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,...�.�� _ _..... ....�... <br /> y <br /> � <br /> v. ;�'1". -� p / ~'; <br /> �t ^ PubbcWo�ksPormn �✓ �I / - { <br /> �� J' 41197 � <br /> Date___`— <br /> e n B'J�Tolaol.• __ <br /> Application For <br /> ��1 � �_�dC WORKS PE �� 7 , ��� FeoFee g_ � <br /> ■A � Puolic w <br /> � ��1���1_�- � ' - ,�' Fr.Pau� S �? <br /> Print or Type Only � <br /> Dally Homes Inc 3240 Lastlu':e <1ve E Seattle 98102 32�i-3770 � <br /> Owner Mad�nu,-..� � . , i:�1; 7_q' . . <br /> Owner --- --- -- _ <br /> ApplicaN <br /> r r�,-�� ,;�r.i��, �� -- - — ---- - P�,one <br /> New house Basic 184 - <br /> i��,�,cnte Proposed Wark — <br /> � <br /> 701 415t Pl. Lot 17 Silverha�:ic � <br /> Prolect A.ldress(if knowN — <br /> 1� <br /> ,',uaUi four�4� copies of plans lor proposed vrork- Draw�o scale and nole the following as app4cable: � <br /> • Property Lines , • Centerline of streel <br /> • Outline and dimensions of all existinq and i Indicate Ncrih <br /> proposed strucluras on ihe lot: • Show any proposed grading changes <br /> • Existing and prop�sed utilities • Show mezsurements � <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS � <br /> 1.All calls for inspection shall be made 24 hrs.in advance•phone 259•8810. <br /> 2.All work shall be periormed in accordance v+ith this permit and current City o'Everett Design and Conslruction <br /> Standards and Specifications. � <br /> 3.Gall Location Underground Service 48 hrs.betore you dig.TOLL FREE NUMBER 1•800•424•5555. ; <br /> ��. Install ror.k constructi.on entrance behind drivecaay as per city � <br /> standard #208 and eroaion control as directed by Aiblic Works O i <br /> Inspector. i <br /> 5. Keep city atreeta clean at all times <br /> 6. G1irb gutter and sidecraLk in the plat are neta and undamaged, � <br /> arry damage thereto aha11. be replared at the diacretion of the � <br /> Public Works lnspector. <br /> 7. Any change in the driveway cut rl�iat be approved by the PW In- � <br /> spector, width at prop line lir�ited to existing apron Width. <br /> fl. Connect all roof, yard and driveway drains tc atorm drai-n � <br /> system provided to lot. <br /> !-!. Adjust Water boxea to grade, at end of constructiori. <br /> ]n. Uriveways shall br. completFly cut•ed before drivin2 on ihem. <br /> ACM;NOV/LEDGEMENT OF GONDITIONS <br /> ���� The undersi9neU owner/applicant hereoy agrees to hold and save harm- <br /> \ <br /> — less Ihe Cily ot Everetl from any and all claims for damages. cos s, <br /> /� / Jv� �� �� ezpenses or causes of aclion ihat may arise because ot installatiun <br /> /� /i�l'"__ � and maintenance of the imProvement or other ri9hbof�waY use hereto <br /> ��� applied for and further agrees to cemove same upon notice Irom the <br /> Approved(or Constr ciion Dale Cily and to replace public properry dam�9ed thereby. <br /> GX� — -� ..�s� �� V l�� �" ('.�- �q,� 9 2 � <br /> FINAL INSPEGTION Date pg�� .� <br /> �pproved as Cons�ructed �ignature ot App;icant � <br /> WORK AUTHORIZEG BY THIS PER IT MUST BE STARTED WITHIN <br /> PUBLICWOFKSD"cPARTMENT 180 DAYS OF DATE PERMIT IS ISSUFD AND THEREAFTER IS TO <br /> �' _, 3200 Cedar Streel BE DILIG[NTLY PURSUED TO GOMPLETION. THIS PERMIT MAY BE <br /> Everett.WA 98,^.01 CANCcLLED BY THE CITY UPON ANY S70PPAGE OF WORK ON THIS <br /> Phanc'.259-8�t0 PROJF:;T OVER 90 DAYS DURATION. <br /> .' _ �ww-�¢a� .'�-•�P11�lMYI��� ' -4/i�Y�3�H.. - . . <br /> �_ ..v , _ . . -rva: <br /> ..�� ...�.r..v ._asaL�a�. —. ,_.L_..... . �-ru.�eLu. �. <br />