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Date 4/16/93 G' ���'s <br />Applicetion Fo� <br />PUBLIC WORKS PEl��TING �_-� <br />Print or Type �r�ly <br />L 6 L Buildere 10711 Evergreen Wy Everett 98204 240-1818 <br />Owner Mailmg Address C��y � <br />PuW¢ Wor�� Permil �� 7 � <br />eiao o�o� • 40276 <br />PuelmWan�Iae —_ <br />Tol�l i�e � <br />LN� �OCI p!a PsiO { _.��^ <br />B�i�nce Oue i J/S/ <br />Same as owner <br />Applicant Meilinp Atldrees City 2ip PhonO <br />Descrihe P�oponetl Work New houee_ _ BeeiC 1 <br />Pro�ectAtldressblknown) Z4�% � ��,'� �CiGri_�i Lot <br />Altech fom (4� coples ol plens for proposad work � Draw to scale antl note mr, lollowing es applicehle: <br />• ProDerty Linea <br />• Oulline and dlmrne�ons ol all eaieling and <br />proposed RVuclures on ihe lol <br />• Exis�ing and proposed utilities <br />6 Eieenhower C: 4' <br />• CenterlmB of 9treet <br />• Indl:ale North <br />• Sho�v eny propnaed greding change.s <br />• Show mensu�ements <br />PERMIT CONDITIONS <br />1. All celle lor Inepection ehell be mede 24 hre. In edvence • phone 259•8810. <br />2. All work ehell be peAormed in eccordenca with thle permit and current Clty ol Everett Deelpn end Co�etruction <br />Stenderde end 3paclllcetlone. <br />3. Cell Locatlon Underpround Servite 48 hre. before you dip. TOLL FREE NUMBER 1•800�424•8556. <br />4. Inetall rock construction entrAnce bahind driveaay as pr_r city <br />etendxrd p208 and eroeion control ae directbd by Public Worke <br />Ineper.tor. <br />5. Keep city etreets clean at <br />8. (�rb gutter end eidrn+alk i <br />any dnmage thereto ehnll <br />Public Worke Inepector. <br />7. My change in the driveway <br />epActor, width at prop lf <br />8. CcnnecL all tvx�f., yard end <br />eyatem prwided to lot. <br />all timea <br />n the plat <br />be replaced <br />cut muei <br />ne limited <br />driveWsy <br />aru n�+ and undemage3, <br />et the diecration of the <br />t� apprrnirrl tn th�� PW In- <br />to exiatir.g apron Width. <br />draine to utorm drain <br />9. Ad,iuet aater Fwxee to grade at end of ronatruction. <br />10. Driverrays ahall be completely r.ured before driving on thma. <br />II� In�t.atl (jy�;ron rth� �d 11d es Po✓ Stdw�Of fe�oleav+oul. �n dra.cy�,e�, <br />� ACKNOWLEDCEMENT OF CONDITIONS <br />��.m � �. � .� y3 <br />Appro lor Construclicn Dale <br />FINAL�NSPE T /' �f ?�U �� <br />Dete <br />Approved ea Conslructad <br />�PUBLIC WOFKS DEPARTMENT <br />3200 Cede� Sirael <br />Everett, WA BB201 <br />Phone: 259•8810 <br />W <br />� <br />� <br />� <br />� <br />O <br />� <br />� <br />� <br />a <br />The undarsigned owner/aoplicant hareby egrees lo hold tnd save harm� <br />less the City ol EvereP hom any end idl cleims for demeges. cot�3. <br />e■penses. or causes of eclion Ihet r�ay u�iae becauee of instelletlon <br />antl mainlenence c' Ihe improvement or ofher righbof�wey use hereto <br />epplied lor and fuilher agraes lo remove eame upon notice Irom Ihe <br />Cily end m rap publf oper demegad Ihereby. <br />nature ol pll enl Date <br />WORK A ORIZED BV THIS PERM11 MUST BE STARTED WITHIN <br />180 OAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />8E DILIGENTIY PURSUED TO COMPLETION. THIS PERMIT MAV 8E <br />CANCELLED BY TH[ CITV UPON ANV STOPPAGE OF WORK ON THIS <br />PROJECT OVER 80 DAVS DUHATION. <br />