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J� <br /> 9/27/91 TO POSTING. . �jo PYEeC Worts Permoe <br /> Date p.w , 91 3 <br /> Application Fur <br /> PUBLIC WORKS PERMIT °"°'WWOfhefN <br /> Te W Poa <br /> .OLeu Apel Fe.Paid 6 <br /> yy 8 59 S 88 `(J q Nemec.pus = 20— <br /> Print or Type Only } [7 p [] 4. <br /> L' �•i T N it M ( It 9 O M' <br /> H <br /> � wi w a5 <br /> O P3 Hambrook Inc E 4020 Mai ZI s <br /> Owner 411ing Address.', °' a Ity Phone <br /> "3z &Sr� � ro 5 vt $ git5 <br /> H tv Mailing Address City Zip none <br /> xO Applicant <br /> E <br /> n` o <br /> Describe Proposed Work N CFR t..r r•c t+npaabrock Div pl <br /> H <br /> z <br /> LU!n <br /> H <br /> [Qat <br /> Project Address III known) <br /> z H <br /> y O to Attach lout 14)copies of plans lot proposed work- Draw to sale and note the following as applicabW <br /> • Property Lines • Centerline of street <br /> •Outline and dimensions of a8 existing and • Indicate North <br /> proposed structures on the lot • Show tiny pfcuosed grading changes <br /> • Existing rind proposed utilities • Show measurements <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> eAlso 1.All calls for Inspection shell in 24 his.m advance•phone 259.8810. <br /> asil <br /> +ate 2.All winm k shell be performed accordance with this permit and current City 91 Everett Design and Cc.istruction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 his.befom you dig TOLL FREE NUMBER 1.800-424.5555. z <br /> rr w 4. Instal.] ror_k construction entrance behind driveway as per city <br /> standard 0208 and erosion control as directed by Public Works <br /> Inspector. <br /> 5. Keep city streets clean at all times <br /> r. 8. Curb gutter and sidewalk in the plat ars new and undamaged, <br /> any damage thereto shall be replaced at the discretion of the 'w <br /> Public Works Inspector. <br /> 7. Any change in the driveway cut must be approved by the Public O <br /> Works Inspector. <br /> R. Tightline all roof, yard and driveway drains to storm drain <br /> Vial" stubs at back side of sidewalk. <br /> vIr R. 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 ownedaPPlicanl hereby agrees to hold and save harm <br /> less the City of Everett from any and all claims lot damage& costs. <br /> expenses. or causes of action that may arise because of Installation l <br /> (� and maintenance of the improvement or other right•ol•way use hereto <br /> Uu AJ�1 applied for and furthP fees to emove same upon notice from the <br /> Appr vad for ConslructI Dote City and to rep) public pi damaged thereby. <br /> � L <br /> FINAL INSPECTION Dele D e <br /> Approw d as Constructed Signature of Applicant <br /> WORK AUTHORIZED B IS PERMIT MUST Be STARTED WITHIN <br /> 7 PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Cedar Street BE DILIGENTLY PURSUED 10 COMPLETION,THIS PERMIT MAY BE <br /> Everett.WA 38201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259.8810 PROJECT OVER 90 DAYS DURATION. <br />