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8-6-93 ,,: 1 I I c� �I PutP¢WO�h�P��mil• ��/ <br /> Date �. '''i . � " Bi�ype01 • til�l _ <br /> Applice�ion For � �� � ' " _____ <br /> PUBL�C W�RKS PERMIT PUEi�cWorheFee s ___ <br /> TotN iee <br /> LIf{�p0�Fee PeiE s ��/ —� <br /> g�i�nce�ue s _ <br /> Print or Tppe Only <br /> Crosby Homes 16000 Mill Cree!: Blvd Mill Creek 98012 745-0232 _ <br /> — -- Idailing Address Cny Zip Phone <br /> ~ Owne� <br /> OWi70T Phone <br /> ApF���ent Meihng Address City Z�P <br /> Descnbe Proposed Work <br /> new houee <br /> - W <br /> Prolect Address lil known) <br /> �aOZ "� ���,!-� �� Lot 4 SP 48- 1 � <br /> � <br /> Attach four 141 copies o�plans lor proposed�vork• Draw lo scale end notr. Ihe lollowing as npphcable� � <br /> • Property Llnes • Genleiline ol street <br /> • Intlicale Norlh <br /> • OulGne and dimensions ol all existiny enrf � Show eny propo5ed greding chenges <br /> propased siruc'ures o��he lol � „ ��y mP.25W2fnB11�5 M <br /> • Eeislina end proposed ulilities W <br /> DO NO� WPITE BELOW THIS IINE O <br /> PERMIT CONDITIONS � <br /> 1.All cells lor Inapecticn shall 6e mede i'• hre.in edvance•phone 259•8610. <br /> 2.All worM.shall 6e perlormed In eccord:�nr,e with this permit and cwrent City of Everett Desipn and Construction <br /> Stendards end Speclllcatlons. � <br /> 3.Cell Locallon Underg�ound Service<8 hra.belore you dig TOLL FREE NUMBER 1•800'424•5555. <br /> 4. Inat:all rock conetruction entrence behind drivewaY ae per city <br /> etnnderd t�209 and eroeian control ae directed bY Publlc Worke 6✓�/'�. O <br /> InePector. ��ng' /J�.� <br /> 5. Keep c9ty atreete clean at all t.imes � <br /> 8. �rb ��tter nnd eidewalk in the plat are neW and undemaged, � e K+� '� <br /> any damaBe thereto ehal.l be repinred at the diecretion of the �f. 7.g J � <br /> Pu'blic Worke Ineper.tor. <br /> �, pny rhnnge in the driveway cut must be approved by the PW In- O <br /> epector. Width Rt, prop ]ine limited to er.ieting apron width. <br /> 8. Com:er.t all roof, yard nnd drivewey draine to ato� drain � <br /> nyatem prov:ded t.o lot. <br /> 9. Ad.iuet wat.er �R88 tn Rt'Aa9 at end of conatruction. <br /> 10. Driverrays ahall t� r.om➢lr.tely cured br_fore driving on them. <br /> ACKNOWLEDGEMENT OF COIJDITIONS <br /> � _ ihe unde�si�nnd owneVnpplicaN hereby egre.�s lo hold and seve herm� <br /> _ — less thr. Gty ol Everell Irom eny and all claims for damages. cos�s. <br /> / f9 enpenses. or causes ol action Ihat may nrisfl hecnuse ol instolla�ion <br /> --���,����N"� �� vl I� nnd maintenance ol the ImprovemeM or olher nght-o6weY use hereto <br /> � npphed lor and �urlher a9rees lo iemove same upon nutice Irom Ihe <br /> Ap roved lor f,onsiruction O;�te Clty and to replace pubhc pionerty damaged thereby <br /> � ��' <br /> /� �� r ����/ ��/�`� J_ <br /> 'I A SPE T �- J le --� Date <br /> � ignatwe ol Applicenl � <br /> Approved as Cons�ructed WORK AUTNORIZED BV THIS PERMIT MUST BE STARiED WITHIN <br /> � PUBUCWGRKSDEPARTMENT 18U DAYS UF DATE PERMIT IS ISSUED ANC THEREAFTER IS TO <br /> 3200GederStrael BE DILIGENTLV PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Everell,WA 98201 CANCELLED BV THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone�259�8810 PROJF:CT OVER 90 DAVS DUf7A710N. <br />