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�-i-z8 4 �� <br /> ,_ ,-, <br /> Oate 10-1-93 v�euowoaave�mn. <br /> eioq.oeo��•� <br /> Appiication For <br /> PUBLIC WORKS PERMIT PubTo�eFeeFee S <br /> Less POG��Fee FaiC S �j <br /> Balanca Due S "� <br /> Print or Type Only <br /> Select Homes 237 Elm St Everett WA 98203 258-1503 � <br /> Owner Mailing Address City ' 2ip Phone <br /> Owner <br /> qpplicant MailingAddress City Zip Phone U <br /> < <br /> Describe Proposed Work <br /> new house Lot 6 Hanabrook 4 �C <br /> W <br /> Proiect Address(il known) 5632 1 st Dr W .� � <br /> Attach tour(4)copies of plans for proposed work- Draw to scale and note the following as applicable: � <br /> • Property Lines • Centerline of street � <br /> • Outline and dimensions of ail existing and • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existinq and proposed utilities • Show measurements /� <br /> W <br /> DO NOT WRITE BELOW THIS L�NE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shall be made 24 hrs.in advance-phone 259-8810. � <br /> ' 2.All work sha�l be performed in accordence with this permit and current City of Everett Design and Construdion <br /> Standerds and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800-424•5555. � <br /> 4. Install rock construction entrance behind driveway as per city <br /> atandard 1�208 and erosion control as directed by Public Works O <br /> Inspector_ <br /> 5. Keep city atreets clean at all timea <br /> 6. Curb gutter and sidewalk in the plat are new and undamaBed, � <br /> any dama6e thereto ahall be replaced at the discretion of the <br /> Public Works Inspector. � <br /> 7. Any change in the driveway cut muat be approved by the PW In- O <br /> spector, width Ft prop line limited to existing apron width_ <br /> 8. Connect all roof, Yard and drivewaY drains to storm drain � <br /> system provided to lot. <br /> 9. Adjust water boxes to grade at end o£ conatruction. <br /> 10. Driveways aha7_1 be completely cured be£ore driving on them. <br /> r�` ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save h:�m• <br /> less the Ciry ol Everett Irom any an[ all claims for damages, costs. <br /> A r ���i��� /� ��/�� expenses, or causes of action that may arise because of installation <br /> and mainlenance of ihe improvement or other righPol-way use hereto <br /> l- applied for and further agrees ro remove same upon notice irom the <br /> pp o ed for Construction a�e City n�ace�hlic ProPertYr d„��a�m�e9ed thereby. <br /> ¢"-'yy'���� � �'K/ <br /> Date .�iL<� 1�1�i� ! �/.�.v �Q'�Z�J'q3 <br /> ' FINAL INSPECTION p�APP Date <br /> Approved as Constru[ted Signatur licant <br /> WORK AUTHORIZED BY THIS PERA7IT MUST BE STARTED WITHIN <br /> �✓�---�', PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> I /�r4:/ 3200CedarStreet BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> EverelL WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON?HIS <br /> � Phone:259�8010 PROJECT OVER 90 DAYS DURATION. <br />