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� <br /> � s . . <br /> ,.�..- - - - . _ _ =-- � <br /> Date �/2/93 �p PUSTING 2:�1 L-�� ` - �`Z`�' Cj <br /> Publlc Worka Permit» � / <br /> Applicati„n For ama oeoi + 41199 <br /> PU�LIC Wt�RIC� PERMIT PubhcWorkaFee <br /> Tolal Fee � <br /> LessApPl.Fee Paid S <br /> Print or Type Only e�����eo�a s ��� <br /> Dally Homes 3240 Eastlake Ave E Seattle 98102 328-3770 <br /> Owner Mailing Address City Zip Phone <br /> Owner <br /> / <br /> App6cant Mailing Address City Zip Phone <br /> Describe Proposed Work NeW house Basic 104 \ V <br /> Project Address(if known� 803 40th Pl � <br /> Attach four(4) copies of plans lor proposed work- Draw to scale and note the followinp as applicable: � <br /> • Property Lines • Centerline of street � <br /> • Outline and dimensions ot all existing and • Indicale North <br /> proposed structures on the lot • Show any propo,ed grading changes <br /> • Existing and proposed utilities i Show measurements � <br /> DO NOT WRITE BELOW THIS LINE �� <br /> PERMIT CONDITIONS � <br /> 1.All calis for inspection shall be made 24 hrs.in advance-phone 259•8810. � <br /> 2.All v:ork shall be performed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 43 Instal l�rock�9construc�i'onh eriii°an��"�hTi4�F�FiFv��d,��i���5555. � <br /> standard #208 and erosion rontrol as directed by Public Works <br /> Inspector_ � <br /> 5. Keep city street.� clean at all timea <br /> 6. �rb gutter and sidewalk in the plat are new and undamaged, <br /> any damage thereto ahall be replaced at the discretion of the � <br /> Public Works Inspector. <br /> 7. Any change in the driveway cut muat be approved by the PW In- ♦A <br /> apector, width at prop line limited to existing apron width. N♦ <br /> 8. Connect all roof, yard and driveway drains to atorm drain � <br /> system provided tc lot. <br /> 9. Ad,iust water boxes to grade at end of conatruction. � <br /> 10. DriveHays shall br rompletely cured before driving on them. <br /> FlCKNOWLEDGEMENT OF CONDITIONS <br /> ���' The undersigned owner/applicant hereby aarees to hold and save harm- <br /> less ihe City ol Everett from any and all claims for damages, ws�s, <br /> G/j (v 1� /,/ �� expenses, or causes o( ac�n that may arise b9cause o� installation <br /> ((,eQ� J � �� and maintenance of the im rovement or other ri ht-of�wa use herelo <br /> applied for and further agrees lo remove same upon notice from the <br /> Appro ed for Cons�tr/uction Date Cily and lo replace pUbliC prOpOrty dama�ed �hereby, <br /> ✓ F�c�� /- d/- �% � � � I / <br /> FINAL INSPECTION Date <br /> Approved as Consiructed Signature ol Applica�t ate <br /> PUBLICWORKSDEPAfiTMENT N�ORK AUTl10RI2ED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 32o0CedarStreet �80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER 13 'O <br /> Everett,WA9B201 BE CILIGENTLY PURSUED TO COMPLETION. ThiS PERMIT MAY 6c � <br /> Phone:259�8810 CANCELLED 9Y TI1E CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT O"ER 90 DAYS DURATION. <br /> — e� — <br />