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Date 5/7/93 G- Z �Zg —4-. <br />Application For ` <br />PUBLIC WORKS P�I��f�� ��,�5-9� _ <br />Print or Type Only <br />Bruce W <br />Owner <br />Describe Proposed Work <br />7 NE 42nd P1 Red <br />Mailing Atldress <br />Mailing Address <br />New house <br />City <br />Ciry <br />���--�----� <br />Public Wo�k3 Peqnp� <br />Bltlg. Dep�. i 4U <br />Pubht Worb Foe s <br />To�al Fea <br />Less Fppl. Fee PaN $ q <br />B'.mnce0uc $ �Y� � <br />ProiectAddress�if known� 24��� '�¢�'1 `� $�� Lot 76, Powder Mill Div 2 <br />Attach four (4) copies of plans lor proposed work - Draw �o scale and note �h� ;.,,",;;: ��na as :pplicable: <br />• Pronerty Lines <br />• Outline and dimensions of all existing and <br />proposed structures on Ihe lot <br />• Existing and proposed utilities <br />• Centerline ol street <br />• Indicale North <br />• Show any propoae�l grading changes <br />• Show measuremeris <br />P��one <br />Phone •-1 <br />�/ <br />G <br />PERMIT CONDIT�ONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259•8810. <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. before you dig. TOLL FREE NUMBER 1•$00•424•5555. <br />1. Inetall rock cooeiruction entreece behind driveea� ae per citq <br />aSaeda�d 1208 and eroaion coutrol ae directed hl PuElic Norts <br />Ieepector. <br />5. Ieep citl atreete clean at all ti�ee <br />6. Lb�b �Otter and eidevalk in tEe plat are ner and unda�aged, <br />an� dawee t6ereto s6a11 �e replaced at t6e diecretion of t6e <br />Pablic ilotta Innpector. <br />1. !n7 cha�ge in the driieoa� cat �ost 6e approied b� the PN In- <br />epecio�, ridt6 at prop line li�ited to etinting ayroo eidSE. <br />8. Coe�ect all roof, lard and drirerap drains 10 eton drain <br />syate� pto�ided to lat. <br />9. Adjuet aater boua to grade aS end of conetractioo. <br />10. Drivew�e rhal! be co�pleSel� cn�ed beforo driviaq on the�. <br />��• iJ0 �Ui�d(�� o� OuL+'h�G� W�OwC� <br />� �:� ���. Q <br />� Z, �X i NlvLt1 � � �1.�c�,� �00� � <br />�i � � iif�Sl'.rrl G"t�' '�/ri<t . <br />��, �1� �, z� R3 <br />Approv orConstruc�ion " D�te <br />�a..�� J 30 > y; <br />FINAL INSPECTION -�Datc <br />Approved as Constructed <br />PUBUC WORKSDEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone:259�8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />� <br />� <br />� <br />� <br />� <br />� <br />O <br />a <br />The undsrsigned owner/applicant hereby agrees to hold and save harm- <br />less the City of Everetl from any ae� all claims for damages, costs. <br />ezpenses, or causes of action that may arise because of installation <br />and maintenance ot �h� improvement or other righ�-of-way use hereto <br />applied lor and f h a rees to remove same upon notice trom the <br />Ciry and to replac� u li property damaged fhereby. <br />� <br />=�' � ?"�'� <br />Signalure ot Applicant Date <br />WORK AUTHORI2ED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVEA 90 DAVS DURATION. <br />