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'V ��CS� �,1� �i �� �E ��1( <br />Date—� �-�d ' � <br />ApPlir.alion Fo� <br />PUBLIC VIIOFiKS PERMIT <br />PriN or Type Only <br />' Owner <br />� Ll <br />Apphcant <br />FsiO /� <br />Mailvig A;ldress <br />City Zip <br />�,,� ,. ,•:�„„ ��,.,�, � . ���/ <br />_�I c,°�Z - <br />t�. ni u.n� . 4( >«' 7� y <br />RJi6e Wo.4nFae <br />1rINl��� S _ _ <br />lr..a nypl Pae Pe�p s_— —' <br />Oaiarvr D�m S _4_ �_� — <br />5vl�tG' GfJ�I n�S'� .�1 <br />PhOnr <br />_ 3 .T1� ` 7`�/l � <br />Phone <br />Des�ribe Proposed Vbrk �� � �� � L'o� � ... � <br />Prolect AAdiess lil known) 28 %�7t1' _�' `'��/ <br />nlLich tour 14) copieo ol plans lor proposed work - Orew lu scale and nole th� lollowm9 as ipPhcablr <br />• Property L�aes • Cenledme ol stree�l <br />• Oullinc and d�mens�ons ol all c.ishnp antl • Indu'.alc North <br />propos^d sl�ur.tures on Ihe Int • Slmw any proPosed gr�dinq r.hanycs <br />• EMiStiny anA proposed u�ddies • Show measwements <br />PERMIT CONDITIONS <br />1. All calls lor Inspection shall be made 24 hrs. in advance - phone 259•8810 <br />2. All work shdll be pertormed in accordance wilh this permil and cunent City ol Everetl Design and Consiruclion <br />Standards and Specilicallons. <br />3. Call Location Underground Service 48 hrs. before you di9 TOLL FREE NUMBER 1-80r 424•5555. <br />lnstall rock construction entrance behind driveHay as per �it;� <br />standard N20H to reduce tracY,ing mud onto streets and erosion <br />control as directed by Public Works Inspector. <br />Yeep city streets clean at all times. <br />Ciirb, gutter and sidewall: i� the plat are new and undamaged, <br />.any damage theret.o shall be replaced at the discretion of the <br />F'ublic Works Inspector. <br />Any change in the driveway cut must be approved by the <br />Fublic Works Inspector. <br />Tightline all roof, yard and driveway drains from houses to stor <br />drain stubs at back of side walk with rubber qasket P.V.C. pipe. <br />Adjust water boxes to grade at end of construction. <br />Driveways shall be completely curPd before driviny on them. <br />� Z'��s% -, � <br />Approved IorGonstruction � ���� <br />��Gtif�L�?' �, (j 2�fJ "%� __ <br />FINAL I J�SP[CT�ON Dale <br />Approved as Gonstiucted <br />evrrrtt PUtlLIC WORNS DEPARTMENT <br />� 3200CodarSlrcel <br />Everetl, WA 98701 <br />Phone�. 259�BF110 <br />W <br />� <br />w / <br />� <br />O <br />� <br />� <br />O <br />ACKNOWLEDG[�d:NT OF CONDITIONS <br />The under5�qneA ownr.r/npplicanl lcreby agrees to holA and savc har��r <br />less Uie Clty ol Fverett Irom any antl all claims lor Aamages. ros:r. <br />espenses. or cnuses of acUon i"at may mise l�ecnuse ol m5l.11labon <br />and mainta�ance ol Ihe impiovemenl or other nph�-obway usr 1':��rin <br />appliod lor anA lurlher aqrees to �emove same upi�n nuhcc hor� Ihi <br />Cil and lo iePlace puU6c pioP^r�y damaged ihereby <br />Si u ure ol APPlicani�� Dale <br />W qUiHORILEO BY 7HI5 P[f7M1T MUST BE START[D WITMN <br />1P0 DAVS OF DATE PERMIT IS ISSU[D AND 7NEREAFiER IS �U <br />B[ DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT I,tAV 3E <br />CANC[l1FD BY THE CITV UPON ANY STOPP.4fE OF WORK ON TF�IS <br />PROJ[CT OV[F7 nC DAYS �URATION <br />