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Date 6-15-93 <br />�-_ `'-- . �` �� <br />Application F.. �n ING! /t � /�1 <br />PUBLIC WORKS PE��M7� <br />Print or Type Only <br />Richard Wilson 4943 Ocea <br />Owner Mailing <br />Publ¢ lPorks Pmmit + � � � <br />B�OB�OeO��• (.09(4 _ _ <br />Publ¢ Works Fee <br />Tolalfee $ <br />Less A001. Fee Paia $ <br />Balance Oue i��/ <br />City Zip �hone <br />Dujardin Development PO Box 5308 Everett 98200 <br />App�icant Mailing Address City <br />oescribe Proposed Work new house Lot 81 0.` Powder Mill Hi <br />Project Address (i( known) <br />334-5018 Rod Peterson <br />Zip Phone <br />Atlach four (4) copies ot plans for proposed work � Draw lo scale and note Ihe !�Ilow�ng as applicable: <br />• Property Lines <br />• Outline and dimensions of all existing and <br />proposed structures on ihe lot <br />• Existing and proposed ��tilities <br />• Centerline of street <br />• Indicate North <br />• Show any proposed grading changes <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All calls tor inspection shall be made 24 hrs. in advance • phone 259-8810. <br />2. All work shell tr� performed in accordance ::ith this permit and current �ity of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 4A hrs. before you dig. TOLL FREE NUMBER 1•800•424•5555. <br />4. Ins+:ail rock conatrur_tion entrance behind drivec:ay as per city <br />atandard it208 and eroaion r.ontrol as directed by Public Works <br />Inapector. <br />5. Keep city streets clean at all timea <br />8_ (kirb gutter and aidewalk in the plat are new and undamaged, <br />any damage thereto shall be replaced at the discretion of the <br />Public Works Inspector. <br />7. Any change in the driveway cut muat be approved by the PW In- <br />spector, width at pr.op line limitec� to existing apron cridth. <br />8. Conner.t all roof, yard and driveWa�� drains to storm drain <br />syatem provided to lot. <br />9. Adjust water boxes to grade at end of construction. <br />10_ Driveways ahall be rompletely rured before driving on them. <br />Approved� fo un tniction Date <br />_��� �' /G' sy <br />FINAL INSPECTION Date <br />Approved as Consiructed <br />��nUBLIC WORKS DEPARTMENT <br />3200 Cetlar Stree� <br />Everett. WA 9820� <br />Phcne:259�8810 <br />ACKNOWLEDGEMENT �F CONDITIONS <br />V <br />� <br />N <br />W <br />F- <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />The un.fersigned ownedapplicant hereby agrees to hold and save harm- <br />less Ihe City ot EvereL' irom any and all claims for damages, costs, <br />ezpenses, or causes of aclion inat may arise because ot installation <br />and maintenance of the improvement or olher righbof-way use hereto <br />applied for and further agrees to re��nove same upon notice irom the <br />City and lo replace public property da.Tayed Ihereby. <br />d /I� �� <br />„l��=Zd-�-c i <br />Sig ature ol Applicant Dale <br />WORK AUTHORI2ED BY THIS PERN.iT MUSi BE STARTED WITfiIN <br />180 DAYS OF DNTE PERMIT IS ISS'JED AP1D THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMFLETIOtv. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPFAGc OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATIO�' <br />