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v�io..;�P� sw...�-- ------�.._....:.._.=n�.�� <br /> i <br /> 4N <br /> i <br /> 7"G'J.l \�— �'��� � PubIIL WOrkS P¢rmlt• '� ,' <br /> Date qn f, �f �� <br /> Ill �U���.,r ��' V� em9oeo� + 41 ,�j <br /> Application For �� <br /> pUBLi� W�DRf�S PERi�II�' PUbToalFeaF�e 5 <br /> � <br /> LessAOG�.Fc-Paia g � <br /> Baiance Due 5� �. <br /> Print or Type Only <br /> Dally Homes 3240 F.astla�ce Ave E Seattle WA 98102 328-3770 \� � <br /> Owner Mailing Address City Zip Phone i <br /> Owuer <br /> � <br /> Applicanl �^ailing Add�ess City Zip Phone �'d <br /> �.i <br /> Describe Proposed Work ___ <br /> new house Lot 41 Silverha�rk F� <br /> —_ � <br /> ProjectAddressUfknown) _ � I� - 40th PI. _ --_ � <br /> Attach four(�7) copies ot plana lor proposed work- Draw to scale and note the following as appGcable: �� <br /> � <br /> O Property Lines • Canterline of streel ♦�� <br /> • OuUine and dimensions of ell existing an� • InGicate North ��v <br /> proposed siructures on the lot • Show any pronosed grading changes � <br /> e Existing ard proposed utilities • Show measurements <br /> _ �� � <br /> DO N:JT WRITE BEI.OW THIS LIhE � <br /> PERMIT CONDII�IONS <br /> t.All calls for inspection shall be made 2n ivs.in advance-phone i:59-8810. �� <br /> 2.All work shal!6e,pertormed in accordanae with this permit and current Ciry of Everett Design and Construction r-"3 � <br /> Sta darc{s-.i�d_$� tication . + + ���},7. �3 �L,�,,, s per city <br /> 3.Ca�L'oc�triKhhU���p�r�� ���rs��YOY�pdi�J.`}b�L�{'�fYl7tV16p�T•tSCN•4���5J �7 � <br /> standarrl #2 � and erosion cnntrol �s azrected y ublic Works �t <br /> � <br /> Inspactor. � � <br /> 5 . Keep city streets clr_ai: at all times . <br /> 6. C��.rb gutter and sidewalk in the plat are n�w and undamaged, � <br /> arty dama�e theretc shall be ieplaced at the discretion of the <br /> Puolir_ Worka Inspe�tor. ` <br /> 7. An.y change in the drivewaY cut must be approved b,y the PW In- I�,,, ' <br /> e�oector, widi:h at proF J �ne limited to existing apron width_ � �-1 <br /> H . C�nnect all zoof, yard ai:d driveway drains to storm drain � <br /> system providad to lot. <br /> 9. Ad.iust water boxes to grade at end of construction. q <br /> 1U. Drivewaps sliall be comLletely cured before driving on them. �� <br /> �p — ACKNOWLEDGEMENT OF CONDITIONS <br /> /IYi <br /> i,�" The undersigned owne,/applicant hereby agrees to hold and save harm- <br /> less the City ot Everetl I:om any and all claims for damages, costs, <br /> ezpenses. or causes of aalion that may arise because ol inslallatien <br /> — 1�=—� �/� (� �n � /L�� and maiMenarce of ihe improvement or other righbohway use herelo <br /> �'� �(,� { d � �X`L� applied ior and furtt,er anrees to remove same upon noLce from the <br /> Appr�ved ter Cor�:.: �,.tion Date City and �o replaca puhlic property damaged thereby. <br /> � e' /� \ <br /> ..�=��C 5'_i6 �y � � ,�.,--. .����17> <br /> FINAL INSPECT'ON �a� � � Date <br /> Approved as Cor,;tructed S nalure of ApphcaM <br /> WORK AUTHORIZED BY THIS PERMIT MUST (3E STARI'ED WITHIN <br /> PUBLICWORKSDEPARTMENT 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200Cedar Street BE DILIGENTLI' PURSUED TO COMPLETIOI�.THIS PERMIT MFY BE <br /> Everett WA 98201 CANCELLED BY THE CITY UPON 4NY STOPPAGE OF WORK ON�iHIS <br /> Phone:259�8810 pROJECT OVER 90 DAYS DURATION. <br /> _ . -- ...a.:. <br /> �r�" �.-. �r ^.. ._r:..�r:.._ _. <br /> — '�_ . <br /> '.=y�—..0 --�3b . '� '=-.—<:�'k-r.�--.-...-�... <br />