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C� I -T� �q- <br /> Date�/19/93 7 i�„oi�wa��sr.�m.i• GL����— <br /> APplicatmnFm lo f�1�J�1�41�.. _ �j� /� ���� Dent •_�991�.2-_. — <br /> � � � PUBLIC WORKS PERMIT ' P°°;o�a����"° S <br /> � I-3 tess nooi Fce aa�u 5 <br /> � H �aianre�ue 5 �-�7� <br /> � ;� � Print or Type Only <br /> y� H � <br /> K C] '� <br /> y � SELECT NOP1E5 INC 237 ELP7 ST tiVERETT 98203 25R-1503 <br /> �H � �, <br /> Owner MailinpAAdress Cily Zip PhonC <br /> V1 N <br /> �Q � _ RANDY CLARK SAPIE � <br /> r3 C7 ppplicant Mailinr Adtlress Cdy Zip Phone � <br /> OH <br /> �� g o <br /> �� n NF.W HOUSE dASIC 202 _ <br /> C3 Desanbe PropoSed Work <br /> 9 H [s1 <br /> r z <br /> yy WH <br /> C1 C7 V� <br /> ��� Pro�ect Atldress(if knownl 5��?'� ' �� Dr �V H.SSABROOK DIV 3 LOT 30 _ � <br /> xHcn � <br /> y p y Attach lour�4J copie5 el plans lor proposed work� Draw Io scale and note Ihe 1011owing as apPhcsbir <br /> � • ProPerty Lines • Centedine cl sireet /A <br /> • Outhne ai�d dime�'�sions of all ezisim9 antl • Indicate 'wrih V� <br /> proposetl struCtu'.es on ihc lol • ShpW any pro)oSetl 9ratlm9 �hanqet <br /> • Existin9.�d proposed ut:lities • Show measurements /N <br /> W <br /> 1 DO NOT WFITE BELOW THIS L�NE O <br /> I ��� <br /> PERMIT CONDITIONS <br /> 1.All calls lor inspecLcn sh011 be made 24 hrs.in advance-phone 259•8870. � <br /> 2.CJI�vork shall be pedormed in accordance with�his permi�and current City ol Everett Desiqn antl Construction <br /> Slandartls antl Specifications. <br /> � I `_1 3.Call Location Underground Service 48 hrs.hetore you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> L A. Instal] rock conntruction entrance behind driveNay as per citv <br /> � standflrd f�20H and eroeion control as directed by PuUlic Werks <br /> Inspectur. O <br /> 5. Keep city etreeLa clean at all timea <br /> � '�1 6. G�rb gutter and sideualk in the plat are neN and undamaged, � <br /> any damage thereto shall be replaced at the diecretion of che <br /> Public Worka Inapertor. //\ <br /> 7. Any change in the driveWaY cut must he apprnved by the PW In- V/ <br /> � � spector, Width at prop line limited to existing apron width. O <br /> �'�� 8. Connect all roof, yard and driveway draina to storm drain <br /> sy�tem provided to lot. ^ <br /> 9. Ad;iust Hater boxea t.o grade at end of conatruction. r� <br /> �'�1 10. Drivecraya shall be r,ompletely r_ured before drivine on thea. <br /> � - ACKNOWLEOGEMENTOFCONDITIONS <br /> �"��� The undersi9ned owneUapplicant he�eby a9rees to hoid ana saac harm� <br /> --- � less the Cdy ot Everelt Irom any and all claims lor dama9es. rosis <br /> expenses, or causes o' aclion ihat may anse becouse ol installation <br /> =�fi'C�/„ ,(� „/� q`'N�7 and maintenance o1 the unprovement or other ngh4of�way use hercl.� <br /> � K-s�" V' v� r � � Tpplied lor anA lurther agrees to remove samc upon notice irom ihe <br /> Approved lor Construction Oale Cdy iyA,1o'reP�ace puLlic proper damaged Ihereby. <br /> �y � %!G(iv� /,� ,%F, u oC/ <br /> .t�/�.�„_ _ J' �f �� �u��G�t '�,,/tirL `��(l�'3 <br /> FINAL INSPECTION ���� <br /> Appw�eA as Constmcted SignaWre o�Applicant �� ���" <br /> � PUBLICWORKSOEPARTMENT WORK AUTHORIZED B� THIS PERMIT MUST BE STARTEU WRF <br /> � 180 D�YS OF DAT[ PERh11T IS ISSUE� �ND THER6>PTER IS <br /> � 3200 Cedar Streel BE OILIGENTL� PURSUED TO COMPLETION. THIS PERAIIT t.L1Y <br /> Evere�t.WA 98201 i,ANCELLED BY THE GTV UPON ANV STOPPAuc nc�ynqv C^l 1� <br /> Phonr.259�8810 PROJECT OVER 90 DAYS DURATION. <br />