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E -zuz� -4 z � <br /> Date—�.-24-94 N�,�,�,,,�•�o,�s P�,m��. ��-�"-_ <br /> ��a�� o�:a . . 45�7------ — <br /> Aoplir.alion For � __ <br /> PUBLIC WORKS PEF3MIT� ���'�r�,��°����'�° s -- <br /> � <br /> � Less 4ppl fm�W;��.�1 S <br /> a o a o 0 0 � <br /> TG ' :�,�; ��,�� �a �-;�� <br /> Print or Type Only �dSTING �- � �y = v� o r� o v g �_ �� <br /> �`' } <br /> in uirac� o � or, in or-ini <br /> �.� .y� .-+ ,-+ a M� CJ d CI L� v� C <br /> O .+ ra M +Pr ,-� ,-i vl d' ::J ( <br /> � � � xl W M � tlY � ai � � �� <br /> LD&D Construction 21007 47t1i Dr SE Bothe 9��'121 485-4344 � � -' <br /> �A4:r:irn; ncdress —�-��- (� �rtt o hW: aJ fs: w�Ehrnn <br /> �wne� "; n n a U O (zJ �-! � O F- U 3 � W <br /> � s�co-., o'�.. �'`--' �.i'' c�ioi � � ao inu <br /> U <br /> 047IIP.I � _ .-__-__ ____ _'_ <br /> __'.'__'_ —' _'__— _ <br /> AppliC�n� .-� pd ,�IniqrlddrCss , ,. ZiP °honn ; � <br /> J <br /> G " <br /> Describe Pioposrd Work nek hollse .. _ ._. .. . . . . _____ ..__— ----------- <br /> ____ -___.-_________._ <br /> _._-_.-- � <br /> ._____._-__—.___'--_—___ __—.--- <br /> -- ----------- W <br /> -- <br /> ---- <br /> - -- - - - - --- -------- -- <br /> Projec� Addresslif knc.en! 5711__25th__Aye W_ _ _ ___ , ,__Lot 8 Powder Mill Div 7_ <br /> � i inq is anUnaahle � <br /> A�tech fourl4� cooies of piHns loi t��nnoseJ •.vo�k � Diav. �:� -r..�l�� .�:�_� ���ot,� u,�-'<,4;:�� � <br /> • �roGe�ty Lines • Cn�t�iline nt SIr,���i <br /> • Outiine and dimei�+ions o1 all exishng �ntl • Intlicah: North <br /> proposed e' -ctures nn t`�e lot • �new any r.ropo5ed graCmr� qhangrs <br /> • Exis�ino and proposed u�i6ties • Sh,rai mnasuremen[s M <br /> W <br /> DO NOT WRIIE 6EL04': iHiS LINE O . <br /> PERMIT:ONDITIONS <br /> 1.All calls for inspection shall be made 24 hrs.in advance�phone 259-8810. � <br /> 2.All work shall be Gz'�ormed in accordance with this permil and currei�t City of Everelt Design and Construction <br /> Stand�rds and Specifications. <br /> 3.Call Location Ur,derground Service 48 hrs.before you dig.TOIL P7EE NUMBER 1•$00-424-5555. <br /> a. Illii�Il fOCI� CO175hlICt10(1 C11TT;111CC bCIlI17fI (If1VC�V:R' �S P�I' ^.!ty S('.lfl(IflI'fI J�nR 3I1(I Cf6ClOTl CO[IVOI 35 fIIfCCICd� Z <br /> Fublic Worics Ltspeclor. O <br /> 5. Kecp city strects clean at all times. <br /> 6. Curb e�rtter a��d sidewalk u�tl�e plal ;ue new mul wida�naged, nny da�nage thereto shall be repinced at the � <br /> �iscreUon oCthe Fublic Worhs L�spectm. <br /> 7. My ch�nge ni the driveway cut must be approved bV thc PW InspPctor, width nt prop line limited to existing � <br /> apron widtl�. <br /> 8. Adjust watcr boxcs to ���dc at cn� oFcoi�shuc6oti. O <br /> 9. Dtivew•aVs shall br, campletety c�rced before driwig on them. <br /> 10. Roollop dewiagr. shall be �ischarged: a <br /> . to the site's stotm drain ;ystem (pri��a�e or pubfic) <br /> . to a residenti�l roof doa��spout system desieped per section 4-9.4 of tlie city stwidards <br /> . outu splasL Llucks <br /> The mediod selected wi11 br s��bject to Public Works Departement��r��liE��EraeN� cF coN�iTioNs <br /> ��q' _ , _ �1 h,.u�dnr���qned o�:�neNappticant hcreby agrees to hold and save harm� <br /> � Iess ;h�� i,ity o� cvereti Irom any and aU cfaims lor tlamage:;. cosls. <br /> � _ �� . �,��qnsr.s pr c�uses of action that may anse because of instaltation <br /> ��'-�ld, ���. nnd ,i�.�i��t��»nce n' ihe improvement o� other ric7h4o1-way usc h���reto <br /> ____ � --/-�F-- ; e,^.pl�r,d lor and further aqrecs to remove same upon notice from �he <br /> Appr ve for Construction � li C�tv :ir.d ;n repi:�ca puUlic �ronerry d�maged thereby. <br /> � <br /> �.f.—� � � � y ,— ; �' 9 ic � <br /> FINAL INSPECTION �`�i� � -,,���j � Date <br /> Approved as Const�Uc�ed i ;ic7i luie o� A�p�iCan. <br /> R �"JORK 4U7HORIZED B'f Tf-IIS PERPl1T MUST BE STARTED WITHIN <br /> /A�F#�� PUBLICINORKSDEPARTMENT I 180 DAY$ OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 1 3200CedarStreet I gE DILIGC�JTLI' PURSUED TO COMPLETION. THIS PERMIT fdAY BE <br /> � Everett.�h'498201 ', C4^JCF�LrU B'!THE CITY UPON FNY STOPPAGE OF WORK ON THIS <br /> Fnone:259�8810 � PF70.!ECT OVEFi 90 DAYS DURATION. <br />