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Is <br />Date 5-4-93 <br />Application For <br />PUB�ic wo��cs <br />Print or Type Only <br />� �'l— IP�—Z�-S <br />PERM�7 <br />��t �'���I�G SEP 17 <br />Chris & Laurie Erickson 105 Intercit <br />vwner Mailing Atldress <br />Contact: Dave 0'Connor 353-7700 <br />Applicant Mailina Address <br />Describe Proposed Work <br />new house <br />Lot 13 of t4ountain View IIS <br />PuDIm Ylorks Permit a 1 �� <br />� -a o�o�.. 40482 <br />Pu�ec Works Fee <br />Total fee � <br />�1e55 Aopl. iee Paitl '�J _�7�r'�__ <br />Balance Due $ ✓� <br />� West Everett 98204 347-4677 <br />City <br />ProjectAddress(ifknown) �7��5 � i'1.��"1 ��Jt <br />Zip <br />Atlach (our (4) copies of plans lor proposed work - Drew lo scale and note ihe following as applicable: <br />• Property Lines n Centerline of street <br />• Outline and dimensions of all existing and S Indicate Norih <br />proposed structures on the lot • Show any proposed grading changes <br />• Exis�ing and proposed utilities • Show measurements <br />Phone <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance- phone 259•8810. <br />2. All work shall 6e performed in accordance with ihis permit and current City of Everett Desi9n and Construction <br />Standards and Specifica�ions. <br />3. Cell Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800•424-5555. <br />Instal] �,rk construction entrance behind.rlri�✓ewaY as per city <br />standarr; #?08 and erosion control as directed by PubLc Works <br />Inspector. <br />Keep city streets clean at all times <br />�rb gutter and aideUalk in the piat are rew and unciamaged, <br />any aamage thrreto shall be replaceri at tha d:i.scretion of the <br />Publir_ Works Inspector. <br />Any change in the dr�iveway rut must be appro'JF_f] hy thP pW In- <br />spector, wirlth at prop line limited tu e:cisting apron w:.dth. <br />Connect all rnof, yard anii drivaway r3rains to storm drain <br />sYstem provided to lr�t. <br />Ad,iust watPr lx�xes to grade at end of con.truction. <br />Driveways sha11 be completely r_ured before driving on them_ <br />PUBLIC WORKS DEPARTMENT <br />� 5200 Cedar Stree� <br />Eveiett, WA 98207 <br />Phone:259-8810 <br />� <br />� <br />� <br />cn <br />� <br />� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm� <br />less tha City ol EvereU Irom any and all claims for damages, costs, <br />eapenses, or causes of adion that may arise because of installation <br />anA maintenance of the improvemenl or olher right-ohway use hereto <br />applied for and further agrees to remove same upon notice frem the <br />City and to replace public property damaged thereby. <br />GCt/��Pi�,►�s�, 8 �� �9 3 <br />Signature of Applicant � Date <br />V✓ORK AUTHOR�'ED BY THIS PERMI7 MUST BE STARTED WITHIN <br />780 DAYS OF C,TE PENMIT IS ISSUED AND THEREAFTF.R IS TO <br />BE DILIGENTLY PURSUED TQ COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DA'fS DURATION. <br />