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9/14/93 � - � - 2'8-� � <br /> Date PuObc Woda Permit• `�3 4�f 3 <br /> 4 -- <br /> App�ication For eiey.Deot• <br /> PUBLIC WORKS PERMIT °°°;o„FeeFee s <br /> Less Rool.Fee Paio S n^ <br /> Balence Due S �/�/ <br /> Print or TyRe Only TO POSTING_ �-ZS-s <br /> l,� <br /> Select Homes Inc 237 Elm St Everett 98203 258-1503 <br /> Owner Mailing Address City Zip phone � <br /> Owner <br /> Applicant Mailing Address City 2ip Phone � <br /> New house - Basic 101 (Alder) � <br /> Describe Proposed Work � <br /> 5722 lst Dr W Lot 3 Hanabrook 4 � <br /> Prolect Address(it known) _ � <br /> Attach lour(4)copies of plens for proposed work-Oraw to scale and note the following as applicable: � <br /> • Property Lines • Centerline ot sireet � <br /> � Outline and dimensions of all existing antl • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements � <br /> DO NOT WRiTE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for Inspection shell be made 24 hrs.in ac•..nce-phone 259•8810. � <br /> 2.All work ahell be performed in accordance with this permit and current City of Everett Design and Constructlon <br /> Standards and Specifications. <br /> 3.Call Location Underground Servica 4B hrs.belore you dig.TOLL FREE NUMBER 1-800�424-5555. � <br /> 4. Install rock construction entrance behind driveway as per city <br /> atandard #20B and erosion control as directed by Public Worka O <br /> Inepector. <br /> 5. Keep city atreeta 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 Works Inspector. � <br /> 7. Any change in the driveway cut must be approved by the PW In- <br /> apector, width at prop line limited to exiating apron width. O <br /> B. Connect all roof, ,yard and driveway drains to atorm drain <br /> system provided to lat. /q <br /> 9. Ad,ivat water bo:cee tu grade at end of conatruction. Ii <br /> 10. DrivQwaYe shall be completely cured before driving on them_ <br /> � ACKNOWLEDGEMENT OF CONDITIONS <br /> � ��'G The undersignr.d owner/applican�hereby agrees to hold and save harm- <br /> less the City ol Everett lrom any and all claims for damages, costs, <br /> e■penses, or causes of action that may arise because of installation <br /> P� 0 ln/1L1/ _ /_.._i. �n _ p� and mainlenance of the improvement or other righbof-way use hereto <br /> J(� 1�L KYX� JGfIC� .v i applied lor and furiher agrees to remove same upon notice trom the <br /> Approved for Conskuction Date Cily nd to replace ubl�erty ama9ed ihereby. <br /> l.`'"?-•� /.1•.i-i�j'3 - � � <br /> FINAI INSPECTION Date <br /> Approved as Consiructed Signatur ol Applicant Date <br /> � PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarSireet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259•BB10 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />