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Main <br /> Z'�v I 'Z � <br /> Date_0411191 TO POSTING___ PuencwpA.P.rmd. � It- � <br /> Bldg Dept. 91/27687__ <br /> Application ror — <br /> PUBLIC WORKS PERMIT PvewdWorks"' <br /> H tour Fe. <br /> /� t1r Le..A111 re.P.idQ _ <br /> C H <br /> B.i.nce Due S <br /> r Print or Type Only r' <br /> H 13ii'-- o <br /> I.•c y'CV . a a .n a W <br /> T. <br /> xo Hanabrook Inc E 4020 Main Spokane ,'OA 99202 f` '2 <br /> Hy H Owner MaiNng Ajdre i , CU (r '!,? z3.-ZIP Phone _ <br /> � x Pu HrCpin,I 1u/ fk5"ri. <br /> O� n C11f iL1 � T_ Nr�_1 � �t U� tit� � I \_ <br /> O H Applicant Mailing Address City Zip Phone <br /> Z O E IlJ1J <br /> HDescribe Proposed Work _ ono r r t New 114 SIT Howe — <br /> 'aL H <br /> HH <br /> IA gW dy I Ok 53 <br /> �" -- <br /> x 1-3 N Protect Address til known) _2Qy—GOtJs.-P1—SB <br /> H O N Attach four(4)copies of plans for proposed WOO Draw to scale and note the following as applicable. raaar• <br /> A Property Lines • Centerline of street /^ <br /> •Outline and dimensions of all existing and • indicate North v♦ <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements �A <br /> DO t4of lh'HITI- Elf LOW THIS LINO <br /> '� PERMIT CONDITIONS <br /> .� I.All cells for inspection shall be made 24 hrs.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 /> C3.Call Location Underground Service 48 bra.before you dig.TOLL FREE NUMBER 1.800.424.5555. r� <br /> 4. Install. ruck construction entrance behind driveway as per city flame <br /> standard #208 and erosion control as directed by Public Works O <br /> Tnspectnr. <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 therato shall be replaced at the discretion of the ♦� <br /> lel PLblic Works inspector. Public <br /> !. Any change in the driveway cut must be approved by the Public O <br /> Works Inspector. <br /> �. 8. Tightlins all roof. yard and driveway drains to storm drain <br /> stubs at back aide of sidewalk. <br /> 9. Ad,iust water boxes to grade at end of construction. <br /> 10. Driveways shall be completely cured before driving on them. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> �\ Th*undersigned ownerlapplicant 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 mise because of installatior <br /> and maintenance of the Improvement or other righl•ol•way use hereto <br /> /Oi A� y�/ Fri J —!�✓ applied for and funner agrees to remove same upon notice Irom the <br /> Apploved for Con <br /> �a'jNction/ Date City and to replace Jublic property damaged thereby. <br /> FINAL INSPECTION Date t <br /> Approved as Constructed Slgnaluro of Applicant Dale <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLIC <br /> et 180 DAYS OF DATE PERMIT 1S ISSUED AND THEREAFTER IS TO <br /> 3200 Everett da 98201 tree BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY B::nry WA <br /> Phone:259.8820 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />