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D2�E:�4�91 w,m�cwo�xsa��mn. ��'� {�I�z, <br /> emA oeo�.+ 91/26734 _ <br /> o- Application For <br /> .a —_ <br /> PU�LIC WORKS PERMIT '°°°°`°°�k„'° <br /> TOl.11�PC � <br /> o �ess nno�Fc�ra � � <br /> n II�J O O O O r� O �0 PO�TING 3/�/�� palancnDic 5 �C V <br /> Print or Type Onl� "�' `� "' o 0 0 �� � <br /> .y� r?vio � o 0 oori <br /> .-+ o�In o� w r:l vl r? �'� �� <br /> L7 M ai Ci ai wi �O �7 <br /> �? � � tl <br /> Jim Short Cfqnst.� PO Box �;�06� Marysville 98270 334-3822 <br /> Owner � ' r�� itin dtlr so-• i " City Zip Phone <br /> ,o a �nc7 x v 'a � ow �-• � .�- � <br /> .. oomc� u7 � o o � �� w <br /> T ' �. . <br /> Owner o aoi0. � s � � ,aaa �u'; � c3 � <br /> AGPlicant Mailing Address City Zip Phone <br /> Describe Proposed Work �nStruCt new SFR <br /> r.,�36 --n���=ood-SessaCe �P z.- �7 ' .Z.Np l7✓' � E � <br /> Proiecl Address(il known) H <br /> Attach lour 1�)copies ol plans lor pwposed�vork- Draw to scale and note ihe lollowing as applica6le: � <br /> • Properry lines • Ccnledine of street � <br /> • Outlme and dimension;ol all enistin9 and • Indicale Norih <br /> proposeu structures on the lot • Show any propoSeA grading changes <br /> • Existing:.nA proposed utilities • Show measurements M <br /> �.� W <br /> DO NOT WRITE BElO1V THIS LINE O <br /> PERMIT CONDI110NS <br /> 1.All calls for inspeciion shall be made 24 hrs.in advance-phone 259-8810. � <br /> 2.All work shall 6e pedormed in accordance with this permit and current City ol Evcretl Design and Conslruction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424-5555. � <br /> 4_ Insta]] rock constructiorz entrance behind driveway as <br /> per city standard it208 to eliminate tracking mud onto � <br /> atreets es directed by Pnbl.ic Worke Inapector_ <br /> 5_ Reep city sY,reote clean at all timee_ <br /> 6_ Curb, gutter and aidewalk in the plat are nen and � <br /> undamaged, any damage thereY.o Ahall be replaced at the � � <br /> diacretion of Y.he Pub7.ic Worke Inepector. <br /> 7_ My change in tha dri.vevHy cut muat be approved by the O <br /> Public Worka l:nspcector_ <br /> 8. Tightl.i.ne all. roof, yard and driveway drains from � <br /> housea ta public drainAp,e eyetem. <br /> 9. Ad,ivat water bozeR Y.o grade at end of constructior�_ <br /> 7.0. Drivewaya ahall. be completely cured Uefore driving on <br /> them_ <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the Ci;y of Eve�ett irom any and all claims tor damages cests. <br /> expenses. or causes ol action that may arise because of insiallation <br /> �� 'A^�� ^ _�,c�1 and maintenance of the improvemen� or other righ4obway u<_e hereto <br /> V�' l `-� applied for d further aryees to remove same upon notice irom the <br /> Approved tor Conspllction ���s City and to e.lace public U� erty dam.qed �hereby. <br /> !(�/`� /o� /)- 5% � U�,���p1_ <br /> FW�L INSPECTION D31e - h� I pat�{ <br /> ApproveA as Constructed '� re ol A�p an � <br /> WORK AUTHURIZED BY THIS PERMIT AtUST ElF STARTED WITHIN <br /> cvetcll PUOLIC WOflKS DEPARTidENT 180 DAYS OF DATE PERMIT IS ISSUED AND THFREAFTER IS TO <br /> � 3200 Cedar Stmet BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Evcrett,WA 98:'' CANCflLLtD BY THE GTY UP(�N ANY STOPPAGE OF V,'ORI<ON THIS <br /> Phone:259�88iJ PROJECT OVER 90 DAYS DUR,.TION. <br />