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�-- <br /> _ � <br /> � � - �,C�-� ;, � � <br /> Date 12-�-J3 :; �' N�m��wo«sP�,�,��a G/�/��i � <br /> .-,-.���- Q 23 r- --`�=-- <br /> ApG�icalicn For ';��" �� "�/,�r b j`C�FI _51--=—��—. �1eo.ceo�.. 4?949 <br /> 4� <br /> PUBLiC V1/ORFCS P�RMIT PubbcWorFSFee <br /> Tolal foe w� <br /> O <br /> n p p p Less AOPt Fcc PaW S <br /> O O I fl O O O � 11� � <br /> Print or Type Only � � � e,�.,,��,:n ,• S �;," <br /> l� .r C7 .t O Ill O O � ---_—____"__ <br /> -.a � dT •n N Q [� If] .. ' <br /> � � � <br /> � � � � � � <br /> Dally Homes Inc 3240 East.la4:ee.�.4Y�°)E Ssatt�e W� 98,102 328-3770 <br /> Owner Mailing AdA�zssin o co c� � �i o w .�+ u Zip Phone <br /> O QGJl � Ul � F- 03W [� Itl <br /> o a (� C�i� fil0 � 3 aUl .~�aU <br /> Owner <br /> Applicant Mailiny Address City Zip Phone <br /> Describe Proposed Work new house ��, <br /> � <br /> Prolect Address(if known� 717 40'h Pl . Lot i e � <br /> Attach lour(4) copies ol Plans for proposed work- Draw to scale and note the foIl��Ning as applicable: � <br /> • Property Lines • l:enferline of street � <br /> • Outline and dim�ansions of all exisling and Y indicate North <br /> proposed structures on th�a lot O Shcw any proposed grading changes <br /> Y Ezisting :,nd proposrd u�iliiies S Shn•.r measuremeMs � <br /> no r.GTWR1fE BELOW THIS L!NE <br /> PERMIT COPIDITIONS � <br /> 1.All calls for inspection shall be made 24 hrs.in advance-phone 259•&81 C. � <br /> 2 All work shall be performed in accordance with this permit and current Cib; �I Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground 3ervice 48 hrs.before you dig.TOLL FREE R.fMBER 1•800-424-5555. � <br /> 4 . Tnstal.l ror_.}c r�nstrur_tion entrance l�etiind rlriveway as per <br /> �"ity st:andard 14208 and er�sion coz`,ro.l as directed bY Public � <br /> Works In:tpertor. <br /> 5 . Keep city streets clean ac all timea <br /> 6. Curb gutter and sidewalk in the plat are new and undamaged, � <br /> any damage thereto shall be, replaced ar, the discretion of the � <br /> Public Works Inspector_ <br /> 7. �1ny r_hange in the driveway cut. must be approved by the Public � <br /> Works lnspector. <br /> tJ . Tightline all roof. yard and drivewe�� drains to storm drain � <br /> atub3 at Uack side of aidewalk. <br /> 9. Ad,ivat water boxes to �rade at end of construction. <br /> lU. Driveways shall be comgletely r_ured before driving on them. <br /> �f ACKNOWLEDGEMENT OF CCNDITIONS <br /> �w The undersigned owner/applicanl hcreby agrees to hold antl s�ae harm� <br /> less the City ol Everetl trom any and all claims lor dama9es, costs <br /> � � ezpenses, or causes of action that may arise because of installation <br /> � ��- �� and maintenance ol ihe improvement or other righhof�way use he�e�o <br /> applied lor and further agrees to remove same upon notice from the <br /> Approved lor Con ruction Daie City and to replace public property damaged thereby. <br /> C <br /> C!' �- �� �/, <br /> FINAL INSPECTION� Date x L�/(/��-1� 0 — S — J7 <br /> Approved as Conshucted Si{gg���� r o pplicant Date <br /> �� PUBLIC WORKS DEPARTMENT W�MK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> ���� 3200CedarStreet 180 DAY S OF DATE PERMIT IS ISSUED AND THEREAFTER IS TC <br /> Everett.WA 9820� BE DILIGENTLY PURSUED TO COMPLFTION. THIS PERMIT MqY PE <br /> Phone:259�8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON ThdS <br /> PROJECT OVER 90 DAYS DURATION. <br /> . . . . .—.,�s_ „4 — ' __ . .�atg <br /> •xe,� •r ,.. ...._. ,. . .. ! . . ' `°.� y.x" <br /> . � ..,� ......'.. :': k� _. <br /> ..,..,• � .� 4 � - � 3 <br /> �++�_ ' � _ <br /> _ ,,..y <br /> _ �r <br /> c t� � � - � ,� 1Hz " 5�' ,Z�:t�' <br /> 2"4 �e�`tt� .}pa., �,iy���:;j{ '� .,_.�--� . � �..-,. - . , . - .. ._ . ...__ .— . . — . - - .A��F� io' :i <br />'�`���C11�N. . . n�W'_' zi ..�^p�.%'#N�y.u...r.a+.,q,�`e""""4.'�:."*�,�'�+r.. . . . . . ._ _ . _ - , <br />