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� � �. _ .� _ ___ �� <br /> � - Z� - ( <br /> -- ?�C� - � / <br /> T� ��J�I��r � PublmWoiksPmmit• � � /�r`r�� <br /> Date u .- I ��___ <br /> Bitlg.De�t.e_ <br /> Appliwtion For <br /> F�UB�IC iNORK�pF�1��J�T `�'--27 2y PuOhcWorksFee 5--- -- <br /> To1a1 Fee <br /> Less Apv�.Fee Pa�� $—/J� _ -- <br /> Balance D�c S LSe'.c_ <br /> Print or Type Only --� <br /> Dally llomes Inc 3240 Eastlake Ave E Seattle WA 98102 328-3770 __ <br /> Owner Mailing Address � City ZiG Phon= �'� <br /> Owner - I C��� <br /> Applicant Mailing Address Ciry 'l.ip Phone �� <br /> Describe Proposed Work <br /> new house Basic 112 <br /> - � <br /> Project Address(if known) 72�,. ;C P�� Lot 32 � <br /> Atlach four(4) copie,ol plans br proposed work- Uraw ro scale e,id note the f�llo�vinn as apPlicable: �� <br /> • Property Linee • Centerline of street ♦� <br /> • Outline and dimensions of all exisling and • Indicale P!orth V� <br /> proposed siruct��es on the lot • Show any proposed grading changes <br /> • Ezisling and proposed Wilities � Show measurements � <br /> DO NOT lh'PITE BELOW THIS LW E � � <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shaL be made 2� nrs.in advance•phcne 259•Sa10. �9 <br /> 2.All work shall be pedormed ir.eccordance wilh this permit and current City of Everett Design and Construction �d <br /> Standards and Specdiwtions. <br /> 3.Call Localion Underground Sen�ice 4d hrs.betore you dig.TOLL FREE NUMBER 1•80C•h24•5555. � <br /> 4. Install rock consTr'uction zntranr.e behindrdrivY,vaPubli�eWorksV <br /> stan32rd 3t208 and erosiori coritrol as dire�tad � <br /> Inspector . <br /> 5. Keep cit'y stree�s clean at all times <br /> 6. Curb !;utter and sidewalk in the plat are new and undama�e�l, � <br /> any dama�•.e thereto shall be replaced at i.he ciiacreti.on o£ Lhe <br /> Public Works Inepertor. r� <br /> 7 . �nY chan�e in the drivewa.y cut musi, :�e apProved by the PW In- yb+r <br /> apector, hidth at prop line limite� to existing apron width. � <br /> 8. Connec+. all roaf. yard and driveway dralns to atoz^m drain I <br /> sYstem provide:ti to lot. <br /> 9. Aci�iust water boxes to g^ad:+ at >nd o£ c^cistruction. ■ <br /> 10. DrivewaYs shall be completely cured before driving on them. � <br /> 6 ACKNOWLEDGEML::T OF CONDITIONS <br /> ��� The undersigned owner/applicanl hereby agrees to hold and save harm� <br /> _ less the C.iry M Everett Irom any and all claims for damages, costs. <br /> / eznenses. or causes of action that may arise because ot installation <br /> '�j � //' and maintenance ot the inprovement or other right-of-way use hereto <br /> {�( �^-� �/--�'7-�`,� applied ior and further agrees to remove same upon notice from the <br /> App oved for Ccn t uction �a' �e Ci.y and to replace public property damaged thereby. <br /> �-i6- Q3� � C /}Q,..� I�/3 / 93 <br /> FINA! INSPECTION ��� G � r-��� <br /> ale nature ol Applicant --�Date <br /> Appwved as Constructed <br /> ORK AUTHORI2ED BY THIS PEHMIT MUST BE STARTED WITHIN <br /> PUBLIC WORKS DFPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CedarStreet BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY 8E <br /> �T EveretL WA 982�7 CANCELLED 8Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> �hcna:259-BB'�0 PqOJECT OVER 90 DAY3 DURATION. <br /> � _.,- <br /> m��^—--- -_. . ._ .._.__ .�_.. . _ . . _. ,-y... . .-_ <br />