � <br /> • Property Lines • Centerline of street � <br /> • Out�ine and dimensions of all existing and • Indicale Norih <br /> p�oposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurementS � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> 1.All calls tor inapection shall be mede 24 hre.in advence•phone 259•8810. � <br /> 2.All work sAall be oerformed in accordance with this permil and cuRent City of Everetl Design and Constructlon <br /> Stenderda end Specificatlons. <br /> 3.Call Locatlon Underground Service 48 hra before you dig.TOLL FREE NUMBER 1•800-424-5555. � <br /> 4. Instal rock constructlon eMrance bahind drivev�y as per ciy <br /> standard�1�208�nd erosion control as direeted by PuEic Works O <br /> Mcpsctor. <br /> 5.K��p city ctrcats cban at al timea <br /> 8.Curb gutter and sidw�ak in the plat aro new and undamaged, � <br /> �rry damape thersto shal be repbced at the diccretion of the <br /> Pubfo Worlcs inspector. u; <br /> 7.Arry chanpe in tfie drivebvay cut must be approved by the PW In- � <br /> spector,widlh at prop Yne imNed to exidfag apron width. � <br /> 8.Connect al roo(,yard and driveway dninx to storm drain <br /> system provided to bt. a <br /> 9.AdJust v+�ter bozes to grade at end of construction. <br /> 10. D�ivev�ys shal be compktey curod before driuing on them. <br /> � ACKNOWLEDGEMENT OF CONDITIONS <br /> t <br /> The undersigned owner/applicant hereby agrees to hold and save F,arm� <br /> less the Clty of Everell from any and all claims lor damages, cosis, <br /> ���n e■penses. or causes of aclion that may arise because of installation <br /> �ML� '�3�_y�, and maintenance ot the improvement or other right•oi•way use hereto <br /> L/1 applied for and lurther agrees to remove same upon notice irom the <br /> Approved for Construction Date City and to replace public properry damaged theCeby, <br /> �' � !1 <br /> ��.� G -i�- 9y � ,i 9Y <br /> FINAL INSPECTION Date ' <br /> Approved as Constructed Signa ure ol Applicant ate <br /> ��rr��,, WORK AUTHORIZED BY TH�S PERMIT MUST BE STARTED WITHIN <br /> /�� PUBLIG WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS 195UED AND THEREAFTER IS TO <br /> , , 3200CederStreet BE DILIGENTLV PURSUED TC COMPLETION. THIS PERMIT MAY BE <br /> : Evaralt,WA 98201 <br /> Phone:259•BB70 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />