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Date 2�17/94 � � <br /> PUGI¢Workt Parmrt• O� <br /> Applica�ion For TO .POSTI N G 7 "7'�"5� -- aiao.oam.. 43548 <br /> PUBLIC WORKS PE�UIIT P��IicWorhaFee <br /> Tolal Fee f <br /> Q <br /> Lese�DpL Fee PaiC S <br /> Print or Type Only r g $ � g r� r� g o�, a ?-��"' <br /> � o � oo � o�.J vi o0 ��''JJ <br /> d N M M � M N N � � <br /> M <br /> L 6 L Builders 10711 Ever reen W 9820U� 290-1818 .°'+ '" <br /> Ownar M17ailing Atldress \� M City �p �n Phone t � <br /> � � `� � cTSW � � � � � � w v� <br /> Larry Pond � � � z � � � � r, � / <br /> Applicar�l Meiling Address City 2ip Phom? <br /> Describe Proposed Work New house - Basic 198 <br /> ProjectAddress(ifknown) �4z8 - Znd Dr SE Lot 5 BiOokWOOd Pl � <br /> Attach four(4)r,opies ol plens for propcsed work-Oraw tc scale and�ote the lollowing as applicab�e: � <br /> • Property Lines • Centerline pf 5treet � <br /> • Outline and dimensions of ail ezisting and • Indicate North <br /> proposed structures o��the lot • Show any proposed grading changes <br /> • Eristing and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> t.n�l cells tor i�epection aha��be made 2a hrs.in advance•phone 259-8810. � <br /> 2.All work shall be peAormed in accordance with this permit and curtent City of Everett Design end Conetruction <br /> Standerda and Specfficetiona <br /> 3.Call Locetion Underpround Senice 48 hrs.before you dig.TOLL FHEE NUMBER 7•800�4245555. � <br /> !. InhN rock connruction eMnnce behind drivKwy as per city O <br /> st�ndard*208 and erosio�coMrol as dincted by Pubfc Works <br /> Intpector. <br /> 5. Ke�p city stmM:cNm at rl time: � <br /> 8. Curb yutler and aldwwk in the pl�t aro new and undamaped, � <br /> arry d�mag�tharsto ahal bc Mpyced rt the dfscretfon ot the <br /> Pubic Works Inspector. O <br /> 7.My ch�nge in the drivwwy cut must be approved by the PW In- <br /> spector,widlh st prop ine imfled to existing apron width. � <br /> 8. Connect�I roof,yard and drive�wy dnins to storm dr�in <br /> system provided to bt. <br /> 9.Hdjust�wler boxes to qrade at end ot construction. <br /> 10.Driveowys shal be corr�pktey curcd before drivins� on them. <br /> ry ACKNOWLEDGEMENT OF COND�TIONS <br /> ✓' The undersigned owner/applica�t hereby agroes�o hold and save harr,i• <br /> less the City of Everett from any and all claims for dameges, cests, <br /> �� � �/L�'� �7� ezpenses, or causes of aclion that may arise because of installation <br /> �JL4t1Li••L�T.CXi �!![� and maintenance of Ihe imProvement or other right-ohwaY use hereto <br /> applied for a urther agr s to remove same upon notica irom the <br /> Approved for Co�struction Date City and t repl e public.Q perty aged thereby. <br /> <<f<'-t�^ G -/�• `�y � <br /> FINAL INSPECTION '�Date ' <br /> Approved as Constructed Signature oi plicant Da�e <br /> PUBLIC WORKS DEPARTMENT WORK AU ORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarSireet 180 �AY OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA9B201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone:259•8810 CANCELLED BY THE CITY UPON ANY STOPPAOE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />