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Date_ 9/27/91 PAIPC work.Per-e. 3� <br /> Application For Oleo per, ._91/27810 <br /> PUBLIC; WORKS PERMIT Pb701111l.,ree s <br /> i) /y LeuAPias <br /> Print or Type Only TO P(1STINf_ z oni.nce Due Due s �� <br /> Hanabrook Inc E 4020 Main Spokane 99202 534-0644 <br /> Owner Melling Address City Zip Phone <br /> _ n00U11 <br /> Applicant Melling Address City Zip LJ Phone <br /> JAhJ u - 1992 <br /> Describe Proposed Work New SFR Lot 48, Hanalorsnk Di;—I 1 <br /> EVERETT <br /> Building Division <br /> UJ <br /> Project Address(if k - :v y PL_ SE <br /> Attach four 14)copies of plans for proposed work.Drew to scale and note the following as applicable: <br /> • Property Lines • Centerline of street ♦/� <br /> • Outline and dimensions of all existing and • Indicate North CJI <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Exicling and proposed utilities • Show measurements <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1,A11 calls for inspection shall be made 24 fire.In advance-phone 259.8810. sr� <br /> 2.All work shell 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 fire.before you dig.TOLL FREE NUMBER 1.800.424.5555. Z <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 /> d. Curb gutter and sidewalk in the plat are new and undamaged, <br /> any damage thereto shall be replaced at the discretion of the <br /> Public Works Inspector. V� <br /> 7. Any change in the driveway cut must be approved by the Public O <br /> Works Inspector. <br /> Tightline all roof, yard and driveway drains to storm drain /+ <br /> stubs at back side of sidewalk. Asa <br /> 9. Adjust 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 held 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 /> !1 \/��) c and maintenance of the Improvement or other right-of-way use hereto <br /> ➢.. a" IY` I'"c. ��—�—✓ applied for and further agrees to re ove same upon notice from the <br /> Approved for Coo,n�,sl�!�u fon Date City and to replace open ranged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed g lure of pplica Date <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED By M PERMIT MUST BE STARTED WITHIN <br /> 3200 Ceder Street 180 DAYS T DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259.9810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />