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Date 9/27/91 <br /> Pubbc Wort,PermlI .\ <br /> Application For slay oePl . 91/2781B <br /> PUBLIC WORKS PERMIT Publ¢WaL,Fee f -- <br /> Total Fee <br /> Leu ADPI Fee Pod $ <br /> Print or Type Only Q $ 8 ,R $ g cy 2M*9 <br /> fJ d M el b M � • �A -J <br /> Halutbrook Inc E4020 Plain Spokane 99202 " -U1XUV- 53�-0�4 <br /> Owner Melling Address o- M cit ui <br /> o � � � Phone <br /> Applicant Mailing Address city Zip Phone <br /> Describe Proposed Work New SFR Lot 50 Fianabrook Div 01 <br /> Project Address(it known) <br /> Attach four 14)copies of plans for proposed work- Draw to scale and note the following as applicr ble. <br /> • Property Lines • Centerline of street <br /> • Outline and dimensions of all existing and 0 Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements <br /> DO NOT WRITE BELOW THIS LINE ca <br /> PERMIT CONDITIONS O <br /> 1.All calls for Inspection shall be made 24 his.in advance-phone 259.8810. 0 <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.Cell Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1.800.424.5555. z <br /> 4. Install. rock conetzro(Ition entrance behind driveway An per cit.v <br /> standard #208 and erosion control ns directed by Nth) 1.c Works O <br /> Inspector. <br /> 5. Keep city strAets clean at All times <br /> B. Curb gutter -ind sidewalk in the plat are new and undamaged, <br /> any damage thereto Shall be replaced at, the discretion of thr 'p <br /> Plzhlin Wnrks Inspector. V, <br /> 7. Any rhangn in the dri.vewny cut must hm approved by the Public O <br /> Works inspector. <br /> P. Tightlina all roof, yard and driveway drains to storm drain <br /> stubs at hack side) of sidewAlk. lit <br /> 9. Adjust water boxes to grade ,,ir end of construction. <br /> 10. Driveways shAll beil cnmplet;elv nrmi hFfnrP riri•rine nn Chow- <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm <br /> less the City of Everett from any and all claims for damages, costs <br /> i expenses, or causes of action that may arise because of installation <br /> (A ` I I J i �_L� ! Land maintenance of the improvement or other right-of-way use hereto <br /> 1 applied for and further agrees to remove same upon notice from the <br /> Approved for Construction Date City and to replace public property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature Of Applicant Date <br /> / PUBLIC WORKS DEPARTMENT 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:259.8810 I CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />