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Dete 4'1�-93 <br />� � �'�J�� <br />Applica�ian For <br />PUBLIC 1MORKS PERMIT <br />�0 POSTING ��-'�qh <br />Prirt orType Only <br />n�ei,c wo,�ave,mn . -13 / <br />BbY oeo� . �in 9� <br />c�oim wo�xsfee s <br />*maivee <br />�.:>.�,«,. o.,a s <br />a,i,��.o�e S � � <br />�` <br />�1 <br />Ovner _� <br />Applicanl Mailmg AAtlress City Zip Phone <br />� <br />Doscribe Proposed Work ___ �eY h0Ue2 _ N <br />Prolect ACAresa �il known) <br />Allac� lou� (<� copies al plans br proposed work � Draw to scale ana note tne lollowing as applica�le�. <br />• Froperry Lines • Centedine of street <br />C OWline Bnd dimensions ol all existin9 anC • Intlicaie Norlh <br />p�oposed siructures on ihe IOI • S�ow any propasetl graEing c�ar,ges <br />• Eaistin9 anE proposeC utilities • Show measurm��onfs <br />PERMIT CONDITIONS <br />1, All wlls for inspection shall he made 24 hrs. in advance- phone 259•8810. <br />2. All work shnll be peAormed in eccordence with ihis permil en0 curreM Ci�y ol Evereit Oesign end Cons�ruction <br />StentlarCs an0 Specilicaticns. <br />3 Cell Laatlon Untlarground Ser,'�;.e 4B hrs 6elore you tlig. TOLL FNEE NUMBEN 1•800�4'24•$$S5 <br />Install rock conatrurtion entrcnce �.?:ind drivewaY ae Per city <br />etenderd b208 and r_roaion control as directed bY Public Worka <br />Inaper.tor. <br />5. Ker.p city strr_etn clean at a11 timee <br />6. Girb gutter nnd �idewalk in the plat <br />ary ::emege thereto nhall be replaced <br />Public Works Insy=rtnr. <br />7. Any change in the driveway cut muat <br />spector, vidth at prop line limited <br />B. Cannect all roof. yard and drivectay <br />syatem provided to lnt. <br />are new end undame6ed. <br />at Lhe diacretion of the <br />be uyproved Mi the PW In- <br />to exieting aFron width. <br />draine to sto� drain <br />9. Adiusi watrr twxea to grade at rnd of conatruc�ion_ <br />10. Driveeays ehell be cr�pletely cured before drivin�i on them. <br />� � o- �5-3�3 <br />AOProvetl br Constmcjt�/ion Date <br />_���c� /o-13-f1 \ <br />F!NAL INSPECTION Dale <br />..ppmveC as Consimc,�d <br />�r1:BLICWORKSDEPAR7MENT <br />::'00 CetlBr SlrBei <br />Everel4 WA 98201 <br />Phone:259�8810 <br />ACKNOWLE�--��'- :EI�T OF CONDRIONS <br />Z <br />O <br />The undersignetl owner/ap�•I.cm�.: r¢reby ag•ees to holtl anE cave �ia•m� <br />less lhe City of Everetl I��.�m an �ntl all claims lur damaBes, costs. <br />expenses. or causes ol 5uion that may arise �ecause of inSWllation <br />anC mainlenance ol lhe imprwoment or olher nghbo4way use herelo <br />applietl lo� anC lurther ayrees lo remove same upon notice Irom �he <br />Ciiy and to replate publ¢ pmpetly tlamaqed ihereGy. <br />Signa��re of Applicanl / �e�e <br />WORK AUTHORIZED BV TMIS PERMIT MUST BE STARTED WITMIN <br />180 OAVS OF DATE PERMIT IS ISSUED AN� THEREAFTER IS TO <br />BE DILIGENTLV PUFSUED TO COAIPLETION. THIS PERMIT MAY BE <br />CANCELLED BV THE CITV UPON ANV STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAVS DURATION. <br />