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5/26/93 � � ? � �L�� s / , <br /> Date — " � �� PUEIic Worke Parmlt Y <br /> ApplicationFor �. TO POSTING.._— 1 � BIEp.peO��• 4073� <br /> PUBLIC W/ORKS PERMIT PubTolalFeeFea s _ <br /> Lens Aupt Poa PaiE S <br /> Print or Type Only e+�,��a o�� s�� <br /> Larry McCauley PO Sox 987I Lk Stevens 98258 355-207,9 <br /> Owner Maifing Address�� , � . City � - Zip Phone <br /> . � ���� � �, � . <br /> Owner <br /> � Applicant Mailing Address � City Zip Phone <br /> Describe Proposed Work _. New house <br /> W <br /> � Prolect Address(if known) �� � � Ct � <br /> : Attach four(4)copies of plans(nr proposed work- Draw to scale and note the following as applicable: � <br /> � • Property Lines • Centerline of streel � ' <br /> Y Ou. ��e and dimensions of all esisting and • Indicate North � <br /> , proposed structures on the lot � Show any proposed grading changes <br /> � Existing and proposed uHlities • Show mezsurements � <br /> —�� DO NOT WRITE BELOW THIS LINE <br /> � PERMIT CONDITIONS O <br /> � 1.All calls for Inspection shall be made 2� '�rs.in advance•phorte 259•881 O. � <br /> 2.All work ahall be performed in accordance with this permit end curtent Clty af Everett Deaign and Constructlon <br /> Standerds and Specificationa <br /> � 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800-4245555. � <br /> 4. Inetall rock construction entrence behind driveway as per city <br /> atandard fi208 and eroeion control as directed by Public Worke O <br /> Inepector. <br /> 5. Keep city atreeta clean at all times <br /> 6. (�rb gutter and aidewalk in the plat are new and iu►dama�;ed, � <br /> any demage thereto ahall be replaced at the discretion of the <br /> Public Works Inepector. � <br /> 7. Any change in the drivewaY cut must be approved by the PW In- <br /> apector, Width at prop line limited to exiating apron width_ O <br /> 8. Connect all roof, yard and drivewa,v drains to atorm drain <br /> system provided to lot. � <br /> 9. Ad3uat water boxes to grade at end of construction. <br /> 10. Driveways ehall be completely cured before driving on thom. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> dThe undersigned owner/applicant hereby agrees to hold and save harm- <br /> - -� less Ine City of Everett from any and all claims for damages, costs, <br /> .r �� ezpenses, or causes of action ihat may arise because of installation <br /> L and maintenance of ihe improvement or other right•of-way use hereto <br /> applied lor and further agrees to remove same upon notice from the <br /> Appr v r Constru io ' Date City and to replace public proper�damaged ihereby. <br /> ,. � ���93 ��-- <br /> FINAL INSPECTION �� pafe �, <br /> ppproved as Constructed atu e o Appli Date <br /> � PUBLIC WORKS DEPARTMENT W RK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS �TO <br /> 3200CederStreet BE DILIGENTL'! PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259-8810 PROJECT OVEF 90 DAYS DURATION. <br />