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Date 3-12-93 <br />� Apptication For <br />PU�LIC WORKS PERMIT <br />Print or Type Only <br />TO POSTING � a�►L�-43 <br />� Colony Craft 14410 Bel Red Rc'. �'. <br />. Owner Mai4ing Addrr ss <br />Publlc Wo�b Permll i ___C( _ / / / <br />eia9. oop�. + �jg� � <br />PuOfic Woda Fee <br />Tolal Fae S <br />Lesa AOCI. Fae PeiO S__ <br />Balanca Dua S �� J <br />Onwer <br />Applir,ant Mailing Address City Zip Phone ' � <br />Describa Proposed Work neW house L <br />-- 1- <br />Project Address (if known) <br />Aqach four (4) copies of ptans for proposed work • Draw to scale and note the following as applicable: .. <br />• Property Lines • Centerline of street �. �, � <br />• Outline and dimensions of all existing znd • Indicate North =�, , <br />proposed st�uctures on the lot • Show any proposed grading ahanges <br />• Existinp and proposed utilities • Show �neasurements .��. <br />�- -- DO NOT WRITE BELOW THI5 LINE ���" � �� - � � <br />PERMIT CONDITIONS � . ��-- - . <br />1. All cells for inspectlon shall be made 24 hrs. in advence - phone 259�881 O. ��� -� � � <br />2. All work ehall be peAormed In accordence with this permit end cunent City of Everetl Desigri and.Constructlon <br />Standerds and Speclflcatlons. - - <br />3 n Un rground Service 48 hra before ycu dlg. TOLL FREE NUMBER 1-800�dZ4-5555. <br />4.'�iiiaia��i roc�i construction entrance behind driveHay ae per c.ity-... <br />atandard it208 and eroeion control ae directed by Public Worka:- <br />Inapector. ' _ <br />5. Keep city atreeta clean at all timea _ <br />8. Au�b gutter and aidesialk in the piat are nesi and undamaged, _:: '.. <br />azry danage thereto shall be replaced at the diacretion of the:. ' <br />Public Works Inapector. � <br />r..}' <br />7. Any change in the driveway cut muat be approved by the PW ln- :__„� <br />apector, width at prop li:�e liaited to existing apron width:.__:` -..,,_ . <br />8_ Connect all roof, yerd and drive�ray draine to atorm drain _. <br />eyates pravided to lot. _ '� <br />9. Ad,iuet Water boaea to grade at end of �onstruction. -� "' <br />._ ..nc �. zn <br />10_ DriveWaya shnll be coepletely cured befota drivii� on them.' - <br />,Q.� Q IM c�'e.e, iYl �r.u.�►_I1�� <br />Approved for Construction Date <br />���� /o -/3 - f 3 <br />FINAL INSPECTION Date <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259•8810 <br />ACKNOWLEDGEMENT OF CON4I710NS <br />Z <br />O <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the Cily of Everett from any and all claims tor damages, costs, <br />expenses, or causes of action that may arise because of (nstellation <br />and maintenance of the improvement or olher right•of•way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to replace public property d�maged thereby. <br />Signature of Appucam v ���� <br />WOflK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />1B0 DAYS OF DATc PEFMIT IS ISSUED AND THEREAFTER �S �TO <br />BE DILIGENTLY PURSUED TO COMFLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />�l <br />