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gy <br />H <br />R tq- r <br />ra <br />HOC <br />A-Iz- z5--I- <br />Date 4 16-9 [T ( pq <br />nnpl¢abon roe TO , O 11 INll J -4'._l l <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Pu0l2 W.M. P.rmi • .2mb 3/ <br />Bldg D•pt . _ 36371 <br />P,,bl,c Works Fe. <br />Tol.l Fee S <br />Lmklpril Fee Pod S <br />e.Lnc. D.. S Zp � <br />Abode Ltd 18404 104th NE Bothell 98011 487-2868 <br />Owner Meiling Address City Lip Phone <br />Northwest Permit Inc. Bill Millhollin 641-0922 Mobile 950-1590 <br />Applicant Mailing Address City Zip Phone <br />Describe Proposed Work new duplex <br />Lot 4 <br />Project Address (d known) 12'� A+13 — G9-T-H PL SE <br />Attach tour (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 • Indicate Nort, <br />proposed structures on the lot • Show any proposed gradorl changes <br />1� <br />F� <br />• Existing and proposed ubidies • Show measurements <br />DO NOT WRITE BELOW THIS LINL <br />•,� <br />PERMIT CONDITIONS <br />1. All calls for Inspection shall be made 24 his in advance - phone 259-8810. <br />P. All work shad be performed in accordance with this permit and current City of Everett Design and Construction <br />.� <br />Standards and Specifications. <br />3. Call Location Underground Service 48 his before you dig, TOLL FREE NUMBER 1.800.424.5555. <br />4. Install rock construe-t.ion entrnnr-r• 1,,,r, r, , wriv na per rity <br />standnrd 11208 and eroninn control an-]itf,i;-vi iw Pohlic Works <br />i nspect.or . <br />5. Keep city streets clean .At all times <br />6. Curb wetter and sidewalk in the plat are new And Undamaged <br />Anv damage thereto shall he replaced at the discretion of t.h- <br />'�� <br />Public Works Inspert.nr. <br />7. Any chnnae in the drivewnv cut most he npprnv;ad by the PW In- <br />Bpector, width at prop line- limited t.n exinti.ng apron width. <br />+.. <br />8. Connects all roof, vArd and 111-iVeway drains to storm drni.n <br />nvstem provided to lot. <br />9. Ad.illst. w-iter boxes t.n erarie atend of constrootion. <br />10. DriVeWAyR shall be rnmpintely cured before driving on them. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Tr�c —f-pt- <br />74- <br />Approvsd for Construellon <br />Dille <br />�L= <br />FINAL INSPECTION <br />Date <br />Approved as Constructed <br />IC WORKS DEPARTMENT <br />9LPURL <br />3200 Cedar Street <br />Everett WA 9B201 <br />Phone: 259.8810 <br />n <br />M <br />W <br />O <br />W1 <br />Z <br />O <br />1`i— <br />/I <br />0^ <br />loge <br />The undersigned owneriapplicant hereby agrees to hold and save harm. <br />less the City of Everett from any and all claims for damages, rolls <br />expanses. or causes of action that may arise berause of installation <br />and maintenance of the improvement or other right-ol-way use hereto <br />applied lot and further agrees to remove same upon notice from the <br />City and to replace public prope1y damaged thereby. <br />Signature fin' <br />of Applic rt Date <br />WORK AUTHORIZED BY fHiS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />