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418KI K 9/27/91 PPbiic won,Perms• 7t 373,— <br /> Date- TO POSTING _3 �!p pePi fiV 2- -91197RRR - <br /> Ap N¢;abnn For -- -- _ <br /> PUBLIC WORKS PERMIT PubTo4114.l�work. , S <br /> L� leu AML Fee P,W <br /> ms <br /> [h y i ei rte_ Brtm pe. <br /> oryp <br /> Print Te Only <br /> % 3re wi is r�i n run dr'i <br /> Lsi `xy3y Hanabrook Inc E L020 Main Spokane 99202 534-06/14! ; -2- _ <br /> H Z 3C Melling Address ;rrdy �iP :� - Phone <br /> yYYr+ Owner , .our <br /> rc y0 <br /> `V H Q Applicant <br /> Address city 21p Phone �^ <br /> CA H <br /> z <br /> �� N CFR t r tsl N bl;ppl: ^fly 41 — <br /> Describe Proposed Work <br /> O H -- <br /> W Cis <br /> n� n <br /> zH <br /> z59t1 . <br /> t Pi . SE. <br /> CO y Project Address(if known) z-'� I. <br /> H <br /> A d N Attach lour 141 copies of plans for proposed work Draw to scale end note the following of applicable: <br /> r, • Property Lines • C Indicate <br /> lee rt street <br /> ts1 •Outline and dimensions of all existing P 1 • Indicate y pro <br /> !n proposed structures on the lot • Show any proposed grading changes <br /> H y • Existing and proposed utjldjes • Show meas emesis M <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> i.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 Spa:llications. <br /> 1 <br /> 000, 3.Call Location Underground Service 48 fire.before you dig TOLL FREE NUf'BER 1.800.424.5555. <br /> 4. Install rock construction entrance behind driveway 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 L <br /> 6. Curb gutter and sidewalk in the plat are new end undamaged, r <br /> any damage thereto shall be replaced at the discretion of the �^ <br /> Public Works Inspector. O <br /> 7. Any change in the driveway cut, must be approved by the Public <br /> Works Tnsprot-or. <br /> S. Tightline all roof, yard and drivewav drsins to storm drain ^ <br /> stubs at back side of sidewalk. <br /> 9. Adjust water boxes to grade At And of construction. <br /> f 10. Driveways shall be completely cured before driving on them. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> /\`L•C) The undersigned owner/applicant hereby agrees to hold and save harm. <br /> ' r Y less the City of Everett from any and all claims lot damages costs <br /> "penses. or causes of action that may arise because of installation <br /> P? .j T,-��.�� and maintenance of the improvement or v other right-of-wayupon notice <br /> use hereto <br /> X applied for and lurcher agrees to remove same upon notice Irom the <br /> Approved for Construction Date City and to replace t aged thereby. <br /> l� iF'P/jN/i✓ �"j o ' y '' �/ <br /> FINAL INSPECTION <br /> Date Garb <br /> Approved as Constructed Si nature I pphcant <br /> WORK AUTHORIZED BY THIS IT MUST BE STARTED WITHIN <br /> PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> As 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> qu Everett WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:289.8810 PROJECT OVER 90 DAYS DURATION. <br /> A <br />