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/•�� ; ? <br /> .-.., ��'__�� _z °, ,•,,,,.,�:,. ,.�. �< <br /> Date 3-5-92 �„� -J=��— <br /> �,,., �,,,, , 35855 <br /> Appliwlion For <br /> PUBLIC WORKS PERMIT PULTo��en��� S � <br /> tes�eooi.Fee ve�n S <br /> TO POSTING �r— -�z o,�,���o�,� s �-o— <br /> ��� Print or fype Onry I <br /> 9H <br /> ��H <br /> Y HCn Bcam Cunstruc[ion 3514 8roadway Everett WA 98201 258-4331 __ <br /> H 9 3 Ownm � � Mail�n�Add�ess City Zip Phone <br /> yz � <br /> � '=� Owner � <br /> '+7 1-�"] Applicant Mailing Atldress City Zin Phone � <br /> U H <br /> � z new SFR Lot a SEAv�cN <br /> y� Descr�be Propased Work <br /> OH <br /> � �gH .'1 <br /> CiV (] <br /> � � - W <br /> r H y Prolect Addre55(il known) Z4�Z ������G�EST /�U E � � <br /> N <br /> ~ Attach four(4)copies ol plans tor proposed wcrk-Oraw to scale antl note Ihe following as applitable. � i <br /> n d y • CeNerline ol sireet �A � <br /> G Q� • Property Lines V♦ ' <br /> 3 � • Outline and dimensions oi all existinc� and • Indicate Norih I <br /> z H y proposed struclures on Ihe lot • Show any proposed gradin9 changes <br /> H O V� • Ezisting and p�oposed utililies • Show measuremenls M �, <br /> W <br /> DO NOT WRITE BEIOW THIS LINE O �� <br /> PERId1T CONDITIONS i <br /> 1.All calls lor inspec�ion Shall be made 24 hrs.in ativanca�phone 259'8810. � <br /> 2.All work shall be pedormed in accordance with this permit and current Ciry o�Everetl Desinn and Construction � <br /> Standards and Specilications. <br /> ! 1 3.Call Location Underground Service 4B hrs.before you dig.TOLL FREE NUMBER 1•8Q0•424•5555. � <br /> ^" � 4 . Ir�::tall. mcic rnnst.rvc:-.inn entrrin�e he}.ind �lr•i���wr��� �^ c��r �-itv � <br /> ,tand3rd lS2uf,i :3n�3 rroaion c�,ntr��l. as dirF��r.,.-.ri hv F'iihli<� Wr>r�kr. O i <br /> lnspectnr. ' <br /> ��., � � F . Y.eep ci.ty streets r'aan at all. times � � <br /> �. Curb gutter and Ridewalk in the plat are new and undamaged. <br /> any dama_ee therato 3ha11. he replaced at. tha discretion of ' h� � <br /> Puh] ir.. Wnrk9 Inspr�ct�r. <br /> i +� 7. Any change in the �lrivewav cut must be approved h�� the Puhll ' O <br /> Work, Tnsp�r,t.�r. <br /> (.. 8. Ad.iust wat.er bo:ces t.n era��= at-, end of consYrnct.i.on. � <br /> . � 9. Drivewav9 :�ha] I he c��mpl,�Y�= Iv rnre�9 before �ic�vinp on thi=m. <br /> �� I �y ACKNOWLEOGEAtENT OF CONDITIONS <br /> /�1" The undersigned owner/applicznt herehy a9rees to holtl and save hann� <br /> less Ihe City ol Everett Irom any and all claims for damages, costs <br /> � ^� �G� ezpenses, or causes ol action that may arise because of inslallaben <br /> -�� � 19 —9L and maintenance ol lhe improvement or other righFo4way use hereto <br /> 3 applied br and luriher agrees to �emove same upon nolice ��om Ihc <br /> Appmvetl lo�Cens(ruttion ' Date Cily and to replace public pmperty damaged thereby. <br /> L': <br /> � !( � � _ '� L 5 - 7- 9Z <br /> �rlC�/i%�' � p�c t� �<--� <br /> FINAL INSPECTIOIJ Date p��i, <br /> Appmvetl as Consiructed SignaWre ol A Plicant <br /> �� WURK AUYHOF7IZED BY TFIIS PERMIT MUST BE STARTED WIiHiN <br /> PUBLICVlORKSDEPAHiMENT 180 DAVS OF D47E P[RMIT IS ISSUED AND THEREAFTER IS 10 <br /> � 3200CedarSlreet pE DIL�GENTLY PU�75UED TO COM11PlE710N. THIS PERMIT MAV B[ <br /> �T [verett WA 98201 C�NCflLL[D 6Y iHP.CITV UPON ANY STOPPAGE OF WOHK OIJ THIS <br /> Phone'.259-��70 pROJECT O�[H`)0 U%�YS DURATION. <br />