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8/17/83 <br />Date_ <br />Apoliration For Tin r•leirTl',Il; <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Pub"' walks <br />sell q 3�Js <br />Din, Deal <br />Pubbc Walks Fe- S <br />101e1 Fee <br />Lens appl. Fee Paid S <br />i <br />Balance Due S <br />Jerry Hickr: 20541 NE 150th Woodinville WA 98072 883-0082 <br />Owner Mailing Address City Zip Phone <br />Same <br />Applicant tailing Address City Zip Phone <br />Describe Proposed Work New house - BASIC 225 <br />Project Address (if known) to - & 16f- Sy_WVJ�� <br />_ <br />Attach four (4) copies of plans for proposed work • Draw to scale and <br />note the following as applicable: <br />• Property Lines <br />• Centerline of street <br />• Outlina and dimensions of all existing and <br />• Indicate Nurth <br />proposed structures on the lot <br />• Existing and proposed utilities <br />• Show any proposed grading changes <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance • phone 259.8810. <br />2. 111 work shalt be performed in accordance with this permit and c•.rrent City of Everett Design and Construction <br />:itandards and Specifications. <br />33 Call Location Underground Se -Ice 48 hrs. before you dig. TULL FREE NUMBER 1.800-424.5555. <br />4. Install rock constriction entrance behind driveway as per city <br />*tandard t1208 and erosion control as directed by Public Works <br />fnspectcr. <br />5. Keep city streets dean at all times <br />8. Curb installs and sidewalk in the plat are new and undamaged, <br />any d• age thereto shall be replaced at the diocretion of the <br />Publi Works Inspector. <br />7. Any chf.nge in the driveway cut must be approved by the PW In- <br />spei,.tor, width at prop line limited to existing apron width. <br />8. Connect all roof, yard and driveway drains to storm drain <br />system provided to lot. <br />9. Aiiinat water boxes to grade at end of construction. <br />10. Driveways shall. be completely cured before driving on them. <br />Appr,w = 'I n• con chon Date <br />FINAi. INSPECTION one <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />C <br />3200 Cedar Street <br />Everett, WA 93201 <br />Phone: 259 8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />M <br />0 <br />n <br />I.4 <br />AA <br />0 <br />a <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the City of Everett from any and all claims for damages. costs. <br />expenses, or caul-1 of action that may arise because of Installation <br />end maintenance of the improvement or other right-of-way use hereto <br />applied for and further agrees to remove same on notice from th <br />yi'� � <br />e <br />( .y and to rpllpublic pjaperty dam�t re y. <br />0 <br />m <br />Date <br />WORK AUTHORIZFD BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT 15 ISSUED AND THLREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PEnMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />