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Date 9/11/91 / <br /> _ 3z Pup1Kwp,..P.,,mx <br /> TO POSTING10 � �JI1727bH 53 — <br /> r11'plicnlum f cBldg Dept. <br /> PUBLIC WORKS PERMIT P.bk o F.F.. tt <br /> L.0 4pPt F..P., S <br /> Print or Type OnlyD.. s ZOO <br /> O D. O• O O r^• <br /> Hanabrook Inc E 4020 Main S ka 202 34-0644 <br /> Owner Meill r - City Zip Phone <br /> La <br /> o a $ $ >Ern .r Sin. <br /> Applicant Mailing Address City ZIP Phone <br /> a� <br /> Describe Proposed Work na rn r ne 1 196gg_tri—1 nv 1 <br /> Project Address til known) 222-59th Pi SE Lok S4 •U <br /> Attach lour(4)copies of plans for proposed work• Draw to scale and note the following as applicable: H <br /> • Property Lines <br /> • Centerline of street <br /> •proposed <br /> Outline and structures <br /> dimensions of all existing and • Indicate North <br /> proposed structures on the lot • Show any proposed grnding changes <br /> • Existing and proposed utilities • Show measurements <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS <br /> I.All calla for Inspection shall be made 24 hrs.in advance•phone 259.8810. <br /> 2.All work shall be performed In accordance with this permit end current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-C'00-424-5555. <br /> 4. Instal] rock construction entrance behind dtiveway as per city Z <br /> standard #208 and erosion control 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 undarriaged, {a <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 Pubic V♦ <br /> Works Inspector. O <br /> 8. Tightline all roof, yard and driveway drains to storm drain /� <br /> stubs at back side of sidewalk. li <br /> 9. Adiust water boxes to grade at end of construction. <br /> ,(��y�" 10. Drivewayni shall be completely cured before drivirg on them. <br /> /'1\' ACKNOWLEDGEMENT OF CONDITIONS <br /> Y The undersigned owner/applicant hereby agrees to hold and save harm• <br /> less the City of Everett from any and all claims for damages, costa <br /> expenses, or causes of action that may arise because of Installation <br /> l�esZ _2 4. y and maintenance of the improvement or other right-of-way use hereto <br /> applied for and further agrees to remove same upon notice from the <br /> Approved for Coheir ctlon Date <br /> City and to replace public property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed Siij—nalure of Applicant Date <br /> ItarrPUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> r 3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everell.WA 98201 BE DILIGENTLY PURSUED f0 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 /> r <br />