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9 <br /> F <br /> CT1 y <br /> A <br /> este l_ L4_92 TO FISTING�4� 9� PUEXtW°.nFP.rmX• J�J <br /> to H Application For also o.°r.• 92/35331 <br /> z SPUBT°talFnaLIC WORKS PERMIT P°" "'. <br /> Q (� S— — <br /> Ot FA yy Leo Alto Fe.Pei° a— <br /> H Lx] V <br /> n V o �i 13 81`9 Fa 8 8c 'W�ncaDas !<_ <br /> q Print or Type Only <br /> V <br /> .y .n <br /> rA Hambrook Inc _ E. 4020 Main 01F 102.) S14-0644 <br /> ❑❑y H Owner Mailing Address r` L yam. 1;p�+��j+ '• ` -- Phone <br /> 3 tx1y <br /> [^lx1 Iq <br /> C11 Owner <br /> H O V, Applicant Melling Address City Zip Phone <br /> �1 I <br /> Describe Proposed Work new SFR LOT 29 - <br /> I <br /> _ W <br /> 21 — �. <br /> Project Address til known) C2 Pt_ SE - - — -- <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 /> O Outline and dimensions of all existing and O Indicate North V, <br /> proposed i.ructures on the lot O Show any proposed grading changes <br /> O Existing and proposed utilities • Chow measurements <br /> DO N07 WRITE BELOW THIS LINE <br /> 1 PERMIT CONDITIONS <br /> i 1.All calls for Inspection shall be made 24 hrs.In advance•phone 259.8810. <br /> 1 I <br /> � 2.All work shell be performed in accordance wit' this permit and current City of Everett Design and Cons'rucllon <br /> ass. Standards and Specification& <br /> 3.Cell Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1.800424.5555. s� <br /> 4. Tnatall reek construction entrance behind driveway ae per city, o <br /> standard 11208 and erosion control as directed by Public Works <br /> Tnapector. <br /> 5. Keep city streets clean at, all times <br /> 8. Curb gutter and sidewalk in the plat are new and undemag <br /> any damage thereto shall be replaced at the discretion of the /w <br /> 0=1 Public Works Inspector. V, <br /> 7. Any change in the driveway out must, be approved by the Publir <br /> Works Tnspector. <br /> R. Tightline all roof, yard and driveway drains to storm drain <br /> ( ' stuhe Rt, back Aide of sidewalk. <br /> 9. Aijust water boxes to grade at end of construction. <br /> 10. Drivewaye shall be completely cured before driving on them. <br /> --� r ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and gave harm <br /> ��- - - less the City of Everett from any and all claims for damages cost& <br /> - _ 7 expenses, or causes of action that may arise because of Installation <br /> and maintenance of the Improvement or other right-of-way use hereto <br /> applied for and further agrees to remove same upon notice from the <br /> Approved lot Construction Date City and to replace public property damaged thereby. <br /> FINAL INSPECTION Datei-L �_>•c..�--- <br /> Approved as Constructed Signature of Applicant Dete <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> i0 DAYS DATE PERMIT IS IMBUED AND THEREAFTER IS TO <br /> 3200 Cedar Street <br /> Everett WA 98201 BEEDILIGENTLTL Y PURSUED TO COMPLETION.THIS PERMIT MAY <br /> CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259•8810 PROJECT OVER 90 DAYS DURATION. <br />