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Date�2`� 8� <br />\pplicallon For <br />PUBLIf; V✓ORKS PERMIT <br />Print or Type Only <br />Mailin9 <br />Atltlfe55 <br />Oescribe Proposed Work <br />Prolect Address 1if knownl 57�� '� <br />Glly <br />Attach four (4) copies of ptans for proposed work • Draw to scale and nole the lollowing as applicable: <br />• Property Lines <br />• Outline and dimensions of all azisting and <br />proposed structures on the lot <br />• Existing and proposed utili�ies <br />��- <br />runec wo�xs Pmmn . �— ��� <br />oin, Uen�. • <br />PunaowoieaPon S <br />Talnlfeo <br />LvSs ApP� Fee Pnitl S �v1 <br />0013�CODVO S �Ov� <br />• Centerline of street <br />• Indicate North <br />• Show any proposed grading changes <br />• Show measurements <br />PhOrl@ <br />PERMIT CONDITIONS <br />t. All c2�15 for inspection sha�� be made 24 hrs in advance - phone 259-8b! 5. <br />2. All work shall be peAormed in accordance with Ihfs permit antl curmnt City oi Everett Design and Construcuon <br />Standerds and Specifications <br />3. Call Locatfon Underground Service 48 hrs. belore you dig. TOLL FHEE NUMBLH 1•800•424•5555. <br />ZNSTALL NEW DRIVEWAY PER CITY STAND, #3�7 .REMOVE SIDEWALK�CURB <br />AND GUTTER COMPLETELY �PER SECTION 3.?.7 OF THE CITY STANDARDS. <br />TIGHT—LINE ROOF—TOP DOWNSPOUTS TO DETEI4TION POND <br />`�1��6�'�-�/�, �D�S�B7 <br />Approved lor Cons ction Date <br />U- S �� <br />FINAL SPECTION Date <br />Approved as Constructed <br />everett PUBLIC WORKS DEPARTMFNT <br />� 3200 Cedar Sireet <br />Everetl, WA 98201 <br />Phone 259-8f315 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />� <br />� <br />O <br />a <br />The undersigned owner/applicant here6y agrees to hold and save harm- <br />Iess the City ol Everetl Irom any and all claims for damages, coste, <br />eapenses, or causes ol action that may arise because of instellation <br />and maintenance ol the improvement or Olher right�oFway use hereto <br />applied lor and lurlher agrees lo remove same up n notice from Ihe <br />Cily and to replace publ�(operty damaged t eby. � <br />W¢fiK UTHORI2ED �i�THIS PERMIT MUST BE STARTED WITH�N <br />}�0 AYS OF DAT[ASERMIT IS ISSUED AND THEREAFTEF. IS TO <br />/8E� DILIGENTLY PURSUED TO COMPLETiON. THIS PERIv11T MAY BE <br />°CANCELLED BY THE GTY UPUN AN1' STOPPAGE OF WORK ON THIS <br />PROJ[CT OVER 90 DAYS DURATION. <br />