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12/2/93 E v �g 4 q 3Z <br /> rueec wore.rarmn a <br /> Date �—� <br /> Application For TO POSTING •z1--2J— billy DePI • . 69R7,� <br /> PUBLIC WORKS PERMIT PurT¢wmee Fee <br /> otellee <br /> Leas•vol Fee Peed <br /> Balance Due S !N <br /> Print or Type Only <br /> J <br /> Ernest Kawalaoto 3929 108th St SE Everett 98208 337-4677 <br /> Ownei Mailing Addre>s city Zip Phone <br /> Applicant Meiling Address City Zip Phone <br /> s <br /> Describe Proposed Work <br /> New house <br /> _ W <br /> Project Address(if known) Leo zdt' — r>- -7 rMk_ 5W Lot 37 Powder Mill Highlands 2 <br /> Attach four(4)copies of plans for proposed work- Draw to scale and note the following as applicable. <br /> • Property Lines • Centerline of street <br /> • Outline and dimensions of all existing and • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements M <br /> 'r DO NOT WRITE BELOW THIS LINE W <br /> r O <br /> i PERMIT CONDITIONS <br /> 1.All calls for Inspection shall be made 24 hrs.in advance-phone 259.881 O. <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.C II L atlon U derground Service 48 hrs.before you dig.TOLL FREE NUMBER 1.800.424.5555. <br /> �. �nets1.1 rock construction entrance behind driveway as per city <br /> standard 5208 and erosion control as directed by Public Works O <br /> Inspector. <br /> 5. Keep city Btreet,s clean at all times <br /> 6. Curb gutter and sidewalk in the plat are new and undamaged, <br /> any damage thereto shall be replacod at the discretion of the <br /> Public Works Inspector. ♦^ <br /> 7. Any change in the driveway cut must be approved by the PW In- �I1I <br /> Spector, width at prop line limited to existing apron width. O <br /> 8. Connect all roof, yard and driveway drains to storm drain <br /> system provided to lot . a <br /> 9. Adiust water boxes to grade at and of construction. <br /> 10. Driveways shall. he completely cured before driving on them. <br /> .iACKNOWLEDGEMENT OF CONDN IONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the City of Everett from any and all claims for damages, costs. <br /> / expenses, or causes of action that may arise because of installation <br /> ��C _ _ p q and maintenanceand <br /> of the improvement or v other right-of-waypoon i use hereto <br /> 8 � applied for antl lurcher agrees to remove same upon notice from the <br /> Approvedfor Con ruction Date City and to replace public property damaged thereby. <br /> r 1 <br /> FINAL INSPECTION D ley <br /> Approved as Constructed Signature of Applicant <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> OPUBLIC WORKS DEPARTMENT '- 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Ceder Street BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> w7r Phone:2598810 PROJECT OVER 90 DAYS DURATION. <br />