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y 4 �_ / <br /> Date 4/6/94 � � �� <br /> Puoi�c Wo.ks Pe.mit a " <br /> Application For ,� TO POSTI��G_.s--�-=4�{--- amc.oeo�.• 44034 <br /> PUBLIC WORKS�ERMIT PuDbcWorbFee — <br /> a Totel Fee S <br /> Q <br /> � Leaf Aoo�Fee Pa�O S <br /> Print or Type Gnly = � g g g � $ g r� g g Be1�nttUue S L�� <br /> .-� .y poao ci o00 <br /> �t m �0 '+ N CJ � [� Inh <br /> �? MM �R w' � N �O �F <br /> L 6 L Builders 10711 Evergreen Wy �$204 29G-la"a8 " ~ '" <br /> Owner Mailing Add\ss, C�t � Zip Phone �� <br /> Larry Pond � � � � � � � �� � �� � � <br /> Applicant Mailing Adtlress City 2ip Phone <br /> New house - Basic 255 <br /> Describe Proposed Work <br /> Pro�ect Address lil known� 7423 2nd Dr SE Lot 7 SP 1122-92 � <br /> Attach four(4)coDies of plens for proposed work• Draw to scale anA note the lollowing as applicable: � <br /> • Property Lines • Centerline of sireet � <br /> • Outline and dimensions of all ezisling and • Indicate North <br /> proposed structures on the lot • Show any proposed grading cnanges <br /> � Existing and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls tor inspectbn shall be mede 24 hrs.in edvance•phone 259•8810. � <br /> 2.AII work shell be peAormed in eccordance with this permit end current Cily of Everett Design and Construction <br /> Standerds and Speclfications. <br /> 3.Call Lxation Underpround Service 4B hra before you dig.TOLL FREE NUMBER 1-800�424•5555. � <br /> 4. Inslal rock conslruction etdnnce behind dtivs�wy as per city <br /> stmdard�K208 and erosion control as dirccted by Publc Worics O <br /> Intpector. <br /> 5.Keep city proets ck�n at aA times <br /> 8.Curb gutter and sideYwk in the pl�t aro new�nd undamaged, � <br /> arry dsmspe thereto sh�l be roplaced at the discrction o/the <br /> Pubic Workc Inspector. ♦A <br /> 7.Any chanps in IAe driue�wy cul must be approved by the PW In- �O <br /> spsMor,wldth at prop ine ImNed lo exiqing apron widlh. <br /> 8.Connect al roo(,yard and driveway dnins to stortn drain � <br /> system provided ta bt. <br /> 9.Adjust water boxes to grade at end of construction. <br /> 10. Driveways shal ue compktey curcd beloro driWng on them. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicanl hereby agrees to hold and save harm� <br /> /1 less the City of Everett irom any and ail claims lor damages, costs, <br /> __JJ�G�feL.��' ' � L�� 1 I IZ ,"!T expenses. or causes ol action that maY arise beca��se of installation <br /> and maintenance o� the improvement or other right�of�way use hereto <br /> applied for lurther agr es to remove same upon notice Irom the <br /> Approved for Construction Date City and re�ace publi opert maged thereby. <br /> �s� � 7 --t l�- 9 �/`�� <br /> FINAL INSPECTION D te <br /> Approved as Constructed Signature Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BF STARTED WITHIN <br /> � PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREhFTER IS TO <br /> 3200CedarStreet BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT IAAV 8E <br /> EveretL WA98201 CANCELLED BV THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259•8810 PROJECT OVER 90 DAYS DURATION. <br />