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Date 5-10-93 I I _ ���� <br />��� <br />Application For <br />PUBLIC WORK��PPF���IT �__ �=`; � <br />Print or Type Only <br />Owner <br />Pub�Ic Worka Permil • q3 Zz3 <br />ama 000� „ 40550 <br />vone� wo�x, F,a <br />rotei Fee S _ <br />LGs9 AOPI. Fee PaiC $ — <br />Balence Uue :+ � <br />--r� <br />Craft 14410 Bel-Red Rd 11200 Bellevue WA 98007 644-2323 <br />Address <br />N <br />Owner <br />Applicant Mailing <.,sJress City Zip Phone � <br />Z' <br />Describe Proposed V/ork neW house <br />Project Address �,if known� 12 — 56th Pl <br />Attach four (4) coF'�� i'� Plans for proposed work • Draw to scale and note �he following as applicable: <br />• Prope'!Y �.i�^e <br />• Outline a e•i .,�r �a i;;ians of all existing and <br />proposec'structu�es on the lot <br />• Existiny and proposed utilities <br />• Centerline of street <br />• Indicate North <br />• Show any propnsed grading changes <br />• Show measurements <br />PERMIT CONDITIONS <br />i. All calls for inspection shall be made 24 hrs. �n advance - phone 259•8810. <br />2. All work shall be pertormed in accordance with this permit and current City of Everett Desiyn and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />Install rock r_onatruction entrance behind driveWay as per city <br />standard it208 and erosion control as directed by Public Works <br />Inspector. <br />Keep city streeta clean at <br />Lhrb gut�er azid sideWalk i <br />any damage thereto shall <br />Public Worka Inapector. <br />Any change in the driveaay <br />spector, width at prop line <br />Connect all roof, yard and <br />syatem provided t <br />9_ Ad,ivat water boxee <br />10_ I?riveHays ahall be <br />o i�t. <br />all times <br />n the plat are neW and undamaged, <br />be replaced at the discretion of the <br />cut must be approved by the PW In- <br />limited to exiating apron width_ <br />driveway drains to atorm drain <br />to grade at end of construction_ <br />completely cured before driving on them_ <br />�� G�� �� �� <br />Approved for Construction Date <br />'-���/�_.d��� /- �/• � y <br />L I SPECTION Date <br />�Approved as ConsVucted <br />�PUBLIC WORKS DEPARTMENT <br />'��3200 Cedar Street <br />Everett, WP.98207 <br />Phone: 259-8810 <br />ACKNOWLEDGFMENT OF CONDITIONS <br />W <br />F- <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and save harm• <br />less ihe Cily of Everett from any and all claims for damages, costs, <br />ezpenses. or causes of action that may arise because of installation <br />and maintenance of the improvemen! or �ther right-o(-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to replace p�blic prooerty damaged thereby. <br />') � <br />;� <br />�- � ` � — :l , / -� ,�� , l -C -�� <br />Si na A pl(cant` ate <br />WOFK AUTHORIZED BY� IS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED Tf1 COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BYTHE CITY UPC�N ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />