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II <br /> � <br /> y�, <br /> Date�/90 . .., �,"",, =1,�'� F <br /> Pu�Lc Works Permrt e __ �� <br /> ApFlication For oia�a oc��., 90/23808 _ <br /> PUBLIC WORKS PERMIT I P��7o��FeaFee § <br /> Less Fppl Fee Paitl $_� <br /> Print or Type Only na'�^=:.o��� $ 2�',J <br /> Select Homes E%�&.P.O. Box 708 Mukilteo, WA S�� 96275 <br /> Owner Mailing Address City Ziu Phone <br /> Owner <br /> Applicant Mailiny Adtlress City Zip phone <br /> Describe Propo�ed Work New sinqle familv residence, Lot 11, �lenhaven Heights, ��Y <br /> Project Address lil known� L � L� '�{'��� -�—�� .� � � <br /> Attach four(4) copies ol plans for proposed work- Diaw to scale and note Ihe following as ap4licable: � <br /> • Property Lines • Cen�erline of street � <br /> • Ou�line and dimensions of all existing and • Indicate North <br /> proposed structures on the lot • Show any proposed grading chanqes <br /> • Exi�ting and proposed utilities • Show measurements � <br /> a <br /> DO NOT WRITE BELOW THIS�INE <br /> PERMIT CGNDITIONS O <br /> 1.All calls for inspection shall be made 24 hrs.in advance-phone 259•8810. � <br /> 2.All work sh�ll be performed in accordance with this permit and current City of Everett Design and Construction <br /> Standards�:+d SpeciEca'ic�s. <br /> 3.Call Locatinn Undergruun�Service 48 hrs.be�ore you dig.TOLL FREE NUMBER 1-800-424-5555. � <br /> 4 .ANY CHANGS IN THE DRIVEWAY COT MUST BE APPROVED O <br /> BY THE PUBLIC WORKS iNSPHCTOR. <br /> 5. CONN6CT DOWIv5P0UT5 TO THRU CURi3 DRAINS. <br /> 6 . KEgP CITY STRS6TS CLSAN AT ALf, TIMES . � <br /> 7 .ANY DAMAGE TO THE CURB AND SILn'WALK WILL BE REPAIRED � <br /> TO THE SATISFACTION OE THE PU$LIC WORRS DEPT. <br /> � <br /> a <br /> � �;� ACKNOWLEDGEMENT OF CONDITIONS . <br /> __�1� The undersigned owner/applic�.�t hereby a9rees to hold and save harm- <br /> I less Ihe City ol Everett frorr _::� and all claims for damages, costs, <br /> ����1 �.� L I L�� expenses, or causa, of acti-�n ina� may arise because ol inslallation <br /> �� and maintenance ol the imp:cvemeni or other right-of-way use hereto <br /> applied lor and lurther a9recs to remove same upon nolice Irom the <br /> ApProved tor Construc�n ��e Ci a d to re I e lic ty damaged thereby. <br /> �X`�C''ccC� 7 iu . �u c? <br /> FINALINSPECTION Date 3 �� /O <br /> Approved as Cons!:uctad Sign ure ol Applicanl Date <br /> everett PUftLICWORKSDEPARTMENT N'ORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � 320UCedarStreet �.i0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Eve.�it,WASA207 BE DILIGENTLY PURSUED �O COMPLETION. THIS PERMIT MAY B[ <br /> Phone:259�8&10 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS ' <br /> PROJECT OVER 90 DAYS DURATION. i <br />