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8/9/94 �'� / �
<br /> Date_ - . tl � f0�7 �NG - - �. �1�-lZ7Z:.
<br /> Ribi�r AVnFs P.vm
<br /> Application For,f ��;a� o�oi . __4521_3
<br /> PUBLIC WORK� PERMIT ,,, c S ------ --
<br /> �`uLac WorMS Fee
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<br /> O M u. M N In
<br /> Dally Homes 3240 Eastlake A�rc�'E Seaiktle., 981,b2,' 328-3770
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<br /> Owner a^:��:in,; .i��,�,�_—_�=�.__�7c-
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<br /> .iohn Graves ext 206 �� � n'� m u5 0 .- 3 _. m Fn �, • •
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<br /> Describe P�o�osed work New house - Basic 119
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<br /> Project Address(if known! 6�S 4�th Pl '�^�
<br /> — --- Loe 44 Salyerhacok__ �
<br /> Attach four (41 coPies of ulaiu fo� propoae-1 wo'.. . p -r. .. _.... . . _-.--__
<br /> � ... -.-.n �� -� ��.• �n „ �,;:v�,iy as lanchcabre.
<br /> • Proneny Lines � �,, �
<br /> • Outline antl dimensions ol all existin �`�f1iOr °� 5'"�� /w,
<br /> g and • IrrLoab: Nnr�h
<br /> proposed s�rucWres on �he IM • �np��;any r.ropp5ed�rir�inn cha;iqi•y e��➢
<br /> • Existing and proposed utilities ..
<br /> • Show measurements
<br /> DO NOT WFITE B[i_OW iHIS LINE �
<br /> PERMIT CONDITIONS �
<br /> 1.All calls tor inspection shall be made 24 hrs.in advance-phone 259•$$10.
<br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and Construdion �
<br /> Standards and Specifications.
<br /> 3.Call Localion Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800-424•5555.
<br /> � 4� Install roc�construction entrance behind driveway as per city st�id;vd�F208 ar�d erosion control es �
<br /> directed by Public Works inspectuc
<br /> 5• Keep city ytreets clea�i at all times.
<br /> 6. Curb gutter and sidewalk in the plat ar•e new and undamaged�any�an-i�ge thereto shell 6e replaced at �
<br /> the discretion oF Ihe Fublic Wor4;s Inspectur.
<br /> �� My^hange in[he driveway cut must be approved by fhe PW Inspect�:r,width at prop fine limited to �
<br /> exis[ing apron width.
<br /> g, Adiust water boxes to grade a[end of construction. �
<br /> ° Driveways shall be completely cwed bcfore driving on them.
<br /> 10. RuuRop drainage shall be discharged: �
<br /> 1) to�he site's storm drain cystem(priva[e or pubhcl
<br /> 2) to a residentinl rooFdownspout sys[em dzsiy�ed per aection d-9.4 uf Uie city sta�id;rds �
<br /> 3) nnlosplashblocks
<br /> 1he meth�d�e!�Med tvill be suUjec[[o Fublic W,>rks Depar[epien[apprcval.
<br /> n� ACKNOWLEDGGMENT OF CONDIiIJNS
<br /> ihN mdPr�i�ned o�vner/apphcant hereby ag�ees ro hold and sa�e 1 �rnr
<br /> , icss h: City of EvereU Irom any antl all claims Icr tlam�geti �o t„
<br /> �(� � ������ � or.p�nse'. or causes of action that mal arise benuse ol insi�ill i ior-
<br /> � ���,i and �miniNn�nr,e n! �he imprOvement or other nght ol ei i� ,iy h i� t..
<br /> APP����ed or Constr ct�on � � , �''n� �d �or and lurfher �9rees �o remove sam� upon n � �;:,� 1 n„i t, .
<br /> �C l i C�tY' ��n�f I�I;ica Uubl�c pioperty damaged Ihereby.
<br /> �"'� 7•1i�5� I
<br /> FiNAL INSPECTION I
<br /> Approved as Constructed Date � � Gf��y �'- �. ?� --J,/
<br /> i Si�n ure of Applican! Dan�
<br /> �c�,� PUBLIC WOqKS DEPARTMENT I lV0 . AUTHOHIZED BY THIS PERMIT MUST BE STARTED WITHIN
<br /> � 3200CedarSlreet 1A0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTc'R IS TO
<br /> Everett,WA98207 � BE DILIGENTLY' PURSUED TO COP.!�LET�ON. ?HIS PFRrA17 L1:.v Q�
<br /> Phone:259�8810 �, GANCELLED BY THE CITY UPGN .,';', r�i Oi'P,;GG nF IVORk ��ia �I Ii5
<br /> '. FAO.!ECT OVER 90 DAYS DUR.ATICI��
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