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' �j,.�. <br />oe,o?-►�"y3 TO POSTIN��� <br />Applicetlan Fm <br />PUBLI� WORKS PERMIT <br />Print or 7ype Only <br />PrD��cWe�bPermu• �3 3� <br />emv o•o� • 41309 <br />P�Di�c Wo�M� FN S <br />Tobl i�e <br />LH� ��CI iee P�iE i <br />B�bnce Due i ��� <br />Heneon Homee :T1'�10 131et Ave SE Snohomieh WA 98290 338-4582 <br />� Owner Malling Address Cily Zlp Phone <br />Owner _ <br />qpplicent Melling Address City 2ip Phone <br />Deacribe Propesed Work ��ew hou9e <br />Prolpcl Add�eee pl knownl z�OZii — <br />euwch leur 141 coolee ol PIBne lor propoeBd wOfk • D�ew t0 Bcale end note Ihe lolloWing e8 Bpp�iceble: <br />� Properly Llnee <br />• Outline and dimenelon6 of ell exieting end <br />proposed al�ucturee �n Ihe lot <br />• EMieting and Oroposed ulllilie9 <br />• Cenlerline ot slreof <br />• IndlCeta Plorih <br />• Show any proposad p�ading chenges <br />• Shov meeauremenit <br />PEAMIT CONDITIONS <br />1. All calle fo� Inepectlon ehall be mede 24 hro. In edvence - phane 259•8810. <br />2. All work ehell be periormed in eccordenca wlth thle permll and curre�t Clty of Eve�elt Desipn end Conetructlon <br />3tanderde end Speclllcellone. <br />4 C InBtell rock oon tructioneentranced�behlnd drivetaay ee.�424y 656. <br />etanderd 1t208 end eroeion control ee directed by Public Worke <br />Inepector. <br />5. Keep city atraete clean at all timee <br />8. �rb gutter nnd eide�+elk in the plat are new and undemnqed, <br />any damage thereto ehall be rapinced at the diacretion of the <br />Public Workn Inepector. <br />7. My chnnge in the driveWey ^ut muet be apprwed by the PW In- <br />epector, width et prop lina limited to exieting apron width. <br />9. Conner.L all roof, yard and d/riveri�eyL drain/e�,.t��o at,ww-d�aiw <br />�n i ; ��'�+IGiWI L� �•' � . <br />9. Adjuat water bmtee to �rade at end of conetruction. <br />10. Drivewdye ehall be completely cure�d before driving on them. <br />C ��93 - <br />Approved es Constructed <br />—' PUBLIC WORKS OEPARTMENT <br />3200 Cedar SVeat <br />Evr.r �tt.'NA 98201 <br />phone�.259�BB10 <br />ACKNOWLEDQEMENT OF CONDIiIONS <br />W <br />H <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />fha unde�signed owner/appllceM hereby egrene to hold and seve herm� <br />less Ihe Cdy ol Everell from eny end all cleime lor demegos. co61s. <br />ezpenses. or ceuses ol actlon thel may erise beceuee ol Insta"ation <br />nnd mainlenance ol the improvement or o�her nght�ol-way uae hereto <br />epptinA lor end further egrees lo remove eeme upon nolice Irom the <br />Cily and to replace public propeny dameged Iharehy. <br />�/ <br />Slgnatur] 01 APPlitent Dete <br />BORD VSTOFORDATED PERMIT ISEISSUc[1 AND TMEHEAFTER ISHTO <br />BE DIUGENTLY PURSUED TO COM?LETION. THIo PERMIT MAV BE <br />CANCELLED BY THE CITV UPON ANV STOPPAGE O� WOFK ON THI^ <br />PFOJECT OVER 90 DAVS DURATION <br />