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l 1p�94 <br />Date . <br />Application Fpr <br />PUBLIC WORKS <br />Print or Type Cnly <br />Aoplicant <br />Describe Proposed Work <br />TO POSTING <br />PERMIT <br />I' <br />�� <br />� <br />c> <br />�. : <br />ri . � �. �„ r i <br />., <br />\48�ho.; 4CUfe55 � Cit <br />� �i � i'� <br />i <br />t� �� <br />I <br />r.a:.;i�,,:; add�ess <br />New house — Basic ZOS <br />Project Address Iif known` _— 240$ <br />PubLCWO�FSPnrm��v • /��`�� <br />ein<�. oeo�. + 46161 _ <br />"L <br />v, c��, <br />r. - <br />''' c � <br />9A007 I <br />r ii r�1 �.. ZiP'. <br />i i i r1 I t <br />i t :i c G <br />� n '� <br />Pub4r Works Fee � <br />Tp�i� FeC <br />Less AnUI Fnr P:nJ S <br />�+.,i,,��,. r.��. 5 � <br />Citc Zip Phone <br />Attach four 14� copies of Ulans fo� P��P��t� tivon: � Drau: Io .c.�i„ a:�o note Ih,�'cllc.viny as aDVlicahle: <br />� PrOPerty Lines • Cen�n;linr_ af Sireei <br />• Outline and dimensions ol all exiSLny and • Indicab� North <br />proposed siructures on the lot . • �hov: any : ronosed �rad�ng chanyi•s <br />• Existma and proposed utilities • Show mr,asurements <br />PERMIT CONDITIONS <br />. 1. All calls for inspection shall be made 24 hrs. in advance • phone 259•881 O. <br />. 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800•424-5555. <br />Install mck cot�stn�ction entrv�ce belund driveway as per city slm�da�d }i208 and erosion cotitrol as directed by � <br />F'uLGe Wo�As Lispectur. O <br />Keep city streets clean at all timcs. <br />Cwb gutt�r attd sidewalk in die plat are new e�id wida�naced, a�ry da�nage il�erato shall be replaced at d�e � <br />�iscrc6on of thc PubGc Works Lispcctor. <br />Any change in the diiveway ci!t miist be approved by ihe PW inspector, width at prop line limited to eristing � <br />aprou widlh. O <br />A�ji.tst watcr boxes to �made at cnd of conslntction. <br />Dnveways shall be comple[ehv ciued before d�iving on tban. � <br />Rooftop cLaivage sl��ll be �ischarged: <br />ro tl�e site's ctomi dr^,in system (private or pubfic) <br />to a resideoual roof tiowuspou[ system dasigned per secrion �1 I.4 of the city standards <br />� . onto splash I�locks <br />'The metho�l selected wil( be subject to Public Works 1)eparten�ent�l�t}Sib�i��Eo�ErnErvT oF coNoirioNs <br />� __ _ Thc undzrsianed owner/applicant hereby agrees to hold and save harm- <br />�1 —� less Ihe City of Everelt Irom any and all claims for damages. cos�s <br />--���,V jG �� j ezpenses. or causes of action that may arise because of installation <br />`/ /�� and maintenanc= n! Ihe improvement or other righbof-way ��se here�o <br />I�ppnnc; for and further a9rees to remove same upon notice from the <br />Approved for Con Iruction ����' , C��tv ni:d m replaco pubhc pwnerty damaged thereby. <br />���-�,- <br />� <br />FINAL INSPECTION J`��e <br />Approved as Construded <br />�A�E¢� PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone:259•8870 <br />K,���� �o� ��-��'- 9�- <br />Siynatme of AnPlican! Date <br />INORK AUTFIORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />t80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAV BE <br />GANCELL.tD BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PRO.�EGT OVER 90 DAYS DURATION. <br />