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Date l��zz�9� <br />�' _ � - Z�i-<(- <br />Applicatiun For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />TO POS�ii1�G <br />Colony Craft 14410 BP1-Red Rd 11200 <br />Owner <br />Owner <br />Applicant <br />Describe Proposed Work . <br />Prolecl Address;if k•iown) <br />rmamng <br />Mailing <br />New house - Basic 209 <br />'L.� — SCv� <br />J <br />PUDIic Worka Permil • �" <br />aie9. o�ro�. • 42454 <br />a�oeowo�ksvee s <br />Total Fea <br />n _ `1` Less App�- Fee Paia $� <br />^ `� l <br />��' � Balanca Oua S <br />_��— <br />City <br />City <br />Zip <br />� <br />Lot 67 Hanabrook Div [ <br />Atlach four (4) copies ot plans for proposed work - Draw to sr.ale and note � CQo1,e line ot �Peeit able: <br />• Pioperty Lines • Indica�e Nortii <br />• Outlire and dimensions of all existing antl � Show any proposed grading changes <br />pruposed structures on the lot • Show measurements <br />• Existing and proposed utilities <br />PERMIT CONDITIONS <br />+.. All calls for inspection sha�l be made 24 hrs. in advance - p�one 259•8810. <br />2. All work shall be performecl in accordance with this permit and current City of Everelt Design and Conslruction <br />Slantlards and Specifications. <br />3. Cal{ Location Underground Service 48 hrs. before you dig. TOLL iREE NUMBEH 1-800•424•5 . <br />4 standardr#208randterusion control.PasedirectedVbyaPublioeWorksV <br />Ina ector <br />5. <br />G. <br />.� <br />3 <br />9 <br />10 <br />l� <br />P <br />Keep city streets .;lean at all times <br />Curb gutter and sidewalk in the plat <br />any dam��e ti:eretr� shal.l. be replaced <br />Piabli.c Works Inspector_ <br />Any change in the driveway cut must <br />sper_tor, width at F�r��F' line limited <br />���nnect all rooi, yard and dri.veway <br />eJstem Frovided to lot. <br />Adjust water buxes to grade at <br />Driveways shall. be completely <br />p��wcve u�uscddrwe���� o� it� �•�,c <br />���� p� �,� �-E Z 7-93 <br />Ap roved for Construction Date <br />� %-�� <br />�"� ate <br />FINAL INSPECTION <br />Approved as Constr�cted <br />��PUBLIC WORKS DEPARTMENT <br />3200 Cedar Sireet <br />Everetl, WA 98201 <br />Phone: 259-8810 <br />are new and undamaged, <br />at the discretion of the <br />be approved by the PW In- <br />to existing apron width. <br />drains to storm drain <br />� <br />G <br />�N <br />W <br />H <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />end of construction. �� <br />cured before driving on tham�� � Sy� <br />� ��P��cwtk�, -�u r,��9tit cA.�rb� �k <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less Ihe City o� Everetl Irom any and all claims for damages, costsi" <br />expenses, or causes ot action that may arise because of installalion <br />and maintenance of the improvement or other right-ot•way use hereto <br />applied tor and further agrees to remove same upon notice from the <br />Gity and to replace public property damaged ihereby. <br />i io��: -v, �� , v ----- - Date <br />Signature of Applicant <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />1b0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSJED TO CUMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVEF 90 DAYS DURATION. <br />