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r <br /> �y� �L <br /> Date 9-27-91 / /�/r dr -7, 7 Public Work,Permit a <br /> �Application For Bldg Dept.41, 91/27804 <br /> PUBLIC WORKS PERMIT Pub <br /> bTotal Feaiea : <br /> Lan Appl Fee Paid <br /> i <br /> Print Or Tvrd only TO POSTING_ 4/',zq4gL Balance Due s Zo - <br /> selcct Ifomes 237 Elm St Everett 98203 258-1503 <br /> oAne• Meiling Address City Zip Phone <br /> Ovne r <br /> AT <br /> o _ Meiling Address City Zip Phone <br /> Describe Proposed Work _$$1YXIS hlVW GFR <br /> UJ <br /> Project Address(il known) Lot 10 —' l4 O+—L% PIL S <br /> Attach lour(4)copies of plans for proposed work- Draw to scale and note the following as app;table: <br /> • 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 <br /> UO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls 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 ane.Specifications. <br /> 3.Call Location Underground Service 48 hra.before you dig.TOLL FREE NUMBER 1.800.424.5555, <br /> 4. Install rock •:onstruction entrance behind driveway as per city O <br /> standard 11208 and erosion control as directed by Public Works <br /> iInspector. <br /> 1 5. Keep city streets clean at all times <br /> 8. Curb gutter and eidewalk in the plat are new and undamaged, <br /> any damage thn• eto shall be replaced at the discretion of the <br /> Public Works Inspector. <br /> 7. Any change in the driveway cut must be approved by the Public_ <br /> Works Inspector. <br /> S 8. Tightlina all roof, yard and driveway drains to storm drain <br /> stubs at back side 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 /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/enplicant hereby agrees to hold and save harm- <br /> less the City of Everett from any and all claims for damages, costs. <br /> r expenses. or causes of action that may arise because of Installation <br /> and raintenance of the Improvement or other right-of-way use hereto <br /> 0.s ,-1 ✓ applied for and further agrees to remove same upon notice from the <br /> Approved for Construction Date City nd to re lac ub�ertY malted thereby. <br /> FINAL INSPECTION Date --Z(erq.- <br /> Approved as Constructed Signeture'ot App i6 nl Date <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 9 tree der Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Ce <br /> CL Everett, da BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259.8810 PROJECT OVER 90 DAYS DURATION. <br />