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Da?e_�-1.?-93 �0 p�ST�h!r,_ � 2.9�93 <br />Ap,r,�i�ation For <br />PU3LIC WORKS PERMIT <br />Print or Type Only <br />y Craft 14410 Bel Red Rd 112G0 Bellevue <br />Maiiin� Address <br />ma�ung qddress <br />Describ�: Proposed Work <br />Prolect Address �if known) w31— 56th Pl SE <br />Zip <br />� ^ r <br />PuebcWoiMSPermlla /�.��_ <br />eiag oePi.= 49R7R T <br />Public Wurks Pee <br />lotalFee $ <br />Less AOCI. Fec Paiu $ <br />9alance Due S .. //� <br />Phone <br />Z�P Phone <br />Attach four (4) cupies of plans br propused wor4: - Draw to scale and note ihe following as applicable: <br />• Property Lines <br />• Outline and dimensions of all existing and <br />proposed structures on the lot <br />• Existing and proposed utilities <br />� 17�v Z- <br />• Cente•line of street <br />• Indicale I �orth <br />• Show any proposed grading changes <br />• Show measurements <br />PERMIi CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259•8810. <br />2. All work shall be pertormed in acwrdance with this permit and current City of Everett Design and Construction <br />Standards and Specif:cations. <br />C I Loca ' n Und rground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-SGO-424•5555. <br />4�. inatay� rocPk r_onetruction entrance behind driveway as per city <br />etandard �?08 and eroaion control as directed by Public Worke <br />inepector_ <br />5. Keep city atreeta rlean at all timea <br />6. (�irb gutter and aidewalk in the plat are nea and undamaged, <br />any damage thereto ahall be replaced at the diacretion of the <br />Public Works Inapector. <br />7• AnY change in the driveWay cut muat be approved by the PW In- <br />apector, Hidth at prop line limited to exiating apron Width.. <br />ti. Connect all roof, yard and driveway draina to atorm drain <br />system provided to lot. <br />9. Adjust ttater boxes to grade at end of cona`,ruction_ <br />10. DriveWaYs shall be completelY c»red before �riving on them. <br />—�s.sa�.x�'� ��tk• (�3+2�1 I i ��(3 <br />Approved for Construction Date <br />_ ��--f� S/6-i3 <br />FINAL INSPECiION Date <br />App�oved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone:259�8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />� <br />� <br />The undersigneA ownedapplicant hereby agrees to hold and save harm• <br />less the City o� Everett from any and all claims for damages, costs, <br />expenses. or causer. ol aclion that may arise because of installation <br />and main�enance of the improvement or o�her righbohway use hereto <br />applied for a��d further agrees to remove same upon notice from the <br />Cily and to replace public property damaged thereby. <br />�%'�-5-9.3 <br />WORK AUTfiORIZEf) BY THIS PERMIT MUST BE STARTED WITHIN <br />780 DAYS OF DAiE PERhtIT IS ISSUED AND THEREAFTER IS TO <br />8E DILIGEPlTL'! PURSUED TO COMPLFTION. THIS PERMIT MAY 9E <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DUFATION. <br />