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4-14-93 �3 �� '�`- -� �.,:.:, � , �„ '�-J��'r'_'= _� <br /> Date - I � ' 40233 <br /> man a.r� ._ —. . <br /> Applica�ion For <br /> PUBLIC WORKS PERMIT "°°:o��F.`."` 5 <br /> H O H (C���� t�'{ ���vaoo� raena�a 5 <br /> `� � hj - BainnceDu� S 7C% <br /> t� PnntorTypeOnly TO PC�T�►JG_ <br /> 9H <br /> � xx <br /> � yy Iw <br /> Sclec[ Homes 237 Glm St Everett I.A 98203 2'i8-1503 <br /> N � ,'i,' __ <br /> �x� Owner Alailing Atltlress Gty Zip Phone <br /> H �1 <br /> �H � Owner � <br /> N�"� pPPp���� Mailing Atltlress Glv Zip Phonc <br /> Q H � Describe PrOpoScd Work neW hoUSe _ � <br /> � �g — — <br /> �1]V (� <br /> � y � -- W <br /> x <br /> gri y � <br /> y p.� Proiect Address PI knownl � ` � ��_— Lo[ 31 o f Nanabroalc S_ <br /> C� C[/� <br /> Cy C � Atlar.n lour(4' copies ol plans br proposed work� Drav;Ic scale and note�no to�lowing as applicabie� � <br /> � �� • 'roperty Lmes • Cenledine ol slreet 'A <br /> yH A� • Outline and dimensions ol an e,�sim9 antl • I.+.]Icate North V� <br /> � y proposed Sltutture5 on the lot • SCow any proposetl�_�r:ia�n9 chanyes <br /> • Lxishng and proposed utdities • Sho�ti� measuremenls M <br /> � DO NOT WRITE BELOW THIS LINE O <br /> � PLRIdIT CONDITIONS <br /> ,i t.All calls lor inspection shall be made 24 hrs.in ativance-phone 259•8810. � <br /> �! 2.All wor�,shall he pertormed in accordance wilh this uermit and curreN City of Everett Design and Constructiun <br /> __� Standards and Specilications. <br /> 3.Call Location Underground Service 48 hrs.before yoa dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> A. Install ror.k r.on:struction entranr_e Mhind drivevay as F�r r_ity O <br /> �� st.3ndard N::UH and erosion rontrol as directed Ir� Public Work:� <br /> '� �� Inapector. <br /> 5. Keep rity st.rec-ts clean at all Limes � <br /> 6. l,lirh �,nittrr and sideualk in the plat are neN and undamaged. <br /> �� any damage thereto nhall be replaced at the discretion of the � <br /> ��' � R�blir_ Works Inspector. <br /> 7, Any rhan�e in the driveway c�it must t±e approved by the PW Ln- O <br /> 3pector. Width at, prnp line limited to exiat,ing apron Nidth. <br /> �•� fl. Connert all rnof, yard and driveNay drair,s to storm drain � <br /> '.� system provided to lot. <br /> i 9. Ad,i»st eater boxes to Krade at end of conatruction_ <br /> 10. Driveuaya shall be r.omFleteiy r.ured before driving on thcm. <br /> � —_ • <br /> __ /,� ACKNOWLEDGEMENT OF CONDITIOIJS <br /> ���. <br /> The undersignetl owner/apU!�wnt heieby agrees Io holtl anA save h�nm <br /> - less Ihe Gty al Everett fwm any and all Gaims tor dama9es, costs. <br /> ���777 Cepenses. or ca'.isCS of aclion lhat may arise because o� in5iall,ibon <br /> ���� , I� �� J�1,,���/qZ antl maintenance �f the improvement or other righ4obway use heic�o <br /> � � � applietl tor and lurther agrecs to remove same upon notice Irom Ihe <br /> Appro ed lor Construction ���� Ci�y, id lo rep�a.e publiC pro��y damayed thereby. <br /> � � /����tf���� ' `�" <br /> �•-•�,-.— � ��3-93 !--q !-,.7�� <br /> FINAL INSPECTION Datc �lL� /` Gtit�- J � — <br /> Approved as Conslructed Siq,AatuiNo�AnPlicant ���� <br /> WORK AUTHORIZED �Y THIS PERId1T MUST BE STARTEC WITHIN <br /> PUBLICWORKSDEPAPTMENT 180 DAYS OF DATE PERh11T IS ISSUED AND THEREAFTER IS TO <br /> 'r�� 3200 Gedar Slreet BE DILIGENTLY PURSUED TO COMPLETION.iHIS PERMIT b1AV BE <br /> Evere�l.WA 38201 CANCFLLED BY THE C�TY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone'.259�8810 � PROJ[CT OVER 90 �A1"S �UPATION. <br />