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9/22/93 <br />Date <br />C - z -z-e -4 <br />Applicetion For TO POSTI <br />PUBLIC Vk/ORKS PERMIT <br />Print or Type Only <br />_q <br />� <br />Publie Wo�k� Permil • ���� .J� <br />eiea. o.at. s 42110 <br />PUEIic Wark9 Fea � <br />Tolal Fee `� <br />Less AppL Fae Peid � <br />Balence Oue .i �/ <br />LD6D Construction 21007 47th Dr SE Bothell WA 98021 485-4344 <br />Owner <br />Applicant <br />Des�ribe Proposed Work <br />Address <br />Mailing Address <br />New house <br />ProjectAdd,.ss�ifknown) Z4�i - 5�,�h <br />City Zip Phone <br />Lot 77 Powdermill 2 <br />Attach four (4) copies of plans for proposed work • Draw to scale and note the follcwing as applicable: <br />• Pro�erty Lines • Centerline ol street <br />• Outline and dimensions af all existing and • Indicate Nonh <br />proposed structures onthelot • Show ��y proposed grading changes <br />• Existing antl proposed utilities • Show me:.surements <br />PERMIT CONDITIONS <br />1. All calle fo� inspecUon shall ba made 24 hrs. in advance • phone 21j9-8810. <br />2. All work ahall be peAormed in accordance with thia permit and cu, rc,nt City of Everett Design end Conativction <br />Standerds and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800-4245555. <br />4. Install rock construction entrance behind driveway as per city <br />atandard it208 and eroaion control as directed by Public Worka <br />Inspector_ <br />5. Reep city atreets clean at all timee <br />8. Ctirb gutter and sidnwalk in the plat are new and undamagod, <br />any damage thereto at=.all be replaced at thF, discretioa of thb <br />Fublic Worka Inspector_ <br />7. Any change in the driveway cut must be approved by the PW In- <br />spector, width at prop line limited to exiating apron ;vidth. <br />8. Connect all c•oof, yard and driveway draina to atorm drain <br />syatem provided to lot. <br />9. Adjuet water baxea to grade at end of o-�:lstruction. <br />10. Driveways ahall be completely curF�d beforo driving on them_ <br />I I. 6u��d�r� over�han9s shail not ex�br.rv) into e�ty easerr,ent. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />���.�. rn � � s� 30 'q3 <br />� Approved tor Con truction Date <br />' �� ^s,,._ 6 -� �- 9�- <br />� FINAL INSPECTION Date <br />� Approved as Constructed <br />, � PUBLIC WORKS DEPARTM"cNT <br />�� 3�00 Cedar Street <br />�� Everett, WA 98201 <br />' Phone:259-8810 <br />J' <br />-s <br />� <br />� <br />N <br />W <br />� <br />� <br />� <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and save harm• <br />less the City of Everett from any and all claims for damages, cosis, <br />expenses, or causes at action that may arise because of installation <br />and maintenance of the improvement or other right•of-way use hereto <br />applied (or and further agrees to remove same upon notice from the <br />City and to replace public property damaged thereby. <br />�� /0 93 <br />Signatu�e o Applicant Date <br />WORK AUTHORIZED BY THIS PEFMIT MUST BE STARTED WITHIN <br />180 D��YS OF 7ATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE ':iLIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CA�.CELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PRUJECT OVER 90 DAYS DURATION. <br />