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5424 1ST DR W 2016-01-01 MF Import
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5424 1ST DR W 2016-01-01 MF Import
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Last modified
3/7/2017 7:46:39 PM
Creation date
3/7/2017 7:46:35 PM
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Address Document
Street Name
1ST DR W
Street Number
5424
Imported From Microfiche
Yes
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(3 - I - Z� -�+ � <br /> Date 7'21'93 � N�o�,�wo,�,Pe,m��. <br /> Application For TO POSTING i2� ��C� 01C0 DeO� � 4799 <br /> PUBLIC WOF�KS PERMIT Pu���c�'FeeFee s <br /> Le. �.Fe Pa�d S <br /> Bela�tt Due S� <br /> Print or Type Only <br /> Select Homes 237 Elm St Everett WA 98203 258-1503 <br /> � <br /> Owner Mailing Atldress City Zip Phone <br /> Owner <br /> Applicant Mailinc�Address City Lp Phone , �1 <br /> `S/ <br /> G <br /> Describt Proposed Work neW house ,L <br /> � W <br /> Project Address�it'nownl 5424 lst DT W o � <br /> Attach tour(4)� :ol plans for proposeA work- Draw to scale and note the following as applicable: � <br /> • ProF.,rty Lines • Cen:erline of streel � <br /> • Oulline and dimensions ol all existing and • Indicale North <br /> proposed structures on the lot • Show any pioposed grading changes <br /> • Existing and proposed utilities • Show mezsuremenis � <br /> DO NOT WRITE BELJW THIS LINE O <br /> PERMIT CONDITIONS <br /> 7.All cells for inspection shall be mede 24 hrs.in advance•phone?59•8810. � <br /> 2.All work sha�l be peMormed in accordence wilh this permit and current City of Everett Design end Construction <br /> Standards and Specitications. <br /> 3.Call Locatlon Underground Service 48 hrs.before you dig.TOLL FA�E NUMBER 1•800-��4•5555. � <br /> 4 atandardr�208candtemaion cont ol asdirected bYaAibliceWorkay <br /> Inspector• O <br /> 5. Keep city streete clean at all timea <br /> 6. Axrb iSuLter and aidewalk in the plat are new and undamaged, � <br /> any demage thereto ahall be replaced at the diacretion of the <br /> Public Worke Inspector. �/� <br /> 7. Any chanBe in the driveway cut muet be apPcoved b,v the PW In- ,�� <br /> spector, width at prop line limited to exiating apron width. O <br /> 6. Connect all roof, vard and driveway draina to atorm drain <br /> system provided to lot. � <br /> 9_ Ad,iust Water bo�ces to grade at end of conatruction. <br /> 10. DriveWays ahall be completely cured before driving on them. <br /> ACKNOWI_EDGEMENT OF CONDITIONS <br /> �1� The undersigned owner/applicant hereby agrees to hold and save harm- <br /> � lesa Ihe City of Everett Irom any and all claims lor damages, costs. <br /> /� expenses, or causes ol action Ihat may arise because of installation <br /> C �/�>_> _ �Z and mainler�nce ol the improvement or other right-ol-way use hereto <br /> �_ applieA tor and lunher agrees to remove same upon nolice from the <br /> l� <br /> Appr e lor Conslrudion a�e City and to replace public ptoperty damage ere <br /> ./ � 0.._ / <br /> � /� D W�f'pi vy/,c_,1�•� <br /> ]C/c�4✓ /J -.�r 5� ,,�� N " 9I�13 <br /> FINAL INSPECTION Oate <br /> Approved as Construcled Signature of Apf��icant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> �A�� PUBLIC WORKS DEPARTMENT 180 DAYS OF OATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CedarStreet BE DII.IGENTIY PURSUED TO COMPLETIUN. THIS PERMIT MAY BE <br /> Everett.WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259•8810 I PROJECT OVE(i 90 DAYS DURITION. <br />
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