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Date 4/16/93 G '2Q "�j' ,S c�3 <br />Puonc Wor�� Pe mn � T3 ,�17Z <br />Appllcalion Fm TO POSTI NG �- �y -q • � a,�, o.,, . 40?__ _ <br />PUBUC WORKS PERMIT P���kWarliFee <br />fol�l Fas � - <br />lnt �p�i iat Pn0 � <br />Print or Type Only <br />L 6 L Buildete <br />10711 evcrgreen Wy Everett 96204 290-1818 <br />Madmg Atldress Cily Zip <br />Jmnro Oue i � r <br />Same ae owner <br />Applieanf Meiling Add�ess Ctly Zip Pnone <br />Describe Proposed Work New houee BasiC 200 <br />Pro�ect Addrees 111 Xnownl — � ���� ��� �_ <br />Atfach four 14) copiee ol plena for proposed work • Orew to scale antl note tne lollowinp as epplicable: <br />• Proper�y Linee • Canlerline of street <br />• Outline end dimensions ol all existing entl • Indicete North <br />proposed struclures on tte lo; • Show eny proposad greding changes <br />� Ecieting end prop08ad utllilies • Show mo, -urementa <br />Ct W <br />. ' PERMIT CONDITIONB <br />��. 1. All celle for Inepectbn ehell be mede 24 hre. 'n edvenca - phone 259•8810. <br />� 2. All work ehell be performeA In eccordence wlth thla permlt end current City of Evera!t Desipn end Conetructlon <br />5'snderde antl 9peclficelione. <br />3. Cell Lxatl�n Underpround liervir.e 48 hre. belore you dig. TOLL FREE NUMBER 1-800�424•5565. <br />2 <br />Inetall rock conetruction entranre behind driveway ee F�r city <br />etandard M208 and eroeion control es directed by Public Worke <br />Inepector. <br />5. Keep city etre�>te clean at <br />B. �rb gutter acu3 eidewnik in <br />any dsmage thereto ehall be <br />Publir. Worka Inepector. <br />7. Any ck�enge in the drivewey <br />epoctor. width at pmp line <br />8. Conner_t all rrwf, yatd +�nd <br />eyatem F�ided to lot. <br />ell timen <br />the plet ere ne�+ and undem8ad. <br />replaced at the dincretion of the <br />cut muat be BppMVEd FJy 1',1w PW In- <br />]imited to exieting avrun width. <br />drive�aay draine to etor� drain <br />9. Adivat water boxr.s to grede at end of conetruction_ <br />10. Driveways ehall be completely cured before driving on them. <br />11. ��staN �ask trw� r�N� ond 1� A ati Pw 5� �GU'I' �ev GIGCrI eVk. �� C��t��. <br />Approved as Conslrucfed <br />PUBLIC WORKS DEPARTMENT <br />3200 Ceder Street <br />Everett, WA 98201 <br />Phane:259-BB10 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />� <br />z <br />O <br />� <br />� <br />O <br />a <br />The undar5igneA oWner/epplicenl hereby agreee t0 hold and save harm� <br />less ihe Cily ol Evaret! Irom eny end all cleims for demages. cosis. <br />e■penses. or ceuses ol ection that mey erlse because cf 'nslallalion <br />end maintenenc ol Ihe improvement or o�her righPol-wny use hereto <br />appliad lo� e 1 rther egraes remove eame upon nolice from ihe <br />City and to pl e publlc pro r dem d thareby. <br />V ,X�%/��%//f /vl'1.�� <br />� <br />Dale <br />WORN AUiH RIZED BV THIS PERMIT MUST 6E STARTED WITHIN <br />180 DAVS F DATE PERM�T IS ISSUED ANC THEREAFTER IS 70 <br />BE DILIGENTLV PURSUED TO COMPLETION. THIS PERMI7 MAV BE <br />CANCELLED BY iHE CITY UPON ANV STOPPAGE Of WORR ON THIS <br />PROJECT OVER 90 DAVS DURATION. <br />