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W"�l . <br /> 3 <br /> y fn H Date__q./_l.l.(.gl I PueucW°rbPumn. _ <br /> z nhon t'Qi Bide 0.0• 91/27686 <br /> ipplir <br /> NOMg PUBLIC WORKS PERMIT Q ff))q P••falainr•° t <br /> QV g 10 �QS� lNG a0�/]d-• Lill,SCOL rM Pad : <br /> C. Cf O O O O B.I.nc°ous <br /> y y Print or Type Only �r c; 8 <br /> O IA O <br /> H r`� rH �q :a <br /> 17 I. rn Hanabrook Tier E 4020 Main Syknn VAC 30209 SFL! _nAAA <br /> P❑ <br /> t Owner Mailing ZtIfT r.� ?'?4' Ity� k 5 Zip Phone <br /> y 0 to <br /> En b °i a F,`7 a t7i .ti Cil S fit r5 �— rr <br /> Applicant Melling Address City Zip PhOnB y (r� <br /> Describe Proposed Work Construct new 1143SF house <br /> Project Address(it known) 231 59th Ill SE L14 JQJ W <br /> FM <br /> Attach lour(4)copies of plans for proposed work• Draw to scale and note the following as applicable: Lst_ <br /> • Property Lines • Centerline of street <br /> • Outline and dimensions of all existing and • Indicate North V♦ i <br /> proposed structures on the lot • Show any proposed grading changrs <br /> 'C jr • Existing and proposed utilities • Show measurements <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> Iw 1.All calls for inspection shall be made 24 his,in advance•phone 259.8810. <br /> w5 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.Call Location Underground Service 48 hrs.belo-e you dig.TOLL FREE NUMBER 1.800424.5555. a�,a <br /> 4. Install rock construction entrance behind driveway as per city �il�+ <br /> �.� standard 11208 and erosion control as directed by Public Works o <br /> Inspector. <br /> 5. Keep city etre"ta clean at all times <br /> 8. Curb gutter and sidewalk in the plat are new and undamaged, laaaar <br /> !.I I any damage thereto shall be replaced At the discretion of the <br /> Public Wor:is Inspector. <br /> 7. Any change in the driveway rut must be approved by the Public <br /> w Works Inspector. <br /> �Iw 8. Tightline all roof, yard and driveway drains to storm drain 0.stubs at back side of sidewalk. <br /> 9. Adjust water boxes to grade nt end of construction. <br /> ��rywi d 10. Driveways shall be completely cured before driving on them. <br /> AC',NOWLEDGEMENT OF CONDITIONS <br /> J 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 /> n 1^/1 Q expenseP, or causes of action that may arise because of Installation <br /> ' Q VTI C- J -.?4—9 ) and mP:ntenanca of the improvement or other right-of-way use hereto <br /> applird for and further agr.es to remove same upon notice from the <br /> Approved for Canal ion Date City and to replace public property damaged thereby. <br /> FINAL INSPECTION Dale C <br /> Approved as Conslrueled� I Signature of Applicant Date 7 PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 32uC near Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Evcletl.WA 98201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> kiroie:259.8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />