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Date 5—�0-94 , <br />TO POSTING ��"-.s -9� <br />Applir.ation Fo� o <br />PUBLIC WORKS PER6VIIT L <br />O <br />g n0000 <br />y- v� o 0 o in <br />Print or Type Unly ; �, � o d,� <br />:� � ��� � <br />N�� _ +n <br />Dave Hanson 1054 North Park Dr Everett <br />OwnP.r i\4a��in�j 4r,�jre�s5 <br />O�,ner <br />qpplicant <br />Describe Proposed Work <br />r�..�i��,:; ndd�ess <br />new_house _ ___ <br />CO f1l S C] <br />�J J W �J <br />Cil C� � [il <br />rtv ZiP <br />P„��,�,�,o,�=P�,�„> �1� 3ZS � <br />��n�, otw • 45437 <br />P��hLCWo�wsFev J <br />TotalFee -- <br />�eti54oul FrePfl:� 5 <br />E��nt:�•_� � <br />o v> o r^� t� <br />.-i O P N CJ <br />.p w w ay i;: <br />} �o :n uc <br />.-i �O <br />�-� �ry�,�- �w—y-� <br />U O Ci- "� (•l fC tldRH(: <br />O W O W O U <br />Z O F- 0 3 UI W <br />J O O W�- S <br />��-d sc � se N [n c�- <br />Phonr- <br />32 1 5� S� W Lot 5 Seabrool�e N <br />Proiect Address UI kno�vnl --� ------ � 5------�-------�------ <br />Attach four (41 coPies N PI. ns in� P�oPoied wo�K � Dra�r to ��:,d...�c.i ,cla �he'cilc•.vmg as aGUlicahie� <br />Approved <br />• Property Lines <br />• Outlme and dimensions of ali exishng and <br />proposed slructures on Ui� lor <br />• Existino and proUosed � Iilities <br />• Gen�2�line ��t S�rect <br />• Irtlica�c Norih <br />• c����q 2n� r.roposed yraung r.hanpes <br />• Show measu�ements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be me�fe 24 hrs. in advance - phone 259•8810. <br />2. All work shall be performed in accoroance with this permit and current City of Everett Design and Construction <br />Slandards and SpecifiCations. <br />3. Call Location Underground Service 48 Y.rs. before you dig. TOLL FREE NUMBER 1-800•424•5555. <br />4. Iustall rock constn�efion entrance behind d�ivewaV as per ciry standard #208 and erosion coutrol as direct <br />PuU6c Wotics L�spcclor. <br />5. Kecp city streets clean at all times. <br />6. Curb eutter and sidewalk in the plat are new a��d wida�n�,ged, arry damage theroro shall be replaced at the <br />�iscrrUon of We PubGe Woiks L�spect�r. <br />7. My change in the driveway cut must be approved by the PW Inspecror, width at prop line lienited ro exis <br />apron width. <br />8. Adjust watcr boxes to g�ndc at end of conswc6on. <br />9. Ihiveways shall be completen� ctrced before itriving on them. <br />10. Ruoftup drainage sl��l! bC discharKed: <br />. to the site's stocm drain system (private or pubGc) <br />. to a residential roof downspout system designed per section 4-9.4 of the city stm�dards <br />VU �• •� �. <br />G'�"�' <br />FINAL INSPEGTION <br />Approved as Constructed <br />onto splasli blocks <br />method�elected will be subject to Public Works Departetr�e��p�e��c�rrENT oF coNomoNs <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett. WA 98201 <br />Phane:259�8870 <br />I r n I <br />_ _V_J <br />� <br />O <br />� <br />� <br />� <br />a <br />� h,. �,indersinneA owneNapplicant hereby agrees to hold and save harm� <br />les; ;he Gry ot Everett irom any and all claims for damages, r.osts. <br />�,penses. or causes of action ihat may anse because of installation <br />and mnu�tenance n! Ihe improvement or other right-of�way use here�o <br />i;,pi�n,;1 for and �u�ther a9rees to remov same upon notice Irom the <br />C�.�v ,� v u, replaca uubLc pronerty n� ed thereby. <br />`��� �a3�9� <br />f,ignalwe of ApP��can! Daie <br />1NORK ��U7HOFi12ED BV "il-IIS PERMIT MUST BE STARTED WITHIN <br />130 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />9E DILIGENTLY 1�IRSUED TO COMPLET!OtJ. THIS PERMIT MAV BE <br />C4NCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PRO.'�EGT OVER 90 DAVS DURATION. <br />