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14-7 <br /> C <br /> L <br /> C HHx fn <br /> y Y 0 <br /> p� Date 1-8-47 1h1b1tCW0rble Permll• ' Z S' ?_— <br /> rn H npplirntlnn R.. aide 0811• 92/3528G _ <br /> sPUJLIC WORKS PERMIT Pubft <br /> Ffee <br /> ; : <br /> O F1 L..,AW Fee Pud S <br /> " �y TO POSTING_ (a — <br /> Cq g 1 IY �. yGr? 4 =BNen Due p rtr <br /> Print or Type On'y � S� u,r.n., <br /> Sty « €' � r� <br /> y Hanabreok Inc E. 4020 Main SnakfaO rWA 99202" (!@9) 34-0644 <br /> H Owner Mailing Address �,Cit i ,1 rr one <br /> co <br /> Owner m a W m cs <br /> H 133 y Applicant Mailing Address City Zip Phone l>> <br /> Det cntu Proposed Work new SFA J4,5m� 1G�/ <br /> ( Project Ar'diess(Il known) I (0O T 4 PL_ se W f <br /> Attach lour(4)copies of plans for proposed work•Draw to scale and note the following as applicable: <br /> • Property Lines •Centerline of street ♦^ <br /> •Outline and dimensions of all existing and • Ind tele North v♦ <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements <br /> LM <br /> C"n DO NOT WRITE BELOW THIS LINE <br /> L PERMIT CONDITIONS 0 <br /> 1.All calls for Inspection shall be made 24 lire.in advance•phone 259.8810. <br /> 2.All work shall he performed In accordance with this permit and current City of Everett Design and Construction <br /> 9011,seas, Standards and Specifications <br /> i . 3.Cell Location Underground Service 48 hrs before you dig.TOLL FREE NUMBER 1.8004245555. <br /> 4. Install rock construction entrance behind driveway as per city <br /> standard #208 and erosion control. as directed by Public Works <br /> inspector. <br /> 5. Keep city streets clean at all times <br /> S. Curb gutter And sidewalk in the plat are new and undamaged, <br /> Any damage thereto shall he replaced at the discretion of the I — <br /> Public Works Inspector. U)7. Any change in the driveway rut must he avproved by the Public ® <br /> Works Inspector. <br /> 8. Tightline all roof, yard and driveway drai.ne to storm drain 0Mstubs At. hack aide of sidewalk. <br /> 9. 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 /> LQThe undersigned owner/applicant hereby agrees to hold and save harm- <br /> ` G less the City of Everett from any and all claims for damages costs <br /> 11 ) expenses, or causes of action that may arise because of Installation <br /> / <br /> e `;l�C f _ ( ^ 5( --f'C.. and maintenance of the improvement or other right-of-way use hereto <br /> Approved for Cons rue Ion Date applied for and further agrees to remove same upon notice from the <br /> City and to replace public property damaged thereby. <br /> FINAL INSPECTION Date K 'y <br /> Approved as Constructed Signature of Applicant / Dale <br /> CLPUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STA TED WITHIN <br /> 3200 Cedar Street 180 DAYS OF DATE PERMIT 15 ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone:269.8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />