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� <br /> Date 1Z�3/92 <br /> I PuK:c Wo.ks Pcrmit• � •� y �_ <br /> Application Far eia9 000i . 38890 <br /> PlJBLIC WORKS RERMIt P���=W�«�F�o -- <br /> Toiai Fee 5 <br /> 1e55 ApO��Fee PaiJ S <br /> Print or Type Only g� <br /> ':aiancc Duc <br /> Lally Homes Inc 3240 Bastlake A ! <br /> Owner Mailing Address �. . Cit <br /> � , y Z�P � � Phone <br /> Ron Pearce 2:;2-9098 <br /> Applicant Mailing Address �i� -- <br /> -- — � Y Zip Phone /'� <br /> N-=w house - Basic 1L8 ( t�) <br /> Describe Proposed Work _ � <br /> � <br /> ProjectAddress(ifknown� __ ��� 415t Pl :,ot 15 � <br /> Attach four(4) copies of FIa,7s for proposed work- Draw to scale and note the lollowing as applicable: � <br /> • Property Lines f� <br /> • Outline and dimensions ot all existin and • Cenierline of streel -w <br /> 9 • Indicate North � <br /> proposed structures en the lot • Snow any proposed grading change, <br /> • Existing and proposed utilities • Show measurements <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS � <br /> 1.A�I calls for inspection shall be made 24 hrs.in advanc= �phone 259•881 O. <br /> 2.All work shall be performetl in accordz.nce with this pe:n�it and r.urrer,t Ci�y of Everett D�,�1yn and Construction � <br /> Standards and Speciiieations. <br /> 3.Call Location Underground Service 48 hrs.before yo::Jic�.TOLL FREE NUMBE:F 1 �300-424•5555. <br /> 4 . Install rock construction entrance bEhin+ driveway as per city � <br /> standarc� #208 and er-osion control as directed by Publ; ; Works <br /> Inspector. � <br /> 5. Keep city streets clean at all times <br /> b. Curb gutter and sidewalk in the plat are new and undamaged , <br /> a'�y damage theret.� sha: l be replaced at tre discretion of the Eee <br /> Public Works Ins��ector . <br /> 7. Any change in the driveway c.ut must be ap�roved by the PW In- � <br /> spect.or, width at prop line limited tu existing apron width. �y <br /> 8. Connect all roof , �ard and driveway drains to storm drain [ 1 <br /> system provided to lot. �� <br /> 9. Adjust w�ter hoxes to qrade at enil of cun�cruction . a <br /> 10. Driveways shall be completel � cured before driving on them. <br /> ' �\ /�� ACKNOWLEDGEMENT OF COMDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save ha:,r <br /> ,+9 � l less the Ctly ol Everetl Irom any and all claims for damages, cosls, <br /> �i //�� � � /�_/•��� expenses, or causes of aclion that may arise because of installation <br /> (��V � � � and mainlenance of the improvement or other right-ohway use herelo <br /> Ap roved for Construction Date applied for and further agrees lo remove same upon notice (rom the <br /> City and to repldce public property damaged thereby. <br /> FINAL INSPFCTION Date ��! ) <br /> i+pproved as Constructed Sign ure of Applicant .. <br /> � Date <br /> PUBLIC WOHKS DEPARTMENT WORK AUTHORI2ED BY "fHIS PERMIT PAUST BE STARTED WITHIN <br /> 3200CedarStreet 180 DAYS OF DATE PEHMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259-8810 CANCELLED BY THE CITY UPON ANY STOppAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br /> ..�—�r <br /> �.- __ .. .. .::,�� :,�' ..o^" <br /> _ __ _' _. _ _ _ ��z �. J.vi(�k ��:: �3Y'CK�'�" :�,�.�►Lo�.�•.+;�����.�May:.u^ �-.��.eixrw ,w ti.�." }„��.yw- <br /> _ .v.�,..'�, `.r�.y„__Yfh�18rl.1. �dMc a...+�����...e'�� <br />