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Date 5_:n-93 <br />'1�� I�//�^ 1 v�m�cwe,�.pe�mn. '7� �/ <br />APO�icalionFar S() p�STllil) <br />PUB�IC WORKS P�RMIT <br />Print or Type Only <br />.. �'i s- 9 3 e�aa oec� ._4A551 <br />v„m�c wo�u vee � <br />ro�si�u 5 <br />�ess �oo� fee Pam S q�. <br />ena�ao�s 51�� <br />� <br />wA 98007 644-2323 �iJ� <br />ZiP Phone <br />Colony Craft 14410 Bel-Red Rd if200 Bellevue <br />Owner MailinyAdtlress Cily <br />Ovnex <br />Applic;nt MailingAtltli!��s City Zip P�one '\ <br />Cl <br />G <br />new houoe <br />Describe Proposed Work <br />Project AOtlre551i1 known� <br />Attach lour �4� copies oi plans for pmpo'etl wo�k � Draw to scale an� not�! me foltowiny as apphca�le: <br />• "mpem� Lines • Cenledine ol sireet <br />• Outlinu ,ntl �imenswus ol all eaisbng antl • Intlica�e Norlh <br />prr 'sirvctures on Ihe lol • Show any proposea grading changes <br />• Exisling antl proposed ulilities • Show measuremenls <br />PERMIT CUNDITIONS <br />1. All calls lor Inspection shall be matle 24 hrs. in advance � phone 259•8810. <br />2. All work shall be pertormed in accortlance with Ihia permit and wrrent City ol Everett Oesign antl Ccnstmction <br />SlanJartls entl Specifications. <br />3. Call Location Undergrountl Service 4B hrs. belore you dig. TOLL F7EE NUMBEH 1•800�424•$555. <br />4. lnstall rock conatru::!iun entrance tmhinu drive�.'ay as F+=r city <br />atandurd p208 end rroaion control ae directn.d b�• Pubiic Works <br />Inapector. <br />5. Keep city stttets r.le:+n at all timea <br />G(.5�rb gutte� and aidewalk in thc i�lat <br />any damage thereto s}�11 br replar_ed <br />Public Worka InaF�'ctur. <br />7, My rhanFe in Lhe driver+uy cut auet <br />epector, width nt proF line limited <br />8. Connect all roof, ynrd +u�l driveway <br />system provided to 1c•t. <br />are neu and undemaged. <br />at the diacretiun of the <br />txe ayyro�ed by the PN In- <br />Lo existing aPron Width. <br />drains Lo storm drain <br />9. Ad,iust wnter buxes to grude nt rnd of construr.tion. <br />LO. QCtVP_MAYB shall be compl<�tely cured hrinre dri.ving on them_ <br />�13 <br />Da�e <br />Appromd as Con5VucleA <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Evaret4 WA 98201 <br />P�ona:259�8810 <br />ACKNOWLEOGEMENT OF CONDITIONS <br />W <br />H <br />� <br />f� <br />O <br />/�/� <br />V� <br />O <br />a <br />The untleis�gneE owner/appllcant neeeby agrees to hold and save harm- <br />less iha Lily ol Everetl Irom any an� all claims for Oamages. cosis. <br />ez0enses. or causes ol action that may arise because ol inslallation <br />and mamtewace ol lhe improvemenl or other righ��ol�way use herelo <br />applied lor antl Wtlher aQrees lo remove same upon notice Irom �ne <br />Cily antl o replac? publ�pmperry damag�tl,lhereby. <br />�i <br />i �� / � � <br />.� � ��_� 1,,�.'i'_`; (... .� �j�> <br />$�nniture ol Appiicant Oate <br />WORK hUTHORIZED BY 7Hj�ERMiT A1U5T BE STARTED WITHIN <br />180 DAYS OF OAT'c PER�IT IS ISSUEO AND THEREAFTEfl IS TO <br />BE OIL'GENTLY PURSUEO TO COMPLETION. i}�IS PERMIT MAY BE <br />CANCELLEO DY TNE CITY UPON ANV ST(1�PP.GE OF WORK 01! THIS <br />PROJECT OVER 30 DAYS DURATION, <br />