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Pat° 10/11/95 <br />Application For <br />PUBLIC WORKS <br />Print or Type Only <br />4 <br />T POSTING Lzu- <br />PRMIT <br />SCE Development 17606 49th III SE <br />Owner n,,.. <br />Address <br />B8SIR <br />Sp •e <br />Public Write Pawlq. <br />aldp Dept e 9 JP <br />Public works Fee <br />Toles rot S_ — <br />Less Appl Fee Paid S - -- <br />�BeinnceDue is L� <br />3homish WA 29 ~5198-4255 <br />�3 fy Phone O <br />ad�� ,�� � •ay L <br />( lv Lip <br />Describe Proposed work _. _New house - Basic 1126 -_ <br />Phony. <br />4 Park Ridge <br />Protect Address UI known) _ J—✓ -- <br />Attarh four t41 copies of plans lot proposed work - Draw, to sr-,11e and note the following as applicable. <br />• Property Lines <br />• Centerline of street <br />• Outline and dimensions of all existing and <br />• Indicate North <br />proposed structures on the lot <br />• Show any proposed grading changes <br />• Existing and proposed utilities <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All calls for Inspection ohu!I . • made 24 Ire, in advance - phone 259.8810. <br />2. All work shall be performe, ill accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3 Cal Loc ion nde ound Servi a 48 h efo a ypu dig. TOLL FREE NUMBER 1.600.424.5555. <br />I. Irlstn roc% con �mcton enhance `�ciunr� driveway as per city standard #208 and erosion control as directed I <br />Public Works Inspector. <br />5. Keep city stteets clean at all titncs. <br />6. (ittb gutter and sidewalk in the plat arc new and undamaged, any damage thereto shrill be repinced at the <br />discretion of die Public Works Inspector. <br />7. Any change in the driveway cut must be approved by the PW Inspector, width a, prop line limited to e)dsSng <br />apron width. <br />8. Curb face drains or otlner storm drain stubs have becn provided to each lot in the plat for the Connection of <br />rooftop downspouts and footing drains. <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett. WA 98201 <br />Phone: 269.8810 <br />W` <br />r <br />_) <br />W <br />0 <br />Z <br />O <br />V♦ <br />O <br />an <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />` <br />Inss the City of Everett from any and all claims for damages. costs. <br />Ifs/l�f� <br />expensesor causes of action that may arise because of installation <br />and maintenance of the Improvement or other right-of-way use hereto <br />J <br />applied for and further agrees to remove same upon notice from the <br />Date <br />City and t epla public property damaged thereby. <br />Date <br />Date <br />Sig In of A n <br />WORK F PERMIT WITHIN <br />too DAYS OFDA 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 />