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1 <br /> . � <br /> ho� u .- ?c.- -zy -� <br /> ��� ��,�-:�:���.:�.,.,,,,��, ��_j <br /> Date��92 3742�/�� 1 <br /> ��� oiaq 000�.• — <br /> Applica�ion For <br /> r�� PUBLIC V�lORKS PERftIIIT °°°"""°'�=F`e -_ <br /> iolal'n.a g <br /> � I V f li J��Il� '"��� ( /_ "._ LeseApO� Fcn PnN � �� <br /> ki n �- _ .., . - <br /> p x p Prinl or Type �nly <br /> � CA H <br /> G] y� Aally Homes Inc 324G Easllake Ave E Seattle 98102 328-3770 <br /> O H Owner Mailin9 Address City Zip Phonc <br /> H �� N <br /> G�� o Ron Pearce 252-9095 —_ � <br /> ~ Mzilin Address City Zip Phone �) <br /> 9 H� APplican� 9 , <br /> r z <br /> r+N <br /> C7 � Desr,ribe Proposed Work New ho <br /> O H <br /> C� C7 V1 — <br /> � �t� <br /> yo� �n� � , <br /> � ' � I 5T PL Lot 22 Silverhawk �� � <br /> Project Address(it known) — <br /> Attach tour(4)copies ot plans for proposed work- Draw to scale and note the following as applicahle: � <br /> � I <br /> • Property Lines • Centerline of streel <br /> � � • Outline and dimensions ol all exisling and • Indicate Nerih <br /> proposed slructures on Ihe lot • Show any proposed gradin9 changes <br /> • Existing and proposed utilities • Show measuremenls � <br /> '�� 00 NOT WRITE BELOW THIS LINE w <br /> �� '`� <br /> PERMIT CONDITIONS <br /> 1.All calls lor insoection shall be made<^4 hrs.in advance-phone 259•SS1G. �A <br /> i <br /> i 2.All work shall 6e pertormed in accordance with this permit and current Ciry ol Everett Design and Construction d� <br /> f =� �... Standards and Specitications. <br /> 3.Call Location Underg:ound Service 48 hrs.6efore you dig.TOLL FREE NUMBER��8�0•424•5555. � <br /> 4. Inste+.11 r-n�. k cons+.nir_tion entranc� b�ahiii d rIr-iva�.�z�� as ner �i.l�.��� � <br /> .�� standard '�2i�8 and erosion cnntrol z�s rnr �. rie:u bv F'ubLi WorF�.�.s <br /> Inspectnr. <br /> 5, p'eep city streets clean at ell t.imes � <br /> 0�'�"' b. Curb fJLI{:�EY' and •�.idewalk. in lhe plat are new and undamzqed, <br /> an'/ �=��n�+�"1" L-hereto shal] he replaced at the discretion of the 'w <br /> Fublic Work=. In�pectur. r% <br /> ... ,� 7. An/ change .in the drivewa/ cut must-. 6e approved by I:he F'W In- O <br /> � � specL-or. widl:h ai: pi�op line limited to e%:isting aPron width. <br /> P_. Connc�r.t all roof, yard and fJl"1VP_Wc�% drains to storm drain � <br /> syst�m prrn�ided te lot. <br /> �'`� 9, ACIjVS'E W2tPt- C)D):BS t�❑ nr�ade. at end oi construction. <br /> �• 1i�, Drivewa��s shal.l be complt�telv ci.�red Lefore drivinU on tt�em. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> ��� The undersi9ned owner/applicanl he�eby agrees to hold and save harnr <br /> Iess Ihe City of Everett trom any and all claims for dama9es, cosls. <br /> /� /-) ezpenses, or causes ol aclion Ihat may arise Gecause of installation <br /> / ! �/��/f�� �S ���� and maintenance ot Ihe im�mvement or other right�cFway use hereto <br /> ,�(� // J/f ��� applied br and further ayrees to remove same upon notice hom Ihe <br /> ApproveA lor�onstruclion Date Gity and to replace public property damac�ed Ihereby. <br /> �`f:�_.�_ r-�i- �� � �I �� <br /> FINAL INSPECTION �a�e Date <br /> Approved as Constructed Signature of ApP�icaN <br /> t PUBLICWORKSDEPARTMENT WORK AUTHORIZED BV TFIIS PERMIT MU3T BE STARTED WITHIN <br /> 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> ���� 3200 Cetlar SUeet BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Everett,WA98201 CANCFLLGD BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> P9ane�,259�8810 �RO-II'C.i�OV[R 90 DAYS DURAT,ION. <br />