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(�-2 Z8-9' ' <br /> p8�@ �iIIZIJ3 . p�eueworwePe�m�b 93 �f <br /> Appllcetion For a�ay.oeo�.• <br /> Pl3BLIC WORKS PERMIT Pub7otelFeeFee s <br /> TO POSTING__ s- z� -4� LessAppLFeePaiEs <br /> Print or Type Only <br /> � - � B�lance Due $�d <br /> i � <br /> LD&U Conetruction Corn . 21007 47th DrC$E Bathell 98021 485-4344 (� d' <br /> �. Owner MeiNng Atldress � Cfty . � . .Zip� , Phone '� <br /> Owner , . <br /> � Applicant Meiling Address City Zip Pho,ie � <br /> Describe Proposed Work New house L <br /> N <br /> Pro�ect.4ddreas�it known) �'3) � 5� � Sb✓ Lat 6 Powder Mill Highlands Div II � <br /> . Attach four(4)copies of plans for proF�csed work• Draw to scale and note the following as applicable: � <br /> • Property Linea � Centerline of street � <br /> • Outline and dimensions of ell existing and • Indicate Norih <br /> � proposed structures on the lot • Show eny proposed grading changes <br /> �, � Existing and proposed utilities � Show measurements � <br /> ! DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> � 1.All cells for inepectbn ahall be mede 24 hro.in advance•phone 259-8810. � <br /> 2.All work ahell be peAormed in accordance with this permit and current City of Everett Design and Conatruclion <br /> ' Standards and 3peclficetlons. � <br /> 3.Call Lxatlon Underpround Service 4B hra before you dig.TOLL FREE NUMBER 1•800�4245555. � <br /> 4. Inetall rxk construction entrance behind drivew�y as per city <br /> standard �208 aztd eroaion control as directed by Public Works O <br /> , Inapactor. <br /> 5. Keep city streeta clean at all timee <br /> 8. (�rb gutter and sideWalk in the plat are nea and undamaged, N <br /> eny damage thereto ahall be replaced at the diacretion of the � <br /> Public Worka Inapector. <br /> 7. A�v chenge in the . :ivewa�v cut must be approved by the PW In- O <br /> spector, width at prop line limited to exiating apron uidth_ <br /> 8. Connect all roof, yard and drivesiey drains to storm drain <br /> syetem provided to lot. a <br /> 9. Ad3uat water boxes to grade at end of construction_ <br /> 10. Drivewaye ehall be completely curr..i before driving on them_ <br /> 1�� c�ld drtvovs,� nust, bc rGP��d wi�1+ 4�+1� hr,t9►�t, u�rb qubtw4s�ecwa�k. <br /> , � ACRNOWLEDGEMENT Of CONDITIONS <br /> The undersigned owne�/app�icant hereby agrees to hold and save harm- <br /> less the City of Eveiett from any end all claims for dameges, costs, <br /> /� expenses, or causes of action that may arise because of installation <br /> 1/ IIAGI� .. �1/iI�_/R? and maintenance of the improvement or other righbaf-way uce hereto <br /> �LVC. Y�l K-W �'f liLY J applied for and turther agrees tn remove same upon notice from the <br /> Approved for Congtr� —_ Date City and to replace public properry damaged thereby. <br /> �-��% �`� <br /> 3• 3u-9�_ ���y«J'1/ �� J�G�i.� l�����7 <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signalure of�licant . � Date <br /> PUBLICWORKSDEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA98201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone:259-8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br /> 1 <br />