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Date 9/27 91 <br /> PYCIIc Work,Parma• <br /> Application For \1 Bldg Dept uIzzl15 <br /> PUBLIC WORKS PERMIT PCWorksFFeeTotal ,TO POSTINGLessApptFee Fred <br /> Print Of Type Only �D apt 9 _ eebMeDoe S?-0 <br /> Hanabrook Inc E 4020 Main Spokane 14A 99202 534-0644 <br /> Owner Mailing Address City Zip Phone <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work New SFR Trot 57 Itanahrnnk r•-- a, <br /> Project Address(if known' 2'�z" — 59�� PL SE `J <br /> Attach lour(4)copies of plans for proposed work. Draw to scale and note the following as applicable: <br /> • Property Lines • Centerline of street I <br /> • Outline and dimensions of all existing and • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements <br /> DO NOT WRITE BELOW THIS LINE �\ <br /> PERMIT CONDITIONS l <br /> 1.All calls for Inspection shell be made 24 hr&in advance.phone 259.8810. Ire <br /> 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.before you dig.TOLL FREE NUMBER 1.800.424.5555. z <br /> 4. Install rock construction entrance behind driveway as per city <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 undamaged. I"' <br /> any damage thereto shall be replaced at the discretion of the ♦� <br /> Public Works Inspector. V♦ <br /> 7. Any change in the driveway cut must be approved by the Public O <br /> Works Inspector. <br /> 8. Tightline all roof, yard and driveway drains to storm drain <br /> stubs at back site of sidewalk. <br /> 9. Adjust water boxes to grade at end of construction. <br /> 10. Driveways shall be completely cured before driving on them. <br /> �O ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold end sive harm- <br /> less the City of Everett from any and all claims for damaPes, costs. <br /> Q expenses, or causes of action that may arise because of Installation <br /> and maintenance of the improvement or other right-of-way hereto <br /> Approved for C iruction, applied for and further agrees to remove same upon n lice from the <br /> Date City and to repie tic prop damaged thereby. <br /> FINAL INSPECTION Dale <br /> Approved as Constructed ignalurefpp icant <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY PERMIT MUST BE STARTED WITHIN <br /> 3200 Cedar Street 180 DAYS OF LATE P IT IS ISSUED AND THEREAFTER IS TO <br /> BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone:2559 <br /> Everett 988201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> 8910 PROJECT OVER 90 DAYS DURATION. <br />