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x �--- =.. : _.� �: ; `�..� <br /> >: � <br /> Date 11/3/�3 �a �o,S�I�G �/�„��Ill _ oublicWorxsPermd+ , � � G J <br /> i.��.�� <br /> 9 4 591 <br /> App!icati�n For m em .oeo�.+ <br /> Pl�gLl� VI/OR�CS F'ER� II � PubToaiFeoFee 5 ' <br /> pp p Less AGO�Fae Paitl S �/�.�----• <br /> � O O IfJ O 0al�e�i� $ !�(/ — <br /> Print or Type Only n ri c� � o a-- -- <br /> �: L� ui « M � N Cl � <br /> .�-i : � T � O � � <br /> O. C'! Mi � <br /> Dally Homes 3240 Eastlake Ave E Seattle—m�,2 = _ Q- a � � <br /> Owner Mailino Address °���Y o o n [�n � o� o W � w Ph���� <br /> n �mGimd � 3au��i � � <br /> 0 <br /> Applicant Mailing Address City Zip Phore <br /> Describe Proposed Work New house = Basic 120 __ <br /> -- �,� <br /> Project Address(if known) 616 40th Pl a.cY. 47 Silverhaz�k � <br /> Adach four(4) copies of plans for proposed work- Draw to scale and note the following as applicable: � <br /> • Property Lines • Centerline ol street � <br /> Y Outhne and dirnensions of all exislir.g and Y Indicate Norih <br /> pr�posed structures on the lot s Show any �ropo'�d 3�ading changes <br /> � Existing and proposed u��lities • Show me�:surements � <br /> �a�or <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERIvIIT COND'TIONS <br /> 1.All calls for inspection shall be made 24 hrs.in advanca-phcne 259•8810. � <br /> 2./;ll work shall be performed in accordance with thic permit and c�rrent City of Everett�esigu and Constructior <br /> Standaru�and Speciticetions. <br /> 3.C II L ation l�nder�round Sen�i:,a 48 hrs,before you dig.TOLL FREE NUME?ER 1-$00-424•5555. � <br /> �. �nstal] rock construction entrance behind drivPw�Y as per city <br /> standa-^d #208 and e.^nsion contro:�_ as directed }.y Public Works � <br /> inspeccor. <br /> 5. R.eep citY s�re�ts clean at al� i:imes <br /> 6. Curb gutter an� si.dewalk in the plat are n�w ai�d undamaged, � <br /> an}• dar:iag� thereto shall be replaced at th.� discretion of the <br /> Pub�ic Works Inspc:ctor_ //, <br /> 7. Any ckiange in the drivewaY cut must be approved b.y the PW In- ��� <br /> spector. w'�dth at prop line limited to existing apron width. � <br /> 8 . Cc.ine�ct ail roof, yar� and driveway drains to storm drain <br /> system provided to lot. A <br /> 9. Ad,iust water boxer to gr3de at end of construction. Li <br /> 10. DrivewaYs shal.l be completely cured before drivir.g on them. <br /> r ACKNOWLEDGEMENT OF CONDITIONS II <br /> : ��'J Thr undersigned owner/applicant hereby agrees to hold and save harm- i <br />� 1 -- les� the City of Everell trom any and all claims for damages, cosis. <br /> /// ;I �/�' e.penses, o� causes of aclion that may arise because of installation li <br /> � n jn/�(' �� 1\' v, � I � '"13 and maintenanc? of ihe improvement or other right-of-way use herelo I <br /> ._ <br /> ,��„`X�l V �, �,f,�,�s— I �t/� applied for and further ac�rees to remove sarne upon notice ircm t e I <br /> Approved for Con truction/ Date City and to place public properry damaged ;:.ereby. <br /> �` ��(---E-�- 5=/�- y� C i�J7r1/!'fiLU( �� ��� � <br /> FINAL INSPECTION Date <br /> Approved as Constructed iSi nature ot Applicant Date <br /> WORK FUTHORIZED BY THIS PERMIT MUST BE STARTED WI�HIN <br /> �aM��� PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAF�TER IS TO <br /> 3200CedarStreet BE DILIGENTLY PURSUED TO COIv1PLETION. THIS PERMIT MAY BE <br /> k Everett,WA 90"e01 CANCELLED BY THE CITY UPON ANY S70PPAGE OF WORK ON THIS <br /> ' Phone:259�8810 PROJECT OVER 90 DAYS DUHATION. <br /> . .����.s��i�oe����i�l w <br />