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r5 n <br /> 40 <br /> Cy; F <br /> Hq I 3-7-7 <br /> � H �a Date__ _ PublICWOM.P.rmpf', <br /> It1Hi 'It Application For alae seer. YY1 _ <br /> Hy ~ <br /> x PUBLIC WORKS PEFMbTTING t °t�aFe:`" <br /> 8t V zz 4 <br /> r Lm ADPL F"P.q � <br /> W 0 l S S Ln S S O S ce oe <br /> H 171 O Print or Type Only i r' <br /> 9� rV <br /> t H �1 Hanabrook Inc E 4020 Main Spokane 9920 534-0644 4 N I <br /> t7 t~ir i3 Owner Mailing Address r` t` Phone <br /> o H �Jj � � <br /> Cy .4c 2O_ TN ;r <br /> F3 <br /> to i C] <br /> Applicant Mailing Address City 21p Phone <br /> zX 1 <br /> HO [n <br /> Describe Proposed Work New SFR Int 49 Ranabrionk Div #I <br /> LLJ <br /> Project Address(If known) <br /> Attach four(4)copies of plans for proposed work•Draw to scale and note the following as applicable: tel— <br /> • Property Lines • Centerline of street �/� <br /> •Outline and dimensions of all existing and • I♦ <br /> Indicate North <br /> proposed structures on the lot •Show any proposed grading changes <br /> • Existing and proposed utilities •Shnw measurements <br /> � DO NOT'ARITE 3�LOW THIS LINE <br /> 'C3, PERMIT CONDITIONS 0 <br /> 1,All calls for Inspection shall be made 24 him In advance•phone 259.8810. <br /> f 2.All work shall be performed in accordance with this permit end current City of Everett Design and Construction ■ <br /> ` Standards and Specifications. <br /> '_ <br /> 3.Cell Location Underground Service 48 fire.before you dig.TOLL FREE NUMBER 1.600.424.5555. z <br /> 4. Install rock construction entrarva behind driveway as per city <br /> standard #208 and erosion control a: directed by Public Works <br /> Inspector. <br /> w 5. Keep city streetB clean at all times <br /> 6. Curb gutter and sidewalk in the plat are new ar,d undamaged, <br /> Its— <br /> any damage thereto shall be replaced at the discretion of the r^ <br /> Public. Works Irlepector. 0 <br /> j7. Any change is the driveway cut must be approved by the Public O <br /> Works Inspector. <br /> 8. Tightlins all roof, yard and driveway drains to storm drain <br /> stubs at back side of sidewalk. t �L <br /> 9. Adjust water boxes to grade at end of construction. <br /> C 10. Driveways shall be completely cured before driving on them. <br /> t <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> Imo` The undersigned owner/applicant hereby agrees to hold and save hsrrn- <br /> less the City of Everett from any and all claims for damages, costs <br /> expenses or causes of action that may wise because of Installation <br /> and maintenance of the improvement or other right-of-way use hereto <br /> applied for and further agrees to remove some upon notice from the <br /> Approved for Construction Dale City and to replace public property damaged thereby. <br /> FINAL I SPECTION Dole <br /> Approved as Constructed ignature I pp and Li le <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZEDDATE BY MI RMIT MUST BE STARTED WITHIN <br /> 3200 Cedar Street BE DAYS TL DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett WA 98201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY <br /> CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259.8810 PROJECT OVER 90 DAYS DURATION. <br />