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_ .. .._. .-"-/k Yfe' <br />�'G ���`n �� �G D� G��iCL'��`�1i+rt�f&e,¢i�'�'vua�.+c u��wiwc��uy uic rrv nr �. <br />:�F+N. I 1N MlAt `.�iN'�F%tYi'Hr61i'dit@'lihtift`�tl'i8�31kfrh��'uYNr161NHh <.o�no <br />I Application For. <br />' PUBLIC WORK� PE��T�NG_ o-� - <br />. f n <br />' r�-13 � <br />Pri¢t or Type OnIY � ��; � Q� g; g��; U; <br />j n� r'+ n� ra c� •' r� i vi c� -� n <br />rd UJ r-I w�� hJ q, O P Cd �Q' <br />� ._ �-: M M� yl -� �`P C.I �O <br />[� � .�t M tA H �. <br />Aruce Robbins 25517 NE 42nd Pl. °3�"dmend 98053 �0—��05 " <br />' � ch�mer <br />� c� = c-, �'' +sC��i L'''7� <br />��o}r�r.;<n=,:,-gur <br />iii� �.i .� oa - <br />`n. � n:� �',�� r� v. Yt � <br />' ; Appncant .' Mailing AdCress City <br />j 1;OA�86 rock � nnstniction entran!:r 6;�hi�id drivei�aav as ��er siiv <br />Dusbribe Proposed Wo�k n�G' house __ <br />Project Adtlress (ii known) <br />Powder Mili Hi <br />� :i�+�'f"il :�`. ��U <br />... --^ -- -- - . . .. <br />Pu�lit Works Pami� s � � � � <br />aiau. oea�. a_ LL 1 A g <br />PuOlic Worke Fee <br />Tolsl Feo � <br />Less Apo� Fee Paia S <br />? <br />Bslence Due S =� � <br />� Attach iour (4) copies of plans for proposed work - Draw to scale and note the fcllowing as apphcable: <br />. • Property Lines ; • Centerline of street <br />� • Outline and dimensions of all ezisting and • Indicate NoAh <br />, proposed structure: on the lot • Show a�iy proposed greding changes <br />• Existing and proposed utilities � Show measu�ements <br />I ""' <br />_ 1` �� �;'� ; <br />Phone �--�� <br />� _ <br />_ �='i <br />, 4� � <br />PERMIT CONDITIONS <br />1. All cells for inspectbn ahall ba made 24 hrs. in advance - phone 259-8810. <br />2. All work ahall be peAormed in accordance wlth this permit and current City of Everett Deaign and Const�•uction <br />Stendards and Speciticetiona. . <br />3. Cell Locatlon Under{�round Service 48 hrs. before you dip. TOLL PREE NUMBER 1•800�424•5555. <br />4. ImtaY rock oonqnictlon eMrance benind d�iveway as per city <br />ct�ndaM #�208 and erosion control as directed by PubNc 4hlorics <br />In�peclor. <br />5. Keep city streets clean at al times <br />e. Curb Qutter and sidewak in the plat ara new and undamaged, <br />ariy dam:pe theretc shaA be repyced at the discretion ot the <br />Publc Works insp�ctor. <br />7. Any chanqe ui ihe drivsvaay cut must be approved by iha PW In- <br />spector, width et prop ine Gmiled to e�sling apron width. <br />8. i:onnect al rooi, yard aitd drh�eway dnins to storm drain <br />system provided to lot. <br />9. A�i�ust ►raler boxes to nrade af and oC constructfon. <br />14. DriveYwys ehaA be compklAy cu!ed beMrc driNng or them. <br />J��.� �l� � 5/2 � <br />Approved tor Construction 'Uat <br />f% ,. <br />�:�...�!F'�` �. _�_ � � /�, �`i� <br />FINAL INSPECTION D te <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Ceder Street <br />Everett, WA 98201 . <br />Phone: 25&8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />f� <br />� <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and save harm• <br />less the City of Evere;c (rom any and all claims tor damages, costs, <br />expenses, or causes of action that may arise because of installation <br />and maintenance of the improvement or other �ighbot•way usa hereto <br />applied for and fur er agrees to remove same upon notice from the <br />� ard to replace p blic raperry damaged thereby. <br />� <br />� �r� ' S��- � <br />Sign:�ture of Applicant Date <br />WOliK AUTHORIZED BY THIS PERMIT MUST BE STARTED WI HIN <br />18� DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DIl.IGENTLY ?URSUED TO COMPLETION. THIS PEflM1T MAY BE <br />CANCELLED B\' THE CITY UPON ANY STOPPAGF OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />