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2/24/94 <br />Date._ <br />PUBLIC <br />Print or Type Only <br />Greg Ownes L901 Lower <br />Owner <br />�ame <br />Applicant <br />Desc�ibe Proposed Work <br />Project Addross lif knownl � � � <br />_ � 12 Z°4 <br />Applicallon Fur <br />WOI�KS <br />cl <br />O <br />I; <br />r.5 <br />X: <br />Y <br />rI <br />fl <br />PER�OII�STING � �6-�+ <br />�i.'�. r�;8�J5'�ia+ <br />In�� Uu vJn �o <br />p- f.l U('1 M�.: M <br />(T + M y: <br />M W M <br />erett 98203 <br />iress x�J � <br />CJ C'? 2 L't fc ^ <br />O fu f� f, o� �'� <br />1 J W �.1 ji J <br />S� 2 7' O'� 4] b f�. <br />Mailing Address <br />New duple: <br />�� <br />n � p p fi ni <br />Ci <'JPOUh� <br />�i «> p �:i �� �� y <br />W M I M p� <br />��s ���o � � <br />City <br />� . Zip <br />G Y � �. <br />[��i ' 1- F 41 <br />U7 .-i �t � L� <br />Lot 2 <br />Pu�bc Woea Pmmil • —I�B_' _ . _ <br />o�av oso� • 43600 <br />Pu�t¢ WorFt f ee <br />� To1Dl fee S _ <br />IH�ApDI feePa�U S� <br />Belence Ouc S � <br />Attach lour 14) copies of plans loi proposed work - Draw to scale and note thea'ollowing as applicable�. <br />• Property Lines • Cenlerline ol streel <br />• Outline and dimen5ions oi all exist�ng and !;ntl�cate North <br />proposed slruclures on Ihe lot • Show any p�oposed grading ch�nges <br />• Ezisting and proposed utilities • Show measurements <br />PERMIT CONDITIONS <br />1. All calls lor inspection shall be made 24 hrs. in advance • phone 259•8810. <br />2. All work sheil be pedormed in eccordance with lhis permit end current City of Everett Design end Constructlon <br />Standards end Specilicetions. <br />3. Cell Location Underground Service 48 hrs. beloie you dig. TOLL FFEE NUMBER 1•800•424•5555. <br />4. Instal rock construction entrance behind drhreway as per city <br />standard �Ir208 and erosion control as directed by Pubic Works <br />Inspeclor. <br />5. Keep city streets ckan at aN times <br />8. Curb guller and sfdevwk in ihe plat are new and undamaged, <br />arry damape Ihereto shal be replaced at Ihe discretion of the <br />Pubic Works Inspector. <br />1. Arry chanpe In the driveway cut must be approved by the PVJ In- <br />spector. width at prop ine pmNed to n�isling apron width. <br />8. Connect al rool, yard and driveway drains to storm drain <br />system provided Io bt. <br />9. AdJust water boxes to grade at end ot construction. <br />t0. Driveways shal be compktely cured be(ore driving on them. <br />--��-.p �l�-�' 3-�-_ <br />ApPi ved fo� Construction Date <br />(' <br />��'' �. � G .._ � _ % � � /� , 7 y <br />FINAL INSPECTtON �� Date <br />Approved 25 Constiuctetl <br />�PUBLIC KORKS DEPARTMENT <br />�3200 Ceder Sireet <br />Eve�alt WA9B201 <br />Phono:2:9�8870 <br />ne <br />ACKNOWLEDGLMENT OF CONDI?IONS <br />W <br />� <br />� <br />� <br />C� <br />The undersigned owneVappr:cant herebyagrees to hold and save hanm <br />less Ihe Cily ot EvereU Irom any and all claims lor damapes. cnsis. <br />expenses. or causes ol aclion ihat may arise becauso oi installztion <br />and maintenance ul Ihe improvement or other �ighPol�way use here�n <br />aoplied lor and luriher ayrees lo remove sama upon notir.e Irom Ihc <br />City and to replace pubhc property damaged thereby. <br />✓l.�/_ <br />Sionatwe ol Applicant Date <br />WORK AUT ORIZED BY THIS PERMIT MUST BE STARTED WIThiIN <br />1d0 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TJ <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLEU DY THE CI fV UPON ANV STOPPAGE OF WORK ON THIS <br />FROJECT OVER 90 DAYS DURATION. <br />