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0 <br /> 9 H Cn <br /> tH" 9 <br /> O O Date 1-14 2 Nbl,c W111,11Pnmb• • �� <br /> H K1 aide 0 • 92/35333 _ <br /> N H �VPLra bon r rn <br /> PUBLIC WORKS PERMIT PabToltlyreFex 111- <br /> 911 <br /> t <br /> OH TO POSTING �/{.]��('(,—pL//77 LUF xPP1 Fra Paid <br /> iDWnc.Dae 6 <br /> 0. o Print or Type Only <br /> yH <br /> Hanabrook Inc E 4020 Main Spokane WA: 99202 (509) 534-0644 <br /> O N H Owner Melling Address V Lo rCI!y r'. i r k{ Id Phone <br /> ndNh Hi:� <br /> C8 to }yr �� k I <br /> [*1 Owner i. <br /> HO N Applicant Malting Address City Zip Phona — <br /> Describe Proposed Work new SFR LOT I <br /> W <br /> Protect Address(if knowa) �' _ 0 T-14PL- 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,rtllno 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 w/a <br /> WI <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS <br /> 1.All calls for Inspection shall be made 24 hire.In advance-phone 259.8810. aess) <br /> j 2.All work shill 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 hire.before you dig.TOLL FREE NUMBER 1.800424.5555. <br /> 4 . Install rock construction entrance behind driveway File per city <br /> standard #208 and erosion control as directed by Publir. Work~ O <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 damapa thereto shall be replaced at the discretion of thr- I <br /> ... Publir. Wnrks Tnspertnr. CIO <br /> 7. Any change in the driveway cut must be approved by the Publir 0 <br /> Works Inspector. <br /> 8. Tightline all roof, yard and driveway drains to storm drain <br /> otubs at back side of sidewalk. <br /> 9. Ad,lust water boxes to grade at end of construction. <br /> 10. Driveways rshall be completely cured before driving on them. <br /> quo ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hole 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 /> _ I and maintenance of the Improvement or other right -way use hereto <br /> L _31 Z <br /> �L,-- applied for and further agrees to remove same upon notice from the <br /> Approved-or Construcyon Dale City and to replace public property damaged thereby. <br /> FINAL INSPECTION Dale <br /> Approved ae Coneiructed Sig alure of Applicant Date <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STA TED WITHIN <br /> PUBLIC <br /> RKS 180 DAYS OF DATE PERMIT 15 ISSUED AND THEREAFTER IS TO <br /> 3200 Everett Cedar <br /> ap tree BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett <br /> WA 9810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone: PROJECT OVER 90 DAYS DURATION. <br />