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� — i-zg-4 <br />Date 4/23/93 <br />ApO�icntian For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Selec[ 1{omes <br />i0 POS'(ING11��_' '`� <br />237 Elm S[ Everott WA 98203 258-1503 <br />���v <br />, � „�,,, �.,m � . `13 P3 � <br />mau o�m . 403 3 _ <br />weicwm�.rn S -- <br />,o,.��.. <br />�..,.00� ... �. � x <br />Ba:.nn D�e S �'� � <br />N <br />Owner <br />MaionqAtlGress Clly 2�p Pnone <br />Ap0licant . \ <br />V <br />new house <br />Descnbe Pioposea Worh <br />`��ICcI Ftl��e55 �d k00wN � t� 1 _��o v! `� <br />A��acn lour �4) coo�es of P�ans �or p�oposed wak- Oraw lo sc, ie nnn nole� C� ^�,ewino ol sVeel,b�e: <br />• Roperty L����es � Intliwlc Norl� <br />• Outlme and tlimensw�s ol all c.is�m9 and � Show any PropoSeE g�a�ing C�anges <br />pmposed slmc�wes nn �he lol � Snow measuremenis <br />• Eus�mg and Pmposed uWilieS <br />Lot 22 uanaoroorc u.v � <br />PEPMIT CONDITIONS <br />1, A�� cells �or ins0ecl�on sna�� be maefe 24 hrs. In atlannco � ohone 259•8810. <br />:. All worh shell bo Oalo�meE in accorEanco wi!� I�is permit anE curren� Lity ol E�erett Design and Consimc�ion <br />S�anderds onA Specilications. <br />3. Call Locolion UnCe�gmuntl Servica 40 hrs bebre you Oig TOLL FPEE NUMBSN 1'800�4Z4•5555. <br />A. Inatall ror,k r,oustNction enti'nnce tWhind driveauy ae Fer city <br />standard N20n and erosion contrul ae directed by Riblic Works <br />Ina{+ector. <br />5. KeeP city atrr.ete clean at nll timea <br />6. ��bd�aeerti�iemto�nhall bc replur.r.d atetheNdiacretionAof,the <br />pub7ic Norh.s IneS'rctor. <br />7. pn� chnnPe in the driveany r.ut muet be ntTrovr.d AY the PW In- <br />syecior. wicith at DroP lice limitr.d to exintinR nPron Width. <br />P. Connnct all roof. Yerd nnd drivewny drairs Lo atorm drain <br />syntr.m yrovided t" lot. <br />9, pJ,tus6 Water boxes tn grade at end of r.onatruclion. <br />]0. Drivevaye ahxll be r,ompletely r.urr.d before driving on thr.m. <br />� <br />�cc� b�l �(Ce� �i� 3�3 <br />AOOmveC lur Gpn,➢��uctw Da�e <br />(f�� <br />�,��:�' � /o-/ c , s3 <br />FlNALINSPLCTION �me <br />A�omvetl as Consimctetl <br />�f'UOLIGN'ORKSDEPA(iTMENT <br />3:00 Ce�+r Streel <br />Fverclt WA 98101 <br />Pi�cne. 25P�Bt1�0 <br />AGKNOWLEOGflMENT OF GONDIiIONS <br />W <br />H <br />� <br />� <br />Z <br />O <br />�p� <br />V/ <br />a <br />T�e u�tlersipnetl owne�iappbcanl �acUy ag�ees 10 hol� ana savc haim <br />Icss Ihe CAY ol Eve�ell Imm any and all claims br damapes. ros�s <br />C�O���SCi. Of CB�SCS OI 1C11011 I110� IP.Iy 01152 bCCdlISC O� ��S�d��.l�l0i� <br />an0 mamlenance ol Ihe imOrovemeni or oi�er nB�l�ol�woy use heiclo <br />applieC lo� ��� ��rtnur aB'ees to iemove same upo� �otire �wm 1he <br />G�IY an� �o �ep oce�Publ¢ pm�jeny aamaBeC tnereEy. <br />.��.��t��� �`����te"" c 14-�i <br />,/� ,.j � 2�'!. L2�__ <br />iy —�� Dale <br />Signnlwe o� poo��<0^� <br />WORK AUTHDRIZED BY TMiS PERMIT MUST BE STNRTED \YITHIN <br />180 DAYS OF DATE PERMIT IS ISSUE� AND THEREAFTER IS TO <br />�E DIUGENTLV PURSUED TC GOMPIETION. THI$ PERMi I MAV OE <br />�ANCELLFD BY TH[ CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PFOJECi OVER 90 DAYS DU�pT�GN. <br />