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su�sex <br /> r <br /> H <br /> m <br /> 109/27/91 TO POSTING �euawpn,pe,mu. 9r — <br /> F <br /> Dale <br /> HBldg Deal ._ 91 <br /> y %InPlicatlon For 27811 - <br /> O ' PUBLIC WORKS PERMIT Pub;W„I,e.r 5 <br /> Le <br /> N M <br /> H n Apps Fee MM <br /> g F� O [.r r aY DuC• tR�r <br /> Np Print or Type Only <br /> GJ 1�; Or . r 4 C o (C(ppJ C] <br /> N <br /> rO. Hanabrook Inc E 4020 Main Spokane 99202 534�b644 r ~ <br /> "t Owner Mailing Address -Zi , � a <br /> F' cQiS l- iah <br /> y H Zl 5 i rr. M - 0 -: A PS U <br /> pO N <br /> ps r Applicant Melling Address City ZIP Phone <br /> y Describe Proposed Work New SFR Lot 46 Hanabrook Div 41 <br /> UJ <br /> Project Address lir known) <br /> Attach tour(4)copies of plans for proposed work• Draw to scale and note the following as applicable: asam <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 wA <br /> I. W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> t 1.All calls for Inspection shall be made 24 hra.in advance•phone 259.8810. aaa� <br /> _ 2.All work shall be performed In accordance with this permit and current City of Everett Design and Construction <br /> ' Standards Bel Specifications. <br /> 3.Cell Location Underground Service 48 bra before you dig TOLL FREE NUMBER 1.800.424.5555. q <br /> 4. InstAll rock construction entrance behind driveway AS per city O <br /> standard #208 and erosion control as directed by Public Works <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 damage thereto shall be replaced at the discretion of tho <br /> Publin Works Inspertor. N� <br /> 7. Any change in the drivew%y cut must be approved by the Public O <br /> Works Inspector. <br /> 8. Tightline all roof, yard and driveway drains to storm drain A <br /> stubs at back side of sidewalk. <br /> 9. Adjust water boxes to grade at and of construction. <br /> 10. Driveways Shall be completely cured before driving on them. <br /> �..rft <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. costa <br /> ^ 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 /> l • L 1••�� applied for and further agrees to remove same upon notice from the <br /> Ai proved- (or Con ruction Date City and to rapt rpraperl ed thereby. <br /> FINAL INSPECTION DrAe )110 <br /> Approved as ConalructedSignature o pplicantDate <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED By T ERMIT MUST BE STARTED WITHIN <br /> 180 DAYS DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3DOO Cedar Street BE <br /> Everett WA 98201 BE DILIGENTLY <br /> Y PURSUED TO COMPLETION.THIS PERMIT MAY <br /> Phone:259.8810 CANCELLED BY THE CITU UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />