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oete�ld�9i =� <br />�, <br />PU�LIC <br />ct <br />C� <br />1 <br />r.i <br />Print or Type Only�- <br />�� <br />lfl <br />.i <br />4pplicetlon For <br />WORKS PERM(T <br />InYI [l Ci .+ Ui �.`i r,Ai �� i�� <br />�oo ci y ci 1n rir_� C- <br />ifl `O [-1 N f I p F'� u) i <br />i M �n �A M y +w .�) � <br />M _ � M <br />Gl fD 'S_' 0.' <br />� Gl L� 7 (D <br />03 0 � �=� ii n�� <br />(� <br />S <br />� <br />K— �z-z$-4 <br />POSTING � a� 9� ' <br />Pup�¢ Worw� Perm�t • � I ��� <br />BIUY. Oepl. • <br />P�Eik Worw� Fee <br />Totni Fea � <br />Leu �p01 fu Pud � <br />e�i�nr.e Oue i � <br />33� 38'/7 �" <br />Appllcanl Meilinp Addres3 Clty Zip PhOne ��:+ <br />Pro�ect Addreas (II known) lP -- 7 <br />Atfech lour (4) coplea ol plana lor proposed work - Orew fo a�:ale and note tha following es aRp4cablr <br />• Property Linea <br />• Outline end dlmenelone of ell e�lsting and <br />proposed 6iructurea on tfie lot <br />• E�Islinp enA p�opoaed utllitles <br />�1 <br />• l:enlerline ol atraet <br />• Indicete North <br />• ShoW eny prop080d {�rAAlnp ChBngBa <br />� Show maesuramenta <br />PERMIT CONDITIONS <br />1. All calle lor Inepectlon nhall be mede 24 hre. In edvence • p'�one 259•8810. <br />2. All work ehell be peAormad in eccordence with thia permit end cu�rent City cl Everett Deslgn and Construction <br />Slenda�de end Specillcatlona <br />3. Catl Locetlon Underpround Servlce 48 hra before you dlp. TJLL FREE NUMBER 1•800•424•5555. <br />4. Inetall rock conetruction entrance behind drivewav ae per r_ity <br />etandard #20B and eroaion control ae directed bY Public Worke <br />Inepector. <br />5. Reep rity streete clean at all timAe <br />8. Curb gutter end eidewalk in the plat are new and undamaqed, <br />any damage thereto ehall be replaced at the diecreti.on of the <br />Public Worlce Inepector. <br />7. Any change in the driveway cut muet be approved bY +he Public <br />Works Inepector. <br />B. Tightline all roof, yard and drivewev draine to storm drain <br />etube at back aide of eidewalk. <br />9. Ad,just water boxee tc� grade at end of conotruction. <br />10. Drivewaye shall be rompletely cured before driving on them. <br />���Q M`� `7-� -yl <br />Approved for Conetr tlon Dete <br />�.� >d -�� _ 9i <br />FINAL INSPECTION Dale <br />App�oved as Constructed <br />�PUBLIC WORKS DEPAHTMENT <br />3200 Ceder Streel <br />Evere�t, WA 98201 <br />Phona:259�8810 <br />ACKNOWLEDGEMF.NT OF CONDITIONS <br />W <br />� <br />� <br />� <br />� <br />O <br />a <br />The untlerclqned owneqapplicanl hereby egraes to hold end save harm- <br />lesa fhe City ol Everelt Irom any and all claims lor dnmedes. costs. <br />expenses, or causes ol ecllon thel mey erise hecause ol inetellelion <br />and mainlenance ol Ihe improvement o� clher right�ol�way use harelo <br />applled fo� ena lurlhar nprees to removg eame upon notice from Ihe <br />Clly end tr, rapl ca public proparty damaged thereby. <br />�^ <br />Si eture of A licant Date <br />ORK AUTHORIZEU BY THIS PERMIT MU51 BE STARTED WITHIN <br />�180 DAYS OF DATI: PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAV BE <br />CANCELLED BV TNI: CITV UPON ANY STOPPAGE OF WORK ON THIS <br />PflOJECT OVER 90 DAYS DURATION. <br />