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Date 4/23/93 <br />TO POST1fdG (.�!-q� <br />qpplication For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Select Homes 237 Elm S <br />pwner <br />Describe ProPosed Work <br />Everett WA 98203 <br />Mailing Addre55 <br />new h �use <br />Basic 201 <br />258-1503 <br />C�� <br />Cit <br />PUDim Wur� s Perm�t � 4�39 7 / <br />eiec ceo� � — <br />PUE��c WoiMs Fee s — <br />TOIPI FPP <br />Less Aoo�� Fee �aiC $ -- � <br />Balance0ue s � <br />�11�� �v Lot 1 HanabrooK u�� � <br />Prole�� Address �if knawn) -- <br />iI,'.�z- ' <br />Attach four (4) copies of plans for P�oposed work - Uraw to scale and nole me lollowing as applicable: <br />• properry Lines <br />• Outline and dimensions of all existing and <br />proposed struc;�res on the lot <br />• Ezisting and proposeo utilities <br />• Centerline of slreet <br />• Indicale North <br />• Show any proposed grading changes <br />• Show measurements <br />I �� <br />�. <br />Phone <br />Phone � <br />� <br />PERMIT CONDITIONS <br />t. All calls tor inspection shall 6e made 24 hrs. in advance - phone 258•881 . <br />2. All work shall be pertormed in eccordance with this permil ard current City of Everetl Design and Construction <br />Stendards and Specification�. <br />3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1•800�424•555 . <br />l� gtandaz.dr�2pgcandter eion cont oleaedirected bYaPubliceWorkaY <br />lnepector. <br />Keep rity atreets clean at all ti.mes <br />G1�rb gutter and sidewalk in the plat are neW and undamaged, <br />any damage thereto shall be replaced at the diacretion of the <br />Publi.c Works Inspector. the PW In- <br />�,y change in the ciriveNay cut must be approved bY <br />spector, aidth at Frop line limited to existing apron Width- <br />Connect all roof, yard and driveway drains to atorm drain <br />syatem provided to lot. <br />Adjust water boxes to grade atr.ured l�eforetdriving on them. <br />n,r;v�aava shall be completely <br />9 <br />10 <br />qpprove� Ior Cons�ruction <br />t ! <br />% /0-/2• 93 <br />�� `c`� '�. <br />Datc <br />FINAL INSPECTION <br />Approved as Constructed <br />'Ar�PUBLICWORKSDEPAFTMENT <br />3200 Cedar Street <br />Everell, WA 98201 <br />Phone: 259�8010 <br />ACKNOWLEDGEMENT OF CONOITIONS <br />The undersigned owner/apPlicant hereby agrees to hold and save harm� <br />less Ihe Clty of Everetl irom any and all claims for damages, costs. <br />expenses. or causes of aclion thal may arise because of installation <br />and mainlenance ot lhe imp�ovement or other right•ol•way use hereto <br />applied for and luriher agrees to remove same upon notice Irom ihe <br />City ai���J�P���b,l� JpertY dama9ed thereby. <br />!� C ,�j— ��—�> <br />�CC � . ! ��' Date <br />Signatu e of APPlicant <br />1NBORDAYSTOF DATE PERMIT SE SSUED AND THEREAFTER ISNTO <br />BE DILIGENTLY 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 />