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El <br /> 12/2/93 <br /> Dace 3 <br /> PUDIic Worke Permit <br /> ?°'G Application For p/j1(�/1� mdv Debi <br /> PUBLIC WORKS TOcif -���`f— Public Works Fee <br /> TDxi res S <br /> LOS.ADDI F.r Da,d s <br /> Print or Type Only 9elenro Due s �� <br /> Select Homes 237 Elm St Everett 98203 258-1503 <br /> 6 <br /> Ownor Mailing Address City Z,p -t- <br /> Phone <br /> Applicant Mailing Address Cd - . <br /> y <br /> Zip Phone <br /> Describe Proposed Work New hoose - Basic 217 (Sycamore) <br /> d <br /> Protect Address(il known) 10 58th pig{/ LO It 41 Hanahr k dl i �W <br /> Attach lour(4)copies of plans for proposed work• Draw to scale and note the following as applicable: <br /> • Property Lines •Centerline of street ppp <br /> • Oulllne and dimensions of all existing and • Indicate North <br /> proposed structures on the lot 0 Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements <br /> rttl DO NOT WRITE BELOW THIS LINE <br /> F.. PERMIT CONDITIONS O <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 and Construction <br /> +' Standards and Specifications. <br /> 3.Chu Lc tlodero <br /> tle1800.4559 .atalrOCK Service 48 <br /> entranceLL behind ( wa8r <br /> standard #208 and erosion controlcit <br /> Inspector. as directed by Public per <br /> Works�5. Keep city streets clean at all times O <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 illation <br /> 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 existing apron width. <br /> 8. Connect all roof, yard and driveway drains to storm drain <br /> system provided to lot. <br /> 9. Adjust water boxes to grade at end of construction. Q. <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 /> I'C r expenses, or causes of action Ibe, may arise because of installation <br /> 8 LL11L��� and maintenance of the improvement of other right-of-way use hereto <br /> Approved for Construction r Date applied for and further agrees to remove same upon notice from the <br /> City V.dJOreplac9public properly damaged thereby. <br /> 3_8 y �dWJ��,,�yf LYCL`F2� <br /> FINAL INSPECTION --� Date --93 <br /> Approved as Constructed Signatutle of Applicant Date <br /> 6LPUBLIC WORKS DEPARTMENT WO.'IK AUTHORIZED V THIS PERMIT MUST BE STARTED WITHIN <br /> 3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett WA 90201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone:259.8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br /> k' <br />