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Date 2-18-93 � <br /> . � _ I_�'� PuO�ie Works Permil� � <br /> Applicaticn Fcr eiaa.oec�.. 39/p0 � <br /> ' PUBLIC WORKS PERy '°°;o,:FeeFee s <br /> -Tft"��STING - <br /> �ool Fee PaiO S <br /> PrintorTypeOnly e.�.��so�.e s_��� <br /> Select Homes 237 Elm S[ Everett 98243 258-1503 Z <br /> Owner Maifing qtldress µ <br /> . . City , Zip � Phone <br /> Owner <br /> Applicant Mailing Address � _� ��� , � . . Q <br /> City Zip Phone <br /> Describe Proposed Work new houae N <br /> M <br /> ""J <br /> 3Z - 02 i VE �Y W <br /> Project Atldress(if known) � L <br /> �� K �vr� � <br /> Attach fom(4)copies of plans for proposed work- Draw to scale and nole the lollowing as appli�.;able: <br /> • Property Linas • Centerline of street �� <br /> • Outline and dimensions ol all existing and � <br /> proposed structures on the lot • Intlicate North <br /> • Existing and proposed utilities � Show any proposed grading changes <br /> • Show measurements <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMITCONDITIONS ^ O <br /> 1.All calls for Inspectb II be mede 24 hra.in advance•phone 259-8810. <br /> . 2.All work ahell be peAor In accordance with this permit end current City of Evorett Design and Conalruction ' <br /> Stendards and Specifica ns. <br /> 3.Call Location Undergro� Service 48 hrs.before you dig.TOLL FREE NUMBER 1•600�qQ4•5555. <br /> 4. Inatall reck con�truction entrance behind driveWay as per city � <br /> standard it208 and eroaion control as directed by Public Worke O <br /> Inspector. <br /> 5. Keep city atreete clean at all timea <br /> g• G�rS gutter and eidet�talk in the plat are neH and undamaged, � <br /> anY damege thereto ahall be replaced at the diecretion of the <br /> Public Worka Inapector. � <br /> 7. My change in the driveway cut must be approved by the PW In- <br /> apector, width at prop line limited to ezisting apron Width. O <br /> B. Cannect all roof, yard and drive�aey draina to ato� drain <br /> syetem provi�led Co lot. � <br /> 9. Ad3uet water boxea to grade at end of conatruction. <br /> 10. Driveways ehall be completely cured before driving on them. <br /> i�� ACKNOW�EDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and seve harm- <br /> less the Clty ol Everetl Irom any and all claims for damages, costs, <br /> �� //�A(„�n ezpenses. or causes of action that may arise because of installation <br /> �V� (.Q�� 3 � 3 and maintenance of the improvement or other right-ol�way use hereto <br /> Approved for Con;tructwn T`--f p�e applietl for and further agrees to remove same upon notice Irom the <br /> � �! City and to replace public property demaged thereby. <br /> ^���-- �'/3-S} <br /> FINAL INSPECTION Date <br /> Approved as Constructed Sign3tu•�of Applicant <br /> Date <br /> PUBLIC WORKSDEPARTMENT WORI� ,�UTHORIZED BY THIS PERMIT MUST BE STARTED WIfHIN <br /> 3200CederStreet 180 DRVS OF DATE PERMIT IS ISSUED AND THEREAFTEA. IS TO <br /> ' EveretL WA g8201 BE DILI(:ENTLY PURSUED TO COMPLETION. THIS PERMIi MAY BE <br /> � . Phone:259•8810 CANCELL2D BY THE CITY UPON ANY STOPPAGE OF W'^!iK ON THIS <br /> PROJECT CVER 90 CAYS DURATION. <br />