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Date—.1��(_?;�J/
<br />Appin:nbon For
<br />�PUBLIC WORXS PERMIT
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<br />Appl:�? il Mailin�� ACdress C ly Lp PhOnC -
<br />1 /� � �J (�� Q3/25/91 10:22RM OOOAq6183 Ki:'k:t
<br />D�•��ciihe PrOPosed Work '___��j�.Yt�LdLI !� %�pl./_L1-� -- h!J! 1_...L_rj� (����,
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<br />FLEG 445.00
<br />- ----- MECH�3D.6�- �
<br />Pr„e�i l.ddress Id knownl __�_ � `� �--�^ � L �`'-% _
<br />nuar.n toc� �n� cou�es o� plans lur proposed work � Draw to scaio aod no�r� the �ouowing as anp�irab�e: �QTER 5130.00
<br />O Property Unes • Crntr.rlint ol street �
<br />• Ouuine and dim�nsions o� au r. �.i�„�i :i��d • IndicalC Nor�h �qO�OOPc8157
<br />proP��sed ,truetures o�thelo� • Show any proPos��d yradiMT���lnqrs 4�0.00
<br />•[xisl���,g :u A nroposed uiildi�s • Shnw mcaswrmrnts 1171-5 455�.OU
<br />DU NOi WRI
<br />PEHMIT CGNDITIONS
<br />1, A�I call!� for insper,�ion shall he made 2A hra m advan :e � phone 25J•$$i O
<br />2. All work sh;,ll be Urrformed ir accordance with Ihis permit and cunent Ciry ot Evrrett Design and Construction
<br />SlarAards and Specihc�tions.
<br />3. CaP �_ocaLon Undnrground Service 48 hrs, belore you dic�. TOLL FREE NUMBER 1-800•424•5555.
<br />Install rock construction entrance behind driveway as per city
<br />standard N208 t:o reduce tracking mud onto streets and ere�inn
<br />contro? as directed by Fublic Works Inspector.
<br />Kei�p city streets c_ean at all times.
<br />Curb, qutter and sidewalk in the plat are new and undamaged,
<br />any damage therfato shall be replaced at the discretion of the
<br />I'iiblic Works Ins;pertor.
<br />�ny change in the driveway cut must be approved by the
<br />Fuhlic Works inspectar.
<br />Tiqhtline all roof, yard and driveway dr?ins from houses to stn�
<br />drairi etubs at back of side walk with rubber qasL:et P.V.C. pip��.
<br />Adiust waler boxe5 tu grade at end of cnnstructinn.
<br />Driveways shall be completely cured before driving on them.
<br />ACKNOWLE6GEMENT OF CONDITIONS
<br />_ 1 �v� i-Y1� � � ._� �__`) i
<br />Approved lor Construcljpn / Dale
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<br />_ �L U�G� %'�f'`'��
<br />r iNn�EcnoN o,�e
<br />npprovcA as Constructed
<br />�•vrrr❑ PUBLIC WOFKS DEPARTMENi
<br />� J700 Cedar Sheet
<br />E:erett. WA 98201
<br />Phano 259�NPt0
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<br />Thr, unde�signeA owneVapphr.ant hereby agrees to hold and �a:e hann�
<br />less Ihe Clly ol Eve�rtl I�om any and all claims lor damn9es, costa
<br />expr.nses. or causes ol ac�i0n Ihal may aiise �ecause ol ins�allation
<br />and main�enanr.e ol the nnprovemenl or otlier n{�hPnPway use herelo
<br />applird lo� anA lur�her agrres to remove samc upnn nuhr,e Irom Ihe
<br />Cdy and to replace public pron�nlY dnmageA Uicrrby.
<br />/!%"�t,.�a� I+ `�t,�. i 1�-`j/
<br />si�nnwre o� anv��can� � � oa�e
<br />'NORK HJTHOR12El) �V THIS PERMIT MUST BE STARTED WIiHI�I
<br />100 DAVS OF DATE PLRMIT IS ISSUED AND TH[R[AFTEfi IS iU
<br />BE DILIG[iVTLY PURSUED TO COMPL[TION Tf�{IS P[RMIT �.1AV HL
<br />CANGCLLFD L3V THE CITY UPUN ANY STOpP�GI: OF WOf7N C1N illl ;
<br />Pi70Jl C1 (1V! 17'10I1;�A',ti pUPAII(ltr
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