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Aapeuitron For <br /> Date 9-24-99 / <br /> PUBLIC WORKS PERMIT Public Works Permit a C <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett,WA 98201 (425)257-8810 Building Permit If —49999_023 <br /> FEfj 11 lel Public Works Fee$ <br /> TYPE OR PRINT ONLY To ppSTMG <br /> AHK CONSTRUCTION PO BOX 12027 EVERETT 98206 160-651-2172 <br /> Owner Mailing Address City Zip Phone <br /> _ OWNER <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work Uj <br /> PROJECT ADDRESS (if known) �Z�O 5�ih P� SW Lot 7 Woodlands W <br /> O <br /> Attach four(4)copies plans for proposed work-Draw to scale and note the following If applicable: <br /> •Property Lines •Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br /> •Conlerfine of street •Indicate North •Show any proposed grading changes •Show measurements <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: 0 <br /> 1. All calls for inspection shall be made 24 hours in advance - phone i4?5) 257.0810 <br /> 2. All work shall be performed in accordance with this permit and currPrl City of Everett Design anti _ v <br /> construction Standards and Specifications. <br /> 3. Call LocAtion Underground Service 48 hrs. before you dig.TOLL FREE riciMBER 1-800.424.5555. 751 <br /> 4. Keep city streets clean at all times- <br /> 5. Curb glans,and sidewalk in the plat are new and lmdsmaged•wry damage:thereto shall be replaced at <br /> the discretion of the Public Worcs Inspector. <br /> 6. Any change in the driveway cut must be approved by Mee PW Lupector,Width d prop line limited to <br /> existing apron widtb. <br /> 7. Adjust urate,bores to grade at end of construction. <br /> 8. Driveways shall be rompletety cured before driving on them <br /> 9. Rooftop drainage shad he discharged fo the storm drainage stub provided at ft front of ltrc lot. <br /> f,HEI-C 264,, <br /> A OM4111 <br /> �i ACKNOWLEDGEMENT OF CONDITIONS <br /> The undorso,od oanonlapp!icant hereby agrees to hold and save harmless <br /> 7 the City of Ewrod from any and all claims for damages,costs,eaper ses,or <br /> J <br /> causes of ocbon that may arise because of installation and maintain.me of the <br /> ppr r A4515 DaTe improvement or other right-0l-way use hereto applied for and further agrees to <br /> / remove same upon notice from the City and to replace Public property dam. <br /> ago rcby. <br /> FINAL INSPECTION Data r ' <br /> Approved as Constructed r <br /> Signature cl NP1371cant <br /> WORK AUTHORVED BY THIS PERMIT MUST BE STARTED W 1IN 100 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER if TO BE DILIGENTLY PURSUED TO <br /> OOMpI ETON.TI-IIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />