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Date 2-24-94 }''"1 „ � PuElic Works Purmil r � � <br /> ApplicatipnFor `�i'� POSTING 3�3�� `r5 6�.,.��eF. ._ ,,�6� <br /> PUBLIC WO�KS PERMIT PubTolalFeaFee s • _ <br /> G Less Appl.Fee PaiO S <br /> O <br /> Print or Type Only r � S g g � g � g g � !a eam�oa o�e s <br /> a <br /> �O P .+ Om O �t O Q, 1!l O p? .r <br /> C �O N Y! N N M M O q m � <br /> W M M N <br /> Rob Hollingsworth 6605 N M�adowdale Rd L wo�l WA �037 743-k666 <br /> Owner M 'rtg Atldress xy r� rt� � � � Zip Phone - <br /> ."-� � � � c.=.i `� u"S �z � 3r � <br /> Breakwater Development �c �h���' eb d.' � � i,� ti , <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new house _ _ <br /> Lot 7 Eisenhower Court <br /> - W <br /> Pro�ect Address(if known) 10015 25th Ave SE � <br /> Attach four(4) copies of plans for proposed work- Draw to scale and note the following as applicable: � <br /> • Property Lines � Centerline of street � <br /> • Outline and dimensions ot all existing and • Indicate Norih <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existir�g and proposed utilities • Show measurements � <br /> 4V� �DQ NOT WRITE BELOW THIS LINE O <br /> PEpM1T CONDITIONS <br /> 1.Alt calls for inspection sha11 be made 24 hrs.in advance-phone 258•8810. � <br /> 2.All work shell be pertormed in accordance with this permit and current City of Everett Design and Construction <br /> Sta�dards and Specificationa <br /> 3.Call Location Undergraund Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800�4245555. � <br /> 4. la�tal rock construcNon eMrance behind drivewsy as per ciy <br /> daradard*208 and erosion control as directed by Pubic Works O <br /> Inspector. <br /> 5. Keep city stroets cban at al times <br /> 8.Curb guttor aed sidewak fn the plat arc new and undamaged, H <br /> amt damape thereto shal be ropmced at the discretion o(ihe <br /> Publc Wodn Inspector. � <br /> 7.Arry chanpe in the drive�wy cut must be approved by the PW In- O , <br /> spe�lor,width rt pmp ine fmited to existing apron widlh. <br /> 8.Connect al root,�;nrd and driveywy dnins to storm drafn � , <br /> syslem provided tr lot. <br /> 9.Adjust water bc;irs to ynde at end of construction. <br /> 10. Drive►vfys shal be compktey cured beforo driuing m them. . ' <br /> �1. E�x¢a�ing dr�tvaw� on ►o�yk. sEs� rnust ber<:+hovalar+d/�Plsreedv��h <br /> �11 huP9htcurb�v�r�sideWttlK �a�r s�r�w'�o�r���OFCONDITIONS <br /> The undersigned owner/appticant hereby agrees to hold and save harm• <br />� — ' less the Ciry of Ewarett from any and all claims for damages, cosis, <br /> �� p� expenses, or causes of action that maY arise because of installation <br /> 3-3— /T, and maintenance o1 the improvement or other right•of•way use hereto <br /> � applied for and further agrzes to remove same upon notice from the <br /> A proved rystructio � Date City an t lace public property damaged thereby. <br /> FI AL INSPEC ION � � � D�e '� _I�— <br /> Ap roved as Conshucted Sign ture o A plicant ate <br /> PUBLIC'-'JOaKSPEP4RTMENT �4''ORK AUT ORIZED BY T S PERMIT MUST BE STARTED VYITHIN <br /> 3200t:�-.darStro^' 780 DAY OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everet4 N,�A 98'�J7 BE DI ENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone:259•8810 G ELLED BY THE CITY UPON ANY STOPPAGE OF WOflK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />