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fJ <br />� <br />� <br />TYPE OR PRINT ONLY 1 <br />Patrick RE <br />Ovner <br />A�,plkant <br />� <br />�� � <br />PUBLIC WO�KS PERMIT <br />PUBIJC WORK EPAHTMENT <br />3200 Street <br />Evoretl, WA 882� 259•BB10 <br />°OSTING _ �=.�mo�. � g � � � <br />:: �K���P <br />�y N <br />Descnbe Proposed Work <br />nev <br />PROJECT ADDRESS pf known) <br />�03 74th St SW <br />� <br />M <br />� <br />� <br />Attech lour (!) copbs ol plens Iw propoeed work - Draw to scals and note the folbwinp II applk.able: <br />/ <br />Dats 10-10-96 <br />ww� waw Pamn r_ q�O�'403 <br />sunai� r«mn • 53166 <br />Lot 4 McRenzie <br />Fnone <br />Yroperty LJnse 'Outllne end tlimansiwis o1 ell existl�p end propoeed etrucluras on tta bt •Exletirq and propoaed utilltbs <br />�Centerline of etreet 'Indlcale Nonh 'Show erry propoeed gmdinp chanyes 5how meaeurementa <br />PEHMIT CONDITIONS: <br />1. PJI calls tor Inspection shall be mede 24 hours in advance - phone 259-8810. <br />2. All work ehall be pertormed in eccordance with thls pertnit and curtent City of Ee�erett Design end <br />Conatructlon Standarcls end Speclflcations. <br />3. Cell Locatic� Underground Servlce 48 hrs. before you dfg. TOLL FREE NUMBER 7-800-42A-6S6B. <br />4. Install roek conswc6un entrance behind driveway as per city strmdard N208 and erosion eontrol sa directed <br />Nablic Works lnspector. <br />5. I:ecp city streets dean al atl times. <br />(. Cu►b �artter and adcwalk in the plat are new and tmAamaged, arry� demage thtteto �hed be replaced et the <br />discrefion of U�e Yub6c Wo�ks Inspector. <br />'. My chnnge in fhc driveway cut musi bc approvcd try the PW Inspector, width at prop line limited to eristln <br />apron µidtli. <br />8 Cutb fxa Jiains m ulliei slunu dnun stuus have beeu provided to eoch lut u� ihe plal for the cotmecGon of <br />tootlop downspouk <br />'�`� <br />� /C���B/9lo <br />l <br />Approved br Construclion Date <br />I �� <br />ACKNOWLED(3EMENT JF CONDRIONS <br />The underaiqnad owner/eppllcant Mreby aQieea to hold �nd seve harmleaf <br />IM City ot Everetl lrom arry and ell clelme /m damaqee, cats, expennes, a <br />cauase ol eelbn !het may arisa bacauae o1 Inatepatbn entl mdnlenanco of <br />Ihe Imqovertient or other rlgMof-wey use horMo epplbd la and hulher eprem <br />to remova eeme upon notice from tha CNy end to replace pudk propMy <br />dameped ihereby. <br />sp�an,�e m ry�icam oe�e <br />WOAK AUTHORIZED BY i111S PERMR MUST BE STARi�D WfTMIN 180 DAVS OF OATE PERMR IS ISSUED AND THEREAFTER IS 1'0 BE DILIOENTLV PURSUED TO <br />COMPLEf10N. THIS PERMR MAY BE CANCELLED 3Y TVIE d7Y UPON AI�Y STOPPA(3E OF WORK CW THIS PROJECT OVEFl 90 DAYS W RATON. <br />