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Date 5.26.93 �j '�—Z��� � <br /> a�m��woaa Pa�„u• � <br /> Applicatlon For TO POSTING I �I �I� eiau.oec�.+_ 4073 <br /> PUBLIC WORKS PFRMIT � PubTo�FeeFea s -- <br /> Less AppL Fee Paitl S. <br /> Print or Type Only em.��an�a s �. <br /> La. ry McCauley PO Box 987 Lk Stevens 98258 355-2079 <br /> , Owner MailingAddress . City � � � ��Zp � Phone <br /> Owner , <br /> � qpplicant Mailing Address City Lp Phone <br /> New houae <br /> � ' Describe Proposed Work _ <br /> �. . � ProjectAddress(ifknown� 1o��v ' ZCo�1 � `:'C ioC 23 Eisenhower Ct � <br /> � Attach four(.i copies of plans for proposed work• Draw to scale and note the following as applicable: � <br /> � . ' • Property Linea • i,enterline of street � <br /> �� . � � Outline and dimensions of all existing and • Indicate North <br /> . • proposed struc!ures on the lot � Show any piopo;ed grading changes <br /> • Existing and pn�posed utilities • Show measuremanls � <br /> . DO NOT Wr71TE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> 1.All calls for Inspectton shall be made 24 hrs.in advance•phone 259-8810. � <br /> 2.All work shell be perfonned i�accordence with thia permit and cunent City ol Everett Design and Constructton , <br /> Standards and Spacificationa <br /> �.Call Locetion Underground 8ervice 48 hrs.betore you dig.TOLL FREE NUMBER 1•800-4245555. � <br /> 4. Inetall rock conetruction entrance behind drivezaay ae per citv <br /> atandard it208 and eroaion control rys directed by Public Wnrks <br /> Inapdctor. O <br /> 5_ Keep city atreeta clean at all timea <br /> 6. GSirb gutter and sides�alk in the plat are necr and undamaged, � <br /> any dsmage thereto ahall be replaced at the diacretion of the <br /> Public Worke Inapector. <br /> 7_ Any change in the drivewaq cut must be xpproved by the PW In- � <br /> apector, width at prop line limited to e.xieting apron width_ O <br /> 8. Connect all roof, yard and d:iveway drai•na to atorm drain <br /> eyatem provided to lot_ � <br /> 9. Ad3uat water boxes to grade at end of construction. <br /> 10. Driveways ahall be completely cured before driving on them_ <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> �P�(3 The undersigned owner/applicant hereby agrees to hold and save harm- <br /> �� less the City oi Everett irom any and all claims for damages, cosis, <br /> , n ��77 ezpenses, or caases of action that may arise because ol installation <br /> l� _���i �� and main!e��an:,e c" the improvement or other iighbof•way use hereto <br /> qqq applied for anti lurth�r agrees to remove ssme upon notice from the <br /> App� onstructi � . Date City and to replace Gublic property damaged thereby. <br /> FINAL 1NSPECTION ����� ! Dat� — <br /> Approved as Constructed � ur o A Y Date <br /> /A�� PUBLIC WORKSDEPAATMENT W RK AUTHORIZeO BY THIS PERM�T MUST BE STARTED WITFIIN <br /> 3200CederStreet 780 DP:YS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA98201 BE DILI�ENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone:259•8810 CANCELLED BY THE CI7Y UPON,\NY STOPPAGE CF WORK ON THIS <br /> . PROJECT OVER 90 DAYS DURATION. <br />