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Date 6/7/93 <br />�a- 1-Zb4 <br />Application For <br />PUBLIC WORKS PE1 RI�IGIS�ING r�ov z z 2000 <br />Print or Type Only <br />Select hOmes Inr <br />Owner <br />Same <br />Applicant <br />Describe Proposed Work <br />Project Address (if known) <br />Mailing Address <br />New house - Basic 107 <br />Public Works Par%1 8 •� •— / <br />Bldg. Dept r 4 <br />Public Works Fae <br />Total Fae S <br />Let. Appi. Fee Paid S <br />Balance 0.0 S <br />Ulty Lip Friona <br />Lot 11 Hanabrook <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: <br />• Proparty Lines • Centerline of street <br />• Outline and dimensions of all existing and • Indicate North <br />proposeL structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 his. in advance. phone 259.8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design a rid Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800-424.5555. <br />Install rock construction entrance behind driveway as per city <br />standard #208 and erosion control as directed by Public Works <br />Inspector. <br />Keep city streets clean at <br />Curb gutter and sidewalk i <br />any damage thereto shall be <br />Public Works Inspector. <br />Any chant:e in the driveway <br />Spector. width at prop line <br />Connect all roof, yard and <br />system provided to lot. <br />n <br />all times <br />tl..e plat are new and undamaged. <br />replaced at the discretion of the <br />cut must be approved by the PW In - <br />limited to existing apron width. <br />driveway drains to storm drain <br />9. Adiust water W;:es to grade at end of construction. <br />10. Driveways shall be completely cured before driving on them. <br />Approv d for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259-8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />.W <br />Im <br />O <br />n <br />z <br />O <br />O <br />an <br />The undersigned owner/applicant 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 right-of-way use "relo <br />applied for and further agrees to remove same upon notice fn . the <br />City and to replace public property damaged thereby. <br />Signature of of Applicant ate <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE OR 'GENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />