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. <br /> � -� �Z"z� -� �I- iic� / <br /> 3/7/94 u v�eu�wo�wa P 437 2 <br /> oate P(15����� d': _� 9—.�— BiEpDeot• <br /> ApDlicatio�or T� . <br /> .-� <br /> PUBLIC WOR�S PERMIT PuOiicWorksFee , <br /> Totnl Fee <br /> Q Less AOD�Fee P�N S <br /> `�' � Baimce Due S �1�� <br /> Print or Type Only N � gp o � �p ~(� g o $ ui <br /> � M .p (�.� (� {� , �'1 <br /> NN � Mf? M �O M �Y <br /> L 6 L Builders 10711 Ev�rg� Wy Everetrt' y�82C4� 2y,D 1818 � <br /> Mai41r�Mo A'! � � Ziy Phone <br /> Owner `��Q � � � Sc �' � h $ � �'S <br /> Same � � # s' � � m � S�i .'". � � � <br /> qpplicant Mailing Address Cily Zip Phone <br /> Describe Proposed Work New ho�se <br /> W <br /> Project Adtlress(if known� �4Z� 2� D� � ✓ Lot 8 SP 22'92 __ � <br /> � <br /> Atlach lour(4)copies ol plans for proposed work- Draw to scale and note the following as applicahle: � <br /> • Property Lines • Cenlerline of sireet <br /> • Outline and dimensions of all eaisting and • Indicate Norih <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Ezisting and proposed utilities • Show measuremenls M <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS � <br /> 1.All cells for inspection shall be made 24 hrs.in advance•phone 259•8810. <br /> 2.All work shall be performed in accordance with this permit and current City of Evereti Design and Construction <br /> Stendards end SpeclFicationa � <br /> 3.Call Location Undarground Servica 4B hrs.before you dig.TOLL FREE NUMBER 1-800�424•5555. <br /> 4. Instal rock conslrucNo�eMnnce behind driveway as per city <br /> sfandard�t208 md erosioa coMrol as dirccted by Pubic Works O <br /> Inspector. <br /> 5.Keep cily sircets ckan M al times � <br /> 8.Curb gulter an�'siAewak in Ihe plat arc�ew md undam�ged. <br /> arry dam�ye thereto shal be replaced at the discrotion n(the � <br /> Pubic VJorkc Inspector. <br /> 7.Any change in the dtiveway cut must be approved by the PW In- O <br /> spector,width at prop ine Ymked to ebsting apron wiMh. <br /> 8. Conr�ect al roo(,yard :.nd drh�eway drofns to stortn droin � <br /> system provided to bt. <br /> 9.Adjust�+wter bnxes to grade at end of constru:tion. <br /> 10.Driveamys shal be compktey cured before driving on them. <br /> ACKNOWLEDGEMENT OF CONDITIOWS <br /> �• — Thr,undersigned ownedapDlicant hereby agrees to hold and save harm� . <br /> — less the GM1y ot Everett from any and all claims for damages. costs. <br /> ezpensus. or causes of action that may arise because ol installation <br /> —' ,,;, 1✓ „n� 2 _I I�(.i4, and maintenance ot �he impro��ement or other righFof�way use hereto <br /> � � J applied for and luriher rees lo remove same upon notice Irom lhe <br /> Jd���{' Date <br /> Appmved for Constr ation Ciry and to ace pu I property damaged thereby. <br /> . -��--- � -�z S sy <br /> FINAL INSPECTION Date Dale <br /> Appmved as Conslructed SignaWre Applicant <br /> �.� WORK A THORI2ED BY THIS PERMIT MUST BE STARTED WITHIN <br /> �A��&/ PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PEANIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Cedar Sireet BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Everett,WA 9820; CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259•8810 PROJECT OVER 90 DAYS DURATION. <br />