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�r� <br />iy�i <br />�1 y <br />�Ht~i� <br />H�N <br />1C C] <br />H x7 <br />OSO <br />�H�J <br />HyC <br />�O� <br />H C7 <br />H l ] O <br />L] � O❑ <br />9Ht+1 <br />y <br />HH <br />y <br />C7 C U� <br />� � [s1 <br />HOVi <br />� <br />Date 4-15=93 <br />/ <br />G=1 l—"�'i �,,,���,•:o,.,,�,��,�,. `L�I� .`� �� <br />eioq oco� • ���51 <br />Appliratwn For <br />�'UBLIC WORKS PERMIT <br />T(? �n�TING _�,j,�� <br />Prinl or Type Only <br />Select Nomes 237 Elm St Everett WA 98203 258-I503 <br />llwner MdJing Atltlress Ciiy <br />Oxner <br />— ��np������ Mailing Adtlress <br />OrscnLo Proposed Wark P_W �lOUSO <br />Pioicct Address lil known) 5�qo2' 3ilV S�✓ �—_— <br />Cdy <br />PuCI¢ lYOMs fee 5 <br />TeulFee <br />L�sa Ro01. Poe Paie $ <br />9aiince0ue $ ��� l <br />� <br />�� <br />Phone <br />Phone -� <br />t <br />�i <br />Div 3 <br />411:�cL low �4) CopieS 0� PIan5lor proposed work � Draw to 5c�le d��A nolr Ihe �ollOwmg as applicahiv <br />• Property L ines • CaNerline ol stmel <br />• Outlinc and Aimensions of all exix!�n9 anA • Intlicate Norih <br />pwposetl slrucW�es on the lol e Show any proposetl yr,�tl�ny ch�:inges <br />• Existing anA proPOsed utJttics • Show mcasurCmenl; <br />THIS <br />i PERMIT CONDIT�ONS <br />�. �` 1. All calls �or inspection sha�.l 6e made 24 hrs. in advance- phone 259•8810. <br />' 2 NI work shall be pe�iormed in accordance �vilh this permit and curreM City of Everetl Oesiqn and Cons;ru.;lon <br />"� �� Standards and Specllrations. <br />3. Call Location Underground Service 48 hrs. beloro you dig. TOIL FREE NUMBER 1•800•424•5555. <br />4. install rork cnnstructinn entrance be.�ind driveaay a. F�'r r.ity <br />;�tand�rd tti0d and erasion rontrol as oirectud by Public Work� <br />Insper.tor. <br />5. Keep city atreeta clean at all times <br />��. Curb @utter and sidectalk in the plat are neN and undamaged, <br />any dtims�e theretn shall be replaced at the dis�retinn of the <br />Pub7ir Works lnspector. <br />7_ Any chnnge in the driveG�dy cvt must be aPFroved hy the ['W In- <br />aFwctor. Width at prop line limited to existing apron uidth. <br />d. Connect all roof, yard and driveuay drains to storm drain <br />system provided to lot. <br />9. A$iust uater tx�xea to �rade at end nf conatrurtinn. <br />10. DriveNays shall tM r.ompletely cum�3 before driving on them_ <br />�4� <br />i L / <br />�._� <br />Ap�S�cvetl inr Cons ruction Date <br />J�%•�F - — � -i3 � 3 <br />FINAL INSPEC�ION Dale <br />ApP�o�eC as Cunslrucled <br />f�.� PUBLIC WORKS DEPARTMENT <br />�-/�`�- 3200 Cedar Street <br />A� ����eu.wneezoi <br />Phon¢ 2:.?��P10 <br />� <br />0 <br />ACKNOWLEDG[IdENT OP CONDITIONS <br />ihe unde�signeA owner/apphcaM hereby ag�ees to holtl and savc h;,in�.� <br />less Ihe Cdy ol Everelt imm any and all claims �or damages. c� 1- <br />expenses, or causes ol aclion Ihat may arise Uecause ol inste <br />antl maintenance of the improvement or olher nyhPol��.vay use � <br />applied for and �����her agrees �o remove same upo� m�brc �� <br />City anA lo replace pubhc Properq� damaged Ihereby. <br />l ,�, �r�_ ;�c .�,Ll� � � — — <br />Signatwc of Applicant �O�O <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED �'JI�IIIN <br />1B0 OAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />[3E OILIGENTLY PURSUED TO COMPLETION. THIS PERMIT IdAY 84. <br />GVJCELLED �Y TIIE CITY UPON ANV STOPPAGE OF WORN ON THiS <br />PROJEGT OVEH 90 DAVS DURATION. <br />