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A 71y <br />C H <br />H�H <br />'! A <br />H <br />'DSO 0 <br />coH i7H <br />Z <br />8d <br />0• n <br />H L" <br />9H <br />tt"" I— H <br />gt4 <br />H <br />A Cqy (f�M/A�r <br />Om CA <br />En <br />a <br />L1ai <br />r1 1 <br />r: <br />V -7?1 I -+ <br />i <br />P.11c Wona1'elmd• BJO <br />BMa DOW • J� <br />PUBI. IC WORKS PERIV, T);tTING q C_ .Pub <br />to�FeeFae • <br />7 Lor Armi Fee Pa-d <br />Balance Due • <br />Print or Type Only <br />dy <br />City <br />Describe Proposed Work <br />New house <br />IZ • 81��rCct 5W Lot <br />8 <br />Project Address Address fit known) <br />copies of plans for proposed work - Draw to scale and <br />note t Cenlloin g as a61e: <br />Attach four 14) <br />lewine of stpeel <br />• Property Lines <br />• Outline and dimensions of all existing and <br />• Indicate North <br />• Show any proposed grading changes <br />proposed structures on the lot <br />• Show measurements <br />• Existing and proposed utilities <br />PERMIT CONDITIONS <br />1. All calls for Inspection shall be made 24 hrs. in advance- phone 259.8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />C II Loca LIon Underground Service 48 hr& before you dig. TOLL FREE NUMBER 1.800-424.555 . <br />andarrock <br />cterosion control es directeddriveway <br />per <br />Public <br />standard ltS08and WorkR <br />Inspector. <br />5. Keep city streets clean at all times <br />5 Curb gutter <br />and sidewalk in the plat ew <br />thereto shall be replaced atthed scretiand onad of <br />anydamagethe <br />Public Works Inspector. at _ <br />7 eAny pectoange in the driveop ay cut <br />uimited to eating Proned by awdth. <br />8. Connect all roof, yard and driveway drains to storm drain <br />system provided to lot.. <br />9. Adjust water boxes to grade at end of construction. <br />10. Driveways shall be completely cured before driving on them. <br />1pnroved as Oonavucrea <br />Clint, PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett. WA 98201 <br />Phone:259-8810 <br />N'larr�l, (�i `93 <br />Dale <br />-A <br />races <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownertapplicant hereby agrees to hold and save harm, <br />less the City of Everett Irom any and all claims for damages, cost& <br />expenses. or causes of action that may arise because oI Installation <br />and maintenance of the improvement or other right-of-way use hereto <br />applied for and further agrees to remove some upon notice from the <br />C' and to replace public pro ty damaged thereby. <br />Z2 Date <br />I ur of Applicant <br />WORK <br />AUTHORIZED <br />OF DATE PERMIT ISESH <br />SUED AND EREAFTER ISRMIT MUST BE STARTED H <br />IN <br />180DAYSTO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY <br />DURATION. <br />ANY <br />STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 <br />