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1<- �-z�-`{- <br />Date 6/7/93 T� p�STING_ ln-�t�� <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />PuoL< Worka Perm�t • I (/ 1� �/ <br />oieq. Deo�. • 40852 <br />PuEI¢ Works Fea <br />Tolal Fee s <br />Less AO�� Fee PaiC S _ <br />Balence Oue S <br />Select Homes Inc 237 Elm St Everett 9820� 258-150'� <br />Owner Mailing Address City 2ip Phone <br />� <br />Same � <br />Applicant Mailing Address City Zip Phone ;� <br />Describe Proposed Work New house - Basic 202 <br />Proled Address (il known) <br />Attach four (4) copies of plans tor proposetl work • Draw to scale and note Ihe lollowing as applicable: <br />• Property Lines <br />• Oulline and dimensions of all existing and <br />p�oposed structures on the lot <br />• Existing and proposed utilities <br />• Centerline ol street <br />• Indicate North <br />• Show any proposed grading changes <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance • phone 259•8810. <br />2. All work shall be performed in accordance with this permit and current City ol Everete Design and Construction <br />Standards and Specifications. <br />3. Cali Location Underground Service 48 hrs. before you dig. TOIL FREE NUMBER 1•800•424•5555. <br />4. Inatall rock conatruction entrance behind driveway as per city <br />atandard St208 and eroEion control ae directed by Pub]ic Works <br />Inapector. <br />5. Keep city streeta clean at all timee <br />6. �rb �tutter and aidewalk in the plat are new and undamaged, <br />any damage thereto ahall be replaced at the diecretion of the <br />Public Works Inspector. <br />7_ My change in the driveway cut muBt be approved by the PW In- <br />apcctor, width at prop line limited to existing apron Width_ <br />8_ Connect all roof, yard and driveway drains to storm drain <br />syatem provided to lot. <br />9_ Ad,iust water boxea t,o qrade at end of construction. <br />10. Driveways ahal.l be comFletely cured before driving on them_ <br />���.�Nfl1 �. 7 7-y3 <br />Appro�or Construc}��9� Date <br />c/�� � /�-�Z •S� <br />FINAL INSPECTION Date <br />Approved as Construcled <br />�A��PUBLIC WORKS DEPARTMENT <br />3200 Cedar Sireet <br />Everett, WA 98201 <br />Phone: 259-BB70 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />� <br />W <br />H <br />� <br />� <br />• <br />J <br />The undersigned owner/applicant hereby agrees to hold and save h: rm- <br />less Ihe City of Everetl Irom any end all claims for damages, cosis, <br />expenses, or causes of action that may arise because of ins�allation <br />and maintenance ol the improvement or other righl�ol-way use hereto <br />applied lor and further agrees to remove same upon notice trom Ihe <br />Cit and to replace public property damaged thereby. <br />,�a,.� �l._.,, ,o., i. ��� �17�i <br />Signafu(e ol Applicant 1 • "�" <br />WORK AUTHORIZED dY THIS PERMIT MUST BE STARTED WITHII� <br />780 DAYS OF DATE PEflMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY OE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT O`:ER 90 DAYS DURATION. <br />