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� <br /> i/ii/9a C -Zo �Q' s �I.' O r 7 <br /> Vubllc WorMs Permlt a _. <br /> Date eiae oeo� � 43205 <br /> Application For _ <br /> PUBLIC WORKS PERMIT P"p1CN0fk5FeB <br /> TaieiFee S <br />� Less AOPI.Fee Paia $ �7/ ' <br />+ Print or Type Only <br /> �(� POSTING �'��� I� Balanca0ue S� <br /> I <br />{ Oak Crest Homes Inc i:t712 64th Dr SE SnohomisC`Y 98290 33 Z-P 229 phone <br /> � Owner Mailing Address <br /> Same — <br /> Applicant <br /> Mailing Addres=_ City Zip Phone <br /> New house - basic 242 _ <br /> Describe Proposed Work <br /> -� W <br /> Project Address(if known) <br /> 1013� - 2� �- 5� Lot 16 �isenhower W _ � <br /> � <br /> A�tach four(4) Copies of plans fUr propo5ed work� Draw�o scale and note the following as applicable: � <br /> • Property Lines • Centerline of slreet <br /> • Outline and dimensions of all existing and • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existin9 anC propcsed utilities • Show measuremenis M <br /> W <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS � <br /> 1.All calls for inspection shall be made 24 hrs.in advancA-phone 259•8810. <br /> 2.All work shall be performed in accordance with this permit and current City of Everetl Design and Construction <br /> Standards and Specifications. � <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-8a0•424•5555. <br /> 4. Instal rock co�structlon eMronce behind driveway as per city � <br /> standard aR208 and erosicn �ontroi as directed by Pubic Works <br /> Inspector. <br /> 5. Keep city streets ckan at al times � <br /> 8. Curb gutter and sidewak in the plat are new ard undamaged, <br /> arry damage thereto shal be replaced at ihe diacretion oi the � <br /> Pubic Works Inspnctor. <br /> 7.Any change in the driveu�ay cut must be approved by the PW in- O <br /> spector,width at prop ine imNed to existing apron widlh. <br /> 8. Connect aA roof,yard and drivewaY drains to storm drain /� <br /> system provided to bl. �� <br /> 9.Adjust waler boxes to grade at end of co:istruction. <br /> 10. Driveways shal be compktey cured 'oefore driving on them. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> '/ � 7he undersigned owner/applicant hereby agrees lo hold and save harm- <br /> �!` r /r� less ihe Gity of Everetl from any and all claims for damages, cosls, <br /> � experses, or causes of action that may arise because of installation <br /> �/' �/�n���� / _/� _ and �naintenance ot the improvement or other righhot-way use hereto <br /> ��i�r� � ��� apP�ied for and further agrees to remove same upon notice from the <br /> Approv_� nstructi n_ �a�e City and to replace public property damaged ihereby. <br /> �� ��.� '7�G 2 - 9 - 9-.� <br /> INAL C Date pate <br /> Approved as Consiructed <br /> Signa�we of Applicant <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STAFTED WITH <br /> PUBI.IC WORKS DEPAFT�sENI' 180 OAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> �Ar� 32GOCedarStreet 6E DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE . . <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON A�Y STOPPAGE OF WORK ON TH�S <br /> Phone:259�8C10 PROJECT OVER 90 DAYS DURATION. <br />