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Date-9L21/L_1 91 <br /> PUGi¢Wodf Perms e <br /> /379 <br /> Appyitinn f Bldg Dept• <br /> PUBLIC WORKSU STINRN P Pe,KWprYfF..-- <br /> TGTTotalFee <br /> Leef APPI Fee Paid <br /> Print otype OnBuSSS <br /> Zd <br /> o+ ' <br /> in co <br /> Hanabrook Inc ,E4020 Main S ok%ne&9f02 K6H'f 534-0644 <br /> Owner g CITY lip Phone <br /> ? m� 7rmal$o ^rQs' �s � <br /> Applicant Meiling Address ally <br /> Zqr i'noac <br /> Describe Proposed Work NEW SFR Lot 47, Hanabrook Div #1 <br /> Project Address(il known) <br /> 3162 — G04JI PL SE Hall <br /> w <br /> Attach four(4)copies of plane for proposed work•Draw to scale and note the following as applicable: <br /> • Property Linesa� <br /> • Outline and dimensions of all existing and •Centerline of street <br /> • Indicate North <br /> Proposed structures on the fol • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements <br /> DO NOT WRITE BELOW THIS LINE <br /> PEPMIT CONDITIONS <br /> 1.All calls for Inspection shall be made 24 hrs.In advance•phone 259.8810. <br /> 2.All work shall be performed In accordance witl'this permit and current City of Everett Design and Cons ruction <br /> Standards and Specifications. <br /> 3.Cell Location Underground Service 10 hrs,before you dig.TOLL FREE NUMBER 1.800424-5555. <br /> 4. Tnstall rock constru,etion entrance behind driveway as per city z <br /> standard #208 and erosion control as directed by Public Works O <br /> Tnspector. <br /> 5. Keep city streets clean at all times <br /> 8. Curb gutter and sidewalk in the plat are new and undamaged, a <br /> any damage thereto shall be replaced at the discretion of the <br /> Public Works Inspector. C0 <br /> 7. Any change in the driveway cut must be approved by the Public <br /> Works Inspector. O <br /> 8. Tightlins all roof, yard and driveway drains to storm draft <br /> stubs at back side of sidewalk. <br /> 9. Adiust water boxes to grade at end of construction. <br /> n 10. Driveways shall be completely cured before driving on them. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm. <br /> n 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 pr other right-ol•way use hereto <br /> applied for and Tutt r agrees to <br /> Approved for Conslru tion Dale g hove same upon notice from the <br /> �J City and repl u y.damaged thereby. <br /> d,_ r- j•L L C p <br /> FINAL INSPECTION Date <br /> Approved as Constructed 10 nature ppkcant Date <br /> QLPUBLIC WORKS DEPARTMENT WORK AUTHORIZEDB IS PERMIT MUST BE STARTED WITHIN <br /> 3200 Ceder Street 180 DAYS OF DATE P•RMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett WA 88201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone:259.8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />