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H �� <br /> '� <br /> IDEIx <br /> > r3 [n <br /> Y <br /> 1"� � � <br /> k � <br /> Q CL' O Date �l�z/r�/ v��m��wo,ks a�•,,,u. �9� 'OS�Z <br /> �0 y � � � eim� oPoi ,�� 2(�/ 2� <br /> Application For TO POSTI NG_.�/�� �/�, � � <br /> � � � PUBLIC WORKS PERMIT ��°°���°°�°«=F°° <br /> ,o„�«r s <br /> ��� LessAovl Fuu Patrl $_ <br /> �• Cn Print or Type Only ��""co�` $ �-' <br /> zy3 <br /> �y /� <br /> x � ! yti n � l�1a3 S�U—,�,��� <br /> ~ H PnnurrN r�ly � �� �� .I�q/T'I� <br /> 8y <br /> H Owner Mailing Address City Lip Phone <br /> n �y <br /> �� � ��Q <br /> � y Applicant Mailing Address City Zip Phune <br /> Desc�ibe Proposed Work I u(��(!' �,_J'f1�'� f P _ <br /> / <br /> .�J�02_ — 2�k�} D2 S�. _ W <br /> Project Address(i� known) [����- __ � <br /> Altach four(4i copies of planL I� �proposed work- D:aw lo scale ond note�lie lollowing as apphcab�e: � <br /> • Properry Lines • Centedine of sireet /w <br /> • 7ulline and dimensions ol zll�•��tin9 and • Indicate Nor�h V, <br /> proposed strucWres on the lot • Sho�v any proposed gradin�changes <br /> • Existing and proposed u�ili�ies • Show mcasurements � . <br /> �_ DO NOT WRITE BELGW THIS LINE <br /> � ' 1 PERMITCONDITIONS O <br /> '�' 7.All calls for inspection shall be made 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shall be pedormed in accordance with this permit and current Ciry of Everett Design and Crstruction <br /> '�� Standards ano Specilications. <br /> 3.Call Location Underground Serv�ce 48 hrs.before you dig.TOLL FREE NUMBER 1-800•424•5555. � <br /> ��� 4. Inatall rock r_onatructi�n entrance behind dri•seway as <br /> per city atandard #208 r.o eliminate tracicin� mud onto <br /> , atreete as dira�:tgd bX 1'ublic Worke Inapector_ O <br /> 5. Reep city utceeta claan at all Y.imee. <br /> � 6. Curb, gintter and sidewalk in the plat ara new and � <br /> '-' undamaged, any 3sma�e thereto shal; be replace�3 aY, the <br /> diacretion of the Public Worka Inspectcr_ ♦/� <br /> ' 7_ Any change in the clri.veway cut muat be, approved by the H♦ <br /> � Pvblic Worka Inapector. O <br /> �,1 8. Tightline a7.] roof, yard and driveway draine from <br /> houseA to C.B_ atubs at back of a:.de walk with rubber ^ <br /> ' gasket P.V_C_ pipe ii <br /> 9_ Ad�uat wzter bo:ces to grade at end of construction. <br /> � ].0. Drivewaya shall. be cotnplete].y cured be£ore driving on <br /> oI ,�( theG- qCKNOWLEDGEA4ENiOFCONDITIONS <br /> Y ��L <br /> �' �'r� ?II r� The under:iyned owner/applicant hcreby egrees to hold and save harm� <br /> le�; U'.a City ot Everett hom any and all claims tor damages, cosis. <br /> expena^5, or causes ol action Iha; may arise because ol ins�allation <br /> �,_ g ,AA � � Z_ ����' — and mairtenance of �he imp�ovement or other ri�ht�obway usr. hereto <br /> —S�'�'�-��� applied for and further agrees to remove same upon notice Irom Ihe <br /> Approved fW Construc;ion D . City and Ioy e public pr neity damaged thereby. <br /> /�� . /.���/� ��/.' / - � . f���2"�� ' <br /> ( ,' —��; i ,�.��_ . .-�_ <br /> fINAL INSPEGTION ,. � unte � <br /> Approved as Conslructed Si aWre ol Applica�� Date <br /> everett PUE'�LICWORKSCEPARTMENT WORK AU7HORIZED BY THIS FERMIT MUST BE STARTED WITHIN <br /> � 3200Ceda�Street 1�0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Eveiett,WA 98201 BE DILIC,ENTLY PURSU=D TO COMPLETION. THIS F'ERMIT MAY BE <br /> Phone:259�0610 CANCELLED BV THE CTY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 9G C]AVS DURATION. <br />