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Date 3-29-_93 <br /> Xrvo_��� � Pu01¢WndSPormpa j/� � <br /> AFPlication For Bmq.Deo�.+ 400)! <br /> FBU���� �'pR�S PE�II�I�TING -� � �" pubbcWorksFee <br /> Tolal Fee ��- <br /> Less ApPI.Fee Paitl u-__ <br /> Print or Type ��nly ��-�o�� s�.(J' <br /> Dally Homes 3240 Eastlake Ave E Seattle [dA 98102 <br /> Owner �--- <br /> Mailing qtldress City �ip <br /> Phone <br /> Oerner <br /> Applicant Mailinc�Address City <br /> Zip Phone � <br /> Describe Proposed Work _new house � i <br /> Project Addre:;s(i� known� 702 41st Pl Lot 16 � <br /> —�_ �A�tach four(4) copies of plans for proposed work- Draw to scale and rnte the following as applicable: <br /> i F�operty Lines • Centerline of street � <br /> • Gutline and tlimensions of all existing and � <br /> proposed structures on Ihe lot • Indicate North <br /> s Existing and proposed utilitir.s � ShOW a^1' p'oposed grading cnanges <br /> • Show measuremenls <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CUP:D!TIONS /� <br /> 1..411 calls for inspection shall be made 24 hrs.in advance-phone 259-$$1�, V <br /> 2..411 work shall be pertormed in accordance with this permit and current City of Everett Design and Construction � <br /> Standards and Specifications. <br /> 3.Call Lor,ation Underground Service 48 hrs.be�orr,you dig.TOLL FREE NUMBER 1•S00•424•5555. <br /> 4_ Install rock construction e.ntr.ance behind driveway as per city � <br /> standard ri208 and erosion control as directed by Public Works <br /> Ins�ctor_ � <br /> 5. Keep city streeta rlean at all times <br /> 6. Ghrb gutter and sideNalk in the plat are neW and undamaged, � <br /> any damage thereto shall be replaced at the discretion of the <br /> Public Worke Inspector. � <br /> 7- Any change in the driveuay cut must be approved kry the PW In- <br />( spector, uidth at pr.np line l.imited to existing aprnn Width. � <br /> 8_ Cannect all roof, yard ;ind drivewa,y drains to storm drain <br /> sy:,tem provide$ to ].ot. � <br /> 9_ Ad,iust water huxes i:c grade at end of constru.ction. <br /> 10_ Driveways ahall be rnmpletely rizred hef.ore dc•;.ving on them. <br /> �� ACKNOWLEDGEMENT OF CONDI�IONS <br /> The undersigned owner/apolicant hereby agrees to hold and save harm� <br /> less the Ciry of Everett frcm any and all claims (or dama�es, costs <br /> I� � expenses, or cau.ses of aclion that may arise because of installaticn �� <br /> �''`'p`� ���Z-�3 and maintenance of ihe improvement or olher rig!rt-ohway use hereio � <br /> Approved for Cc�struction Dale aPp�'ed for and further agrees to remove same upon notice irom tn�� I' <br /> City nd to repJ�ce public prope:ty damaged theieby. <br /> � ` _J �1,� <br /> a�� %U-!!- `�i3 ' , I�� h <br /> FINAL INSPECTION Date �� i � � � <br /> Approved es Constructed � ' - ��� <br /> Signa ure of Applican � � Date �� <br /> �A1���� PUBLIC WORKS DEPARTMENT WORK AUTHORIZE , TFilS PERMIT MUST BE STARTED WITHIf. ,.,�. <br /> 3200C=darStreet iH0 DAYS OF D47E�PEP.MIT IS ISSUED AND THEqEAFTER IS TG -., <br /> EverelL WA 98201 BE DILIGEN7LY PURSUED TO COM,PLETION. THIS PERMIT MAY 6i �� <br /> Fhone:259-d810 CANCELLEU BY THE CITY U?ON ANY STOPPAGE OF WORK ON THIS ' <br /> PROJECT OVEF 90 DAYS DURATION. � <br /> i <br /> � I <br /> I <br /> 'd <br /> �� <br /> l <br />