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L'1 tip <br />aH_tn <br />H � 3 <br />H � <br />�c n <br />O x0 <br />1- i It <br />OHd <br />=08 <br />rr z <br />r, H <br />U. <br />H <br />ndti <br />t� r <br />tnf <br />H O In <br />asOr <br />'sI d <br />m,"s- <br />A-i2-26-4 <br />Date r-14_92 T(y <br />Fnhhnitioil Uii roST11T 5--1-4te <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />1n4im WPM Peimn is <br />emv DePI a 36372 <br />PYPLC WPrhs Fes 5, <br />Total Fee <br />Less APPI Fee Paid <br />eeuncs 0.0, S W <br />Abode Ltd 18404 104th Ave NE Bothell 98011 487-2868 <br />Owner Id:eeng Address City Zip Phone <br />Northwest Permit Inc Bill Millho111n 641-0922 Mobile 950-1590 <br />Applicant Mailing Address City Zip Phone <br />Describe Proposed Work new duplex <br />Lot 3 <br />Prole I A.ldreas lit known) 1 Z 9 — Co 9'r►'� FL S E A + 6) <br />Attach lour 141 copies of plan, for proposed work - Draw to scale and note the following as applicable: <br />• Property Lines • Centerline of street <br />• Outline and dimensions of an existing and •Indicate North <br />proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />W <br />v' <br />j <br />! <br />Dori IuiE E3EtOW 1H6 UNG <br />' <br />PERMIT CONDITIONS <br />I <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 with this permit and urre tit C,ty of Everelt Design and Construction <br />Standards and Spedficaliona <br />a Call Location Underground Service 48 hit before you dig TOLL FREE NUMBER 1.800.424.5555. <br />s..� <br />4. instal l rock cn,-.r;t.ructton Pit t.r-'itit •- n, itIrid 11VIvPWAY as prnr cit, <br />G <br />standard #208 rind erosion control as directed by Publir, Work <br />Tnspertnr. <br />O <br />5. Keep city sl.rePts clean rit all Limes <br />6. Curb gutter and sidewalk in the plat, are new and undamaged. <br />Ij <br />nnv damage thrfrPto shrill be replaced at, the discretion of th <br />Publir Works Tnspect.nr. <br />/9 <br />CIO <br />7. Ariv rhanop in the dri.vewav cutu must be apprnvPd by the PW 1r. <br />spect.nr, width tit. prop l.inei li.pdted to existing apron width. <br />o <br />rind rlrivewv drni.ns t.storm drain <br />R. Connect. all roof. yard Tic,t <br />syst.Pm prnvidr:d t.n lot.. <br />am <br />9. Ad,iust. wntPr boxes to 9rnde at end of ronst.rurt.icn. <br />lU. DrivPways shall be completPiv cured befnre driving on t.hem. <br />10 <br />�c i <br />Appr�• for Construcfhin� Date <br />FINAL INSPECTION Data <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />eStreet <br />Everett WA 98201 <br />Phone: 259.8810 <br />ACKNOWLEDGEMEN* OF CONDITIONS <br />The undersigned owncr/applicant hereby agrees to hold and save harm. <br />loss the City of Everett from any and all claims for damage& costa <br />expenses. or causes of action that may arise because of installation <br />and maintenance of the improvement or other right-of-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to replace public property damaged thereby. <br />Ignalure of Appm ant Date <br />WORK AUTHORIZED BY THIS 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 GAYS DURATION. <br />r.,,,..... 2 <br />