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Date 10-21-93 C I --J - Z� Pucnc Wprke Permit e �l4Pl� <br /> e.09 Dept . 42432 <br /> Application For <br /> PUBLIC WORKS PERM / Pupec Wprwe Fee S <br /> S -�G-`�`I Lexn�pp`FrePaidS <br /> TO POS NG _. q i_ <br /> aeience Dur S �`�^� <br /> Print or Type Only <br /> ..0 r <br /> Select Homes 237 Elm St Everett WA 98203 258-1503 <br /> Owner Marling Address City Zip Phone <br /> Owner — <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work <br /> new house Lot 42 Hanabrook Div 4 r <br /> _ - W <br /> Project Address til known) 105 58th P1 SW ✓ —- <br /> Attach lour tiff 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 /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for Inspection shall be made 24 hrs.in advance-phone 259.8810. <br /> 2.All work shall be performed In accordance with this permit and current City of Everett Design end Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hr&before you dig.TOLL FREE NUMBER 1-800.424.5555. <br /> 4. Install rock construrtion entrance behind '.riveway as per city O <br /> standard 0208 and erosion control as directed by Public Works <br /> Inspector. <br /> 5. Keep city streets clean at all times <br /> 6. Curb gutter and sidewalk in the plat are new and undamaged. <br /> any damage thereto shall be replaced at the discretion of the <br /> Public Works Inspector . <br /> 7. Any change in the driveway cut must be approved by the PW In- <br /> spector, width at prop line limited to Pxisting apron width. <br /> 8. Connect all roof, yard and driveway drains to storm drain <br /> system provided to lot. him <br /> 9. Adjust water boxes to grade at end of construction. <br /> 10. Driveways shall be completely cured before driving on them. <br /> ACKNOWLEDGEMENT OF CONDITIONS <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 /> ��11 expenses, or causes of action that may arise because of installation <br /> �Z7 /93 and maintenance of the improvement or v other right-of-way nnota use hereto <br /> applied for end further agrees to remove same upon notice from the <br /> Approved for Construction Dale Cit Mace bite Property magod thereby. <br /> FINAL INSPECTION ate Dale <br /> Approved as Constructed Signal T <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION, THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY I1PON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259.8810 PROJECT OVER 90 DAYS DURATION. <br />