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G <br /> 7Xr <br /> Deis_ 9-27-91 Puhi¢Wmb Perms• I � <br /> AOplica ion For elep Deet,a 91/27802 _ <br /> y PUI3LIC WORKS PERMIT PubTle Wer:IFS. <br /> Tore)Fee 1< <br /> Less xo Fee Pao 8 <br /> q y J eueoce Due $ ZO <br /> H Print or Type Only TO POSTING /lc/2=_ <br /> H �+ <br /> K A <br /> 0 H Select Homes 237 Elm ST Everett _98203 258-1503 <br /> yly Owner Mailing Address Col., Zip Phone <br /> MdOwner <br /> O H Applicant Mailing Address Cory Zip Phone <br /> Hag � <br /> My (9 Describe Proposed Work New S['R <br /> t' - - — -------- <br /> --- - ------------------ <br /> tH/�H <br /> g �y ----- -- Ll.l <br /> �. Project Address fit known) Lot 6 3_Z - (a G Li PL 5E <br /> H t�ir <br /> H O W Attach lour(4)copies of plans for proposed work• Draw to scale and^ate the loltowirg as applicable. <br /> • Property Lines • Centerhre of Nree1 <br /> •Outline and dimensions of all existing and • Indicate North v s/ <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements ss <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS <br /> 1 I 1.All calla for inspection shall be made 24 his.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 Specifications. <br /> 3.Call Location Underground Service 48 lire.before you dog.TOLL FREE NUMBER 1.800-424.5555. z <br /> 4. Tnstall rnnk nonst:ruotion Prit.r.,ince. hehind driveway arT per city O <br /> e' andard 0208 and erosion control as directed by Public Works <br /> Tnspentor. <br /> 5. Keep city streets clean at all times <br /> 6. Curb gutter and sidewalk in the plat are new and undamaged, <br /> any damage thereto shall be replaced at the diacretinn of the 'w <br /> Public. Works Tnspentor. v, <br /> 7. Any change in the driveway cut must he approved by the Public <br /> Wnrks TnspPTP,tnr. <br /> ry B. Tight.line all roof, yard and driveway drains to storm drain ^ <br /> stubs at back side of sidewalk. Li <br /> s. Adjust water hoxee to grade at end of construction. <br /> 10. Driveways shall be. completely cured before driving on them. <br /> !' ' ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owneNapplicant 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 /> Rus, Me ttv �c_Q _�.l and maintenance of the improvement or other dghi•obway use hereto <br /> appla d replio for and Ilirlher agrees to remove same upon notice from the <br /> Approved for Construction Dal" City e u lic prop ty da tl thereby. <br /> i� <br /> FINAL INSPECTION Dale <br /> Approved as Constructed Slgnalure o pplicant Dale <br /> OnPUBLIC WORKS DEPARTMF NT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett WA.98201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone:259-88t0 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 00 DAYS DURATION. <br /> e <br />