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Date 10-21-93 �/. - I � `�"� PUEhc WO�b Fe�m��• �3 � � <br /> Tn p��T��ll j�Z'�_9 eiaooea� • 42431 <br /> Applicalion For ' <br /> , PUBLIC WORKS PERMI"f PuOb<WorksFee <br /> Total Fea S <br /> Le55 A001.Fee PaiO S f� <br /> Belance Due S �`-�� <br /> Print or Type Only <br /> Select Homes 237 Elm St Everett WA 98203 258-1503 �/ <br /> Owner MaiHng Address City Zip Phone <br /> Owner <br /> Applicant Mailing Address Ci�y Zip Phon= � <br /> L <br /> Descrihe Proposed work new house Lut 39 Hanabrook Div 4 � � <br /> W <br /> Proiect Address(if known) 5633 ' Dr W _ � <br /> Attach lour(4)copies ot plans for proposed work�Draw to scale antl notc the lollowin�as applicable: ' � <br /> • Prope�ty Lines • Centerline ol sireet � <br /> • Outline and dimensions of all ezisting and • Intlicate Norih <br /> proposed siructures on the lot • Show any proposed grading changes <br /> • Existing and pro4osed utilitir.s • Show measurements � <br /> � DO NOT WHITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> 1.All cells for inspection shall be made 24 hrs.in advence•phone 259•8810. � <br /> 2.All work sha�l be performed in accordence Nith this permit and current City of Everatt Design and Construction <br /> Standerds end Specifications. <br /> 3.Cell Locetion Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800-424•5555. � <br /> 4. Install rock con�truction entrance behind driveway as per city <br /> standard �2U8 and erosion control as directed by Public Works O <br /> Ii.spector. <br /> 5. Keep city streeta clean at all times <br /> 6. Curb gutter and sidewalk in the plat are new and undama�ed, � <br /> any damage thereto ehall be replaced at the discretion oY� the � <br /> Public Works Inspector. <br /> 7. Any change in the driveway cut must be approved bY the Pi7 In- O <br /> spector, width at prop line limited to existing apron width. <br /> 8. Connect all roof, yard and driveway drains to storm drain � <br /> system provided to lot. <br /> 9. Adiust water boxes to grade at end of construction. <br /> 10. Driveways shall be rompletelY cured before drivin� on them. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> �^ � The undersigned owner/applicant hereby agrees tu hold and save harm� <br /> — less ihe City ol Everett Irom any and all claims br damages, costs. <br /> �f expenses, or causes ol aclion ihat may arise because ot installation <br /> D/,'�j2���� and main�enance of Ihe improvement or other righ4ol�wey use hereto <br /> �.�A Q -f�� v applied lor and iw�her agrees lo remove same upon notice rtocn ihe <br /> Approved for Construction Uate City and to replace public property damaged thereby. <br /> �� <br /> !.".k�-.��t 3'B� 7� <br /> FINAL INSPECTiON � Dale <br /> Approved as Consiructed Signature ol Applicanl ��{� � <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED ITITHIIJ <br /> �200CederStreet t80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS 70 <br /> Everet4 WA98207 8E DILIGENTLY PURSUED TO COMPLETION.THIS PERM�T MAY BE <br /> Phone:259�8810 CANCELLED BY THE GITY UPON ANY STOPPAGE OF WORK 9N THIS <br /> PROJECT OVER 90 DAVS DURATION. <br />