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L <br /> Date�Zz/a „ P����,��vo,�s���.m,�< �� � ��' <br /> � Gi /� <br /> ApplicationFor TO POSTIhG_ � � �4' �'�� oeni +—���� <br /> x"�' PU�3LIC WOPKS PERMi� °°°'':,`°'"�"° 5 <br /> r-: �=, .��,�F��: <br /> i ,F,�s :, �,:,�a�,� F�,•�,�� s — <br /> C H c� `—L <br /> � " '�� <br /> 9 y Cn o n o a o 0 0 0 0 o e�i.,��,.o�„� S _ <br /> 1 f l O O O U� G O � � �: <br />' H �� Print or Type Onl� � <br /> ,-� r- :rioo ,� o c � � r <br /> H H rd r 3 P� r-. ,. :�� �:. �,: � o <br /> �Y br u> «, �. . -- <br /> CJ U' `i <br />, oxo � ,_ ... �9,�i nl .�`l�``f� � S��at} � �I��r��' S�l�� -<<�213 -- <br /> '�J H'sJ �1h�1')I /f[�1 -_ - Z,P Ptione <br /> y �� � ' a5 ' i�l 3itrei CArctis'= � �- Cn; <br /> Owne r T O [O � S _ w 3��� O laJ +-� CJ <br /> H OOiA f� ..: Ul � OV- �J _i I� W <br /> `� Z� \ OJJWJ CCORO4� r+ S --- -""' <br /> CT7 O C4 .-. � a m c � LL. �� o s t s u� -� �� <br /> • ' --- <br /> H G —�G.1��4. — ,_—_——_- _ Z�u _.__— ._Phone <br /> Applicnnt Madin9 �ddress -�'�i <br /> �'"�g '�� ��� �u}( �✓ <br /> H ,_,s.L�_ �, , l, , r?�r�� i,�� <br /> Destrihe ProposeJ Wo�k _��'p � C I �--. c <br /> C y� — -- <br /> H H --- � <br /> � <br /> H _ W <br /> �, d ti <br /> �y �� — __ `3`� I O --_2'�TF-� D� � - --- � <br /> z y y Pru�ect Address lit known� <br /> H O fn � <br /> htlaCh lou�f4?CopieS 0�p�ans lor pr0Uo5ed worl:� Dr;r:: !��sr,�b.nnA notr� ine fohowing a5 apPhcnbla. � <br /> • Property Lines • Centedine ol streel <br /> • Ouil'mr, and dimensicns ol ou eAisbn�� a,�: <br /> • Indir.nlc NortP� <br /> propGsed struCWres on the lot � Sha:v�u�'� Uropasetl 9radi���)<-han9e5 <br /> • Enisling and propnsed uhlities <br /> • Sha;i n���.d�u�.:m:rnis � <br /> _aaan��a- <br /> ���' DO NOl WfJTE BFLO�'! 1f�115 LINE � <br /> !�� PFR:'ITCONDITIONS I � <br /> � 1.Ail calls tor inspeclion shail�e made 24 hrs. ��� :vance� �,��one 259•881 U. <br /> 2.All work 5hall be pedonned in aCcordance wiln Ihis permit nno currcnt City of Everett Design and Conslructior, <br /> Standards and Specilica!ions. <br /> �"" � 3.Call Location Underground Sernce 43 hrs.belore you tliy TOLL FREE NUMBER 1•FJO•424•5555. r' <br /> �""� 4. Install rock constru�tion entrance behind driveway as O <br /> per city standard #208 to eliminate trackinq mud onto <br /> streets as directed bY Public Works 7�spector. <br /> � � `_;, Keap city streets r_:ean al al ] lime=_- � <br /> b. Curb, gutter and side�•�all� in the plat are new and � <br /> undama9ed, any damaqr: thereto shall be replaced at the �� <br /> di-;cretinn nf I�.hc �,'�..� � = c WorY.s �.�sNeccor. <br /> '°"" � 7, Any r.hange in the dri•�ewav c�.it must b� approved by the � <br /> FuUlic Works Inspecto' . <br /> �,,,,. 1 �', Tinhtline all roof , �•�rd �r.d driveway drains 'fram � � <br /> � � f��oiises ��.o C•B• stubs at bacY, of side walk with ru6ber i, <br /> qask.et F.V.C. pipe <br /> g, Fldiust wabar bo::es to qrade at end of construr_tion. � <br /> � '"'' i��. Gri.veways shall he completely cured be4ore drivinq on <br /> ihem. ACfWOW�.[DG[�dE�aT OF CO'.UI1lON5 <br /> %,:,(�1� (����/ ..— _____ The undersi9ned ovrner/�-,ol��r,�nt hr :�UY�9recs to hold and save harnr � <br /> � — less ihe (:ity ol Evere�i Irom any and ." r,U,iins lor damages, costs. <br /> -• c�',�?_7� expe��se::, or causes ot ac�ion �hat m.�, .n sa 6ecause of installa�ion , <br /> _�� and m,uNenance of lhe impwvement �r rnh�r ngtt�crway use here�o <br /> � �u,��, ��� �� --_�" � _ apphcA lo� and lurther ayrees to ren,ore same upon no�ice iram Ihe <br /> Date �,I ind t -Plac.e pu ilic property de��„a9ed Ihereby. <br /> qpproved lor Consiruction , Y� <br /> /�;, ���• �^ :.---J� � ,_ <br /> � �;�. . ., /�� 7 �l��// / �^,' :� /�-'- � ��.f.�iL�✓�� � �f /� l� � <br /> FINAL INSPECTI N� % . � Da1e � i�� <br /> i " <br /> Approved as Consiruc�eA Si r,a���ie of Applicant , <br /> i WORK Al1THORIZED BY THIS PERMI"f MUST 8E STAHTED WITHIM <br /> ��.i���� PUBLIGWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSU[D AND THEREAFTER IS TO <br /> � 3200CedarStreet I BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIi MAY BE <br /> Everelt,WA9820'. CANCELLED E1V THE CITY UPON ANY STOPPAGE OF WCRK ON THIS <br /> J Phone 259 BB1U PROJEL'T OVER 90 DAYS DURATION <br /> � <br />