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T 12�Z��� <br />Date I1-9-93 <br />PUBLIC Wp'JaRKS ��F��Ij����2���s� <br />Print or Type Only <br />CW Bright <br />Owne <br />App�icent <br />DesCribe Proposed Wo�k <br />Project Address lif knownl <br />PO Box 1356 Snohomir;h WA 98291 485-1319 <br />Malhno Pddress C11y <br />n.w <br />Mailmg Add�ess <br />2601 101et <br />Lp <br />Zip <br />P���,�W�,.,P.,.,,. `��q3-�/���o�i <br />Bi�� �en� - __ �[OJL <br />PoOimWorM�Fro ` <br />To1e1 iee <br />LemApp� feePer� 6 <br />Ael��rw IJur f �Q ^ <br />Attech lour 141 copies ol plans for proposad work � Draw to scale entl note �he lollowing as apphcable�. . <br />� Prnperty Llnes <br />• Outline and dimansions ol all existing anA <br />proposed slructures on the bt <br />• ERisM1ng end proposed ulililies <br />• Canterllne ol street <br />• Indir.e�e North <br />• Show eny proposed grading changes <br />• Show meesuramenls <br />Phonr <br />PERMIT CONDITIONS <br />1. All ca118 lor Inepection ehell be mede 24 hrs. In edvance - phone 259•BBi 0. <br />2. All work shall ba pedormed In eccordance with Ihis parmit end cwrent Cily ol Everetl Design end Constructlon <br />Stendards end Specificatlona. <br />3. Call Locelion UnAerg�ound Service 48 h�s. belora you dig. TOLL PREE NUMBER 1^800-424•5555. <br />4. Inrstall rock conetruction entrance behi_nd drivewaY as per city <br />standard #?.Qfl end eroaion control ae directed by Public Worke <br />Inepector. <br />�,. Keep rity streete clean at all timee <br />5. Curh fn�tter and eidewalk in the plat are new and undnmaged, <br />Anv demage thereto ehell be replaced at the diecretion of the <br />puhlfc Worke Inepactor. <br />7. Any chantze in the drivewaY cvt muat be approved bY the PW ln- <br />epector, width at prop line limited to exiatinq aprcn width. <br />8. Conner_t ell. ro�f, yard nnd driveway drains to storm drain <br />eYetem prr.,vided to lot. <br />9. Adiuet. wAter boxee to RrRde at end of conetruction. <br />10. DrivPwaye ehall hP comple.telY cured before driving on them. <br />�(, I�F dr�veweu� 1 s to be ri=��x,ateo , a 1 Ic. 13o�drd coN4�eic�tor 4„rcu�bs a.�+d <br />9vtteis Sh0.11 �?L �1 .� "��� �nspe�t°�S ACKNOWLEDGEMENTOFCONDITIONS <br />�ppreval o�F lacxtt'on, <br />ApP�oved as Conshur.leA <br />�PU9LIC WORKS DEPARTMENT <br />3200 Cader Streel <br />Evera�l. WA 98701 <br />Phone�.259�8A10 <br />��-�y-93 <br />Date <br />� <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />ihe untlerslgnP,d owneUeppllcanl hereby agiee5 to hold and save harr.r <br />less Ihe Cdy ol Eve�ett Irom any anA all clelms lor damae�es, costs <br />e.penses. or causec ol pchon Ihat may anse becausa ol inslallnbon <br />nnd mem�2nPnce ol ihe impr�vemenl or Olher nghl�ol�wny usa heretn <br />appheA for end �ur�her agrees �o remnve 5ame uDon nohr.e irom ihe <br />and to replaGe public property dPmaged Iheraby. — <br />\� <br />SiynaWre ol Applir,anl Dat�• <br />N'ORK AUTFIORIZED BV 7HIS PERAl1T MUST BE STARIED WIiHIN <br />1B0 DAVS OF DATE PERMIT IS ISSJED AND THEREAFTEN IS TQ <br />BE DILIGENiLV PURS�ED TO COMPLETION THIS PERMIi MAY dE <br />f,ANCELLED BV TH'c CI�V UPON �NV STOPPAGE OF WORK ON THIS <br />PROJFCT C1VF.R �� DAVS DUf7ATION <br />