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Date 8-�4-93 <br />-N� -1- zv-4 <br />Application ForT� pn;TlNG � � ���� <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Colony Craft <br />Owner <br />Owner <br />Applicant <br />Describe Proposed Work _ <br />Proiect Address (if known) <br />144i0 Bel-Red Rd ll <br />Mailing Address <br />Mailing Address <br />new house <br />llevue <br />City <br />Zip <br />2ip <br />Attach four (J) copies ol plans for proposed work - Draw to scale and note the following as applicable: <br />• Property Linee <br />• Outline and dimensions ol all existing and <br />proposed structures on the lot <br />• Existing and proFosed utilities <br />��{ ��^���j <br />Public Works Permli + ____�� / <br />ema. o=�t. ,_ 41 S 9 S <br />Public Worxs fee — <br />Tolal Fce 5 <br />Less FpPI. Fee Paia i_q���� <br />BaUncc Ou� $ _!�"/ <br />• Centerline ot street <br />• Indicate Norih <br />• Show any proposed greding changes <br />• Show me2surements <br />Phone <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be rnade 2Q hrs. in advance - phone 259-881 O. <br />2. All work shall be pedormed in 2.ccordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-80Q•424•5555. <br />4. Install rock conatructior entrance behind driveway as per city <br />atandard fi208 and f;roaion cnntrol as directed by Rzblic Works <br />Inapector. <br />5. Keep r9.ty streets clean at all times <br />E. �rb gutter and si.dewalk in the plac are new and undamaged, <br />ary damage theret:� shall be repl•sced at the discretion of the <br />Public Works Inapector. <br />7. Any change in the driveway cut must be approved by the PW In- <br />sper_tor, width at prop line limited to exiating apron width. <br />B. Connec� all roof, yrard and dri.veway drains to storm drain <br />system provided to lot. <br />9. Ad,ivat water boxes to grade at end of construction. <br />10. privewayt� shall. be rompletely cured before driving on them. <br />�i.� Q���C� `' "l r'-i3 <br />Appro ed lor Construc 'on Date <br />i�� � //' )'� <br />FI�IAI INSPECTION Date <br />A��.proved as Consiruc�ed <br />PUBLIC WpRKS DEPF9TMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone:259-8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />� <br />G <br />1 <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersigned ownedapplicant hereby a,rees to hold and save harm� <br />less the City of Everett Irom any and ail claims for damages, cosls. <br />expenses, nr causes of action that may arise because of installation <br />and maintenance of the improvement or o�her righbof•way use hereto <br />applied for and turiher agrees to ramove same upon notice from the <br />Cily and to replace public Froperty damaqed ihereby. <br />/fiG[-iG�(�-� {' y�f2 •�/✓' /.J <br />S a ure ol Applicant Date <br />lN0 I( P.UTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERPAIT IS ISSUED AND THEREAFTER IS TO <br />BE UILIGENTLY PURSUED TO CO APLFTION. THIS PEFMI7 MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />