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1 i <br /> 3/7/94 '� " _ 1� _��I� PubimWorkePermit� ��-� <br /> Date �� eieo o�oi . 43720 <br /> ApPlicalionFor �. Tp p�STING �- 2L-9`� <br /> PUBUC WORKS�ERMIT PuoircWmksFee s <br /> iol�i Fee <br /> � Less ROG�Fee GaiC s �� <br /> �j p o p O � O m Babnce Due S <br /> � � tlSOV�1O � '� <br /> Print or Type Only �` <br /> � �} y� �R M ~ N N �O .�+ �Y' C'S— <br /> 3 � <br /> � M N M ..+ <br /> L 6 L Builders 10711 Evergreen y Everett �098204�i 29'0-181$ phone <br /> MaiBng AtldRs3�r" � i�yQ; � ��P <br /> Owner � '+ � � <br /> � � �3 � � � � � � � � �S <br /> Same � � 5� � � 73m <br /> qpplicant Mailing Atldress <br /> Ciry ZiP Phone <br /> New house <br /> Describe Proposed Work <br /> � <br /> -� Znd Dr SC � SP 22-92 �} �► H <br /> Proiect Address(if known) � 4� _ <br /> Altach four(4)copies of plans for proposed work•Draw to scale and note�CQo11eWine ol stpeet able: � � <br /> • Property Lines � Indicale Norih <br /> � • Outline and dimensions of all eaistinc�antl � Show eny proposed grading changes <br /> proposed structures on the lot � Show measurements M <br /> • Exisling and proposed ulilities W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS � <br /> 1.All ceUs tor inapectbn ahall be made 24 hrs.in edvence•Phone 259-6810. <br /> 2.All work shell be perlormed In eccordance with this permit end current City ot Everett Design and Constructlon <br /> Stenderda and SpacHicationa � <br /> 3.Cell Locetion Underground Service 4B hrs.before you dlg.TOLL FREE NUMBER 1•800�4Z4•55 . <br /> �. Indai rock condructlon eMrance behind drivavay�s per cfry O <br /> ctaodud*208 and erosioo control as directed by Pubic Works <br /> Insp�clor. <br /> 5.Keep city drosls cban ri al times � <br /> 8. Curb guU�r and ilderak In the pl�t aro new and undam�ged, <br /> ��ry damape theroto shal be roplaced ri the discretfon oi the � <br /> Publo Workc Inspector. O <br /> 7,Arry chanqe fn the driveway cut murt be approved by the PW In- <br /> sptctor,widlh at prop fne fmRed to e�iding apron widlh. <br /> 8.Connecl al root,ysrd and drivewaY drainc to storm draln /� <br /> system provided to bt. �� <br /> 8��jU6,�eshal be�c ruakte t curodrbeto e dcriving on them. <br /> 10. Drivev+�ys P N <br /> HCKNOWLEDGEMENT OF CONDITIONS <br /> � � The undersigned owneUapplicant hereby agrees to hold and save harm� <br /> less the Gity ol Everetl Irom any and all claims tor damages, cosls, <br /> � — � ezpenses, or causes ot action that may arise because of installation <br /> � yl�(�� _ I � antl mainlenance of the improvemenl or other right-of•wey use hereto <br /> �yl� � �� applied for d further grees lo remore same upon notice from the <br /> Approved for Con Ifuction <br /> Date City and r place p c Prop rty damaged thereby. <br /> �� ` �� -�� � yr <br /> �ate Dale <br /> FINAL INSPECTION Signature ADPlicant <br /> Approved asConstructed WORK / THORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> � 3200 Cedar Sireet BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259•8870 PROJECT OVER 90 DAYS DURATION. <br />