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�Ijsw■w <br /> 10-1-93 6 - (-�-4 3/ <br /> Data Vill 110cTJNg s_qy PublK Wolk.Parma• _ ` � / <br /> Apks rhCation For BD•pt.• 42 i <br /> PUBLIC WORKS PERMIT PubrTotam Wprke <br /> Fae Fee <br /> Leo Apyl Fee Paid S _ <br /> Print or Type Only 9e4e�eDus t�� <br /> Select Homes 237 Elm St Everett WA 98203 256-1503 � <br /> Owner Mailing Address City Zip Phom <br /> Owner <br /> Applicant Mailing Address City Zip Phone <br /> 1,l <br /> Describe Proposed Work new houoe Lot 46 Hanabrook Div 4 <br /> 1. <br /> Project Address(if known) 124 58th P13W ✓ LU <br /> Attach lour(4)copies of pons 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 nn the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements <br /> DO NOT WRITE BELOW THIS LINE <br /> ° PERMIT CONDITIONS O <br /> 1.All calls for Inspection shall be made 24 hrs.in advance-phone 259.8810. 0 <br /> 2.All work shall be performed In accordance with this permit and current City of Everett Design and Construction <br /> Standards and Speclficahons. <br /> 3.Call Location Underground Service 48 him before you dig.TOLL FREE NUMBER 1.800.424.5555. <br /> 4. Install rock construction +ntrance behind drivawav as per city <br /> standard #208 and erosion co-Itrol as directed by Public Works <br /> Inspector. ^ <br /> 5. Keep city streets clean at all times `� <br /> 8. 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 Ineper_tor. <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. O^ <br /> 8. Connect all roof, yard and driveway drains to storm drain <br /> system provided to lot. I.i. <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 /> l 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 /> C r expenses, or causes of action that may arise because of Installation <br /> and maintenance of the Improvement or other right-ol-way use hereto <br /> .Approv d for Cons ructicn LST ! 7 applied for and further agrees to remove same upon notice from the <br /> tics Dale Cily annd�tooreeplaace�puubliicc property damaged thereby. <br /> 5L/ _ ����W(/i'N.Irrf <br /> FINAL INSPECTION %Dale �L�i7.,� /� <br /> Approved as Constructed Si atu of Applicant Date <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200 Ceder Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 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 />