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Dale 4-�'�3 <br />C� - I -ZP� � <br />� /oo��cal�onFor <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />TO POSTINf s <br />/ <br />.•��<,.,�,,,,.,,m,. �_iz �% <br />m�a o.o� . 40096 <br />M,mwxon.ru — <br />�mnn. f_ <br />�....�o� .�. o.,o s <br />Sclect Ilomes 237 Elm St Evetett NA 9820J 256-1503 � <br />Owner Maibn9Arltlre55 City Zip PM1one W <br />Wner <br />APPI¢an� 1.1nJmgAtltlres5 Ci� r <br />Y ZiP P�one p <br />a- <br />Drscn�eP�oposedVJork neW hoUee ^ <br />� <br />ProlectAtltlress0lknpw�� ��� 3rd .� \ <br />Lot 18 01v 3 <br />AILic� lour In) copms ol0�ans br o�o0ose0 work- Diaw lo swle anh noto m,.loliowing as sop�icable. <br />• Propeity Linas • Cenleilme o� Sbeai <br />•OutLneantltlimen5ionsolalleaislingand •mU¢atrNo�t� <br />p�OPOSPtl SINC�uees O� �h� 101 •$pOw.ln� p�CpOSCE �dtlin �pyn CS <br />• E�isl�ng antl vrouusetl ul�Lires 9 fl 5 <br />• $M1OF IIIC.l511lCl11ClIIS <br />PERMIT CONDITIOIlS <br />1. All colls lor insoection snall be maCa 24 nrs in a0vance � pnono 259•8810. <br />2. All work s�all be poAormed in ncm�tlanco wi�� I�is permit enE current Ciry oi Everctt Design antl Constmdion <br />SlxndarCs antl Specihwtions <br />3. Call Locatian UntlmB�ountl Service d8 nrs Imloie you tlig. TOLL FqEE NUM9EP i•Bpp•qpq•5555. <br />4. Instal] rock conatructinn a�itrance behind drivewny as F+'r city <br />etandard N20B and eronion control as directed hy Pablic Works <br />Inspector. <br />:i. Keep city etreets clean at all timr,e <br />G. Qirb �vtter and aidevalk in the plat nre nev and �mdamaged, <br />nny demege thereto nhall br replaced at the diecretion nf the <br />Public iJorka InsFrr.tor. <br />7. My chnnge in the drivewe.v cut muet br. apyroVr.d }ry tA9 I�! In- <br />apeutor, width at Frop line limited to exiating apron width. <br />R. ConnecL nJ1 roof, yurd �+nd drivevay draina to ntorm drain <br />uystem provided to lot. <br />s. na,;ua� water lwxes to gradr at end of conatruction. <br />10. Urivewava nhell be completely r_urrd before driving on thr.m. <br />��4 <br />/u� ). n I^A `/- <br />L�.N�!1�/-� �-�����3 <br />APwnvetl lor Conslmcbon Dalc <br />� / <br />��.� "'!�/'i.--- ��/�'S�3 <br />FINAL IhSPECTIpN Dnle <br />ApproveC asConsbu[tea <br />�PUBLICWORKSOEPAPTMENT <br />J:DO CeAnr S�reet <br />Evere�I,1YA 88201 <br />P�ono�.259�BP10 <br />AC✓.N01YL�DGBMENT OF CONDITIONS <br />Z <br />O <br />(i� <br />V� <br />O <br />a <br />T�e un0eisi�netl ownpp2pplicanl �creby aB�ees to hola antl save �aim � <br />less t�e Ciiy n� Everell bom any TnU all clnims lor Jamages, cos�s <br />wpenses, m causes ol ncbon Ihai may arrse �ewuse oi inslaila�ion <br />antl mam�enancc ol Ilie improvement Or aiher ng�pol�way use �ereto <br />apPhetl be antl turl�er agrecs �o remove same upon no�i�e Imm Inc <br />Cl�ypnrf IO �eplaCL pu' hc G�ooQ�iy'tldmaBOJ t�e�eby <br />�ii, i �i_. ��i, <br />�J�wfP Imvr' v.y.ci <br />�, �2ui�,� H-23-9� <br />S�gna we ol AppLca Da�e <br />l5'ORK AUTMOPIZED BY THIS PERMIi MUST DE STAqT[D WITNIN <br />1&0 OFYS Of OATE PERMIT IS ISSbED AND THEREAFlEF IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BB <br />CANCELLF� UY THE CITV UFON AI�V SlOPPAGE OF WORK ON TMIS <br />PROJECi OVER 40 DAVS UURFTION. <br />