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Date_ 4-20-93 �� _ _Z� <br /> PUEbc Wer4 Parma• <br /> Apphcal,on i o, BMy Deet • 40304 1 <br /> PUBLIC WORKS PERMIT Pabec Woms Fee - <br /> Total Fee a.� <br /> To H.' ING 5-, Leu soot Fee Pod f_ _ - <br /> Print or type Only Balance Due • � <br /> Select Homes 237 Elm St Zverett WA 98203 258-1503 �fJ } <br /> Owner Mailing Address C,ly Zip e`hune <br /> Owner <br /> Applicant Melling Address Cit, Zip PY:one , 1 <br /> H <br /> Describe orLposed Work __ new house <br /> Project Adm ass(if known) LLJ <br /> Lot 39 Div 3 _ <br /> Attach four(4)copies of plans for proposed work• Draw to scale and note the following as applicable: <br /> • Property Lines • Centerline of street <br /> • Outline and dimensions of all existing and • indicate North <br /> proposed structure%on the lot • Show any proposed grading changss <br /> • Existing and pri. .,sed utilities • Snow measurements <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> 1.All calls for Inspection shall be made 24 hrs.in advance-phone 259.8810. 0 <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and Cons ruction <br /> Standards and Specifications. <br /> 3.Call Location Undrground Service 48 hra.before you dig TOLL FREE NI'MEIER 1•800.424.5555. <br /> 4. Install rock construction entrance behind driveway as per city <br /> standard #208 and erosion control as di.-ected 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, <br /> any damage thereto shall be replaced at the discretion of the <br /> Public Works Inspector. ♦A <br /> 7. Any change in the driveway cut must be approved by the PW In- V� <br /> spector, width at prop line limited to existing apron width. <br /> 8. Connect all roof, yawl and driveway drains to storm drain <br /> system provided to lot. ^ <br /> 9. Adjust, water boxes to grade at end of construction. rLr� <br /> 10. Driveways shall be completely cured before driving on them. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> 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 /> expenses. or causes of action that may arise because of installation <br /> and maintenance of the improvement or other right-ol•way use hereto <br /> Appfoved for Construction7— J applied for and further agrees to remove same upon notice from the <br /> Date City, jtd o re lac <br /> ublic propert amagad thereby. <br /> FINAL INSPECTION Date + 7—�-/ <br /> Approved as Constructed gnat re of Applicifint Date <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED B'y THIS PERMIT MUST BE STARTED WITHIN <br /> 3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everen.WA 98201 BE DILIGENTLY PURSUED TO 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 />