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Date 4-14-93 <br />Application For <br />PUBLIC WORKS PERMIT <br />in <br />pnSTING._4— <br />Print or Type Only <br />lac wa.. P.—I <br />40231 <br />ws�c wo,u h. E <br />rora rt: <br />lo. aark ... ..e E <br />e.�nn eve Y �B <br />Select Homes 237 Elm St Everett WA 98203 258-1503 r_ <br />Owcer rdaiong Address ury Zip Phone <br />Owner <br />Applicant Mailing Address City Zip Phone <br />G <br />Proposed Work new house <br />Describe <br />W <br />) <br />Address known)' �l J✓O ��_ Lot 20 flanabrook 3 <br />Project ill <br />Attach lour 14) copies of plans liar proposed work - Draw to scale and note the following as applicable'. <br />I� <br />• Property Lines • Cnnterline of street <br />• Outline and dimensions of all existing and • Indicate North <br />proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />/as. <br />W <br />DO NOT TYRITE BELOW THIS LINE <br />O <br />FERMI r CONDITIONS - <br />I. All calls for Inspection shell thirmade 24 advance- phone 259.881 o. <br />2. All work shall be performed in accordance with Ihle perm)) and current City of Everett Design onJ Construction <br />in <br />i <br />Standards and Specihceliona <br />3. Call Location Underground Service 48 hra before you dig. TOLL FREE NUMBER 1-800.424.5555. <br />Z <br />4. Install rock constnTetion entrance behind driveway as per city <br />standard $1208 and ernsion control as directed by Public Works <br />O <br />Inspector. <br />5. Keep city BtmetF clean at all times <br />6. Curb gutter and sidewalk in the plat are new Bad undamaged. <br />anv damage thereto shall be replaced at the discretion of the <br />I_ <br />public Works Inspector. <br />V, <br />7. Any change in the driveway cut must be approved by the pW In- <br />specter, width at prop line limited to existing apron width. <br />o <br />8. C: nneet all mof, yard said driveway drains to storm drain <br />A <br />system provided to lot.. <br />li <br />9. Adtiust water boxes to grade at end of construction. <br />10. Driveways shall be completely cured before driving on them. <br />p <br />//7 <br />AFP,ro�ve�tl-fJor/Gonstru�ction Date <br />Approved <br />as Construct <br />TAN Dale <br />Approved as Constmded <br />PUBLIC WORKS DEPARTMENT <br />3200 Cede, Street <br />Everett WA 98201 <br />Phone: 259-8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownertapplicant hereby agrees to hold and save harm. <br />less the City of Everett from any and all claims for damages. costs. <br />expenses, or causes of action that may arise because of Installation <br />and maintenance of the Improvement or other rightabway use hereto <br />applied for and further agrees to remove same upon notice from the <br />City aal to replace pabic property d maged thereby. <br />y-3a-9 <br />nilure ofApphcanl Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS FERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />