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Date 2/17/9k � <br /> PuoLc Worka Permil s �0�� / <br /> AppliCe�ionFp�, jp pOSTlPlG . .___��� B�opD..oi.• 43552 <br /> PUBLIC WORK� PERMIT P�o��W�,ksFee <br /> To1el Fea S <br /> Q <br /> � Less Rppl Fee PeiC S_ <br /> Print or 7ype Only r �g g g � g g g g bn ee�,��eo�„ s 2U"� <br /> � O N M M ~ M ..i M � Il'1 � <br /> L 6 L Builders 10711 Ever r W 98204 90So1818 '" �i <br /> Owner Mailing dre x � t Q; in Zip Phone <br /> � � � � � � � � � � � � � � <br /> Larry Pond M � �; � ¢' � � ^' <br /> Applicant Mailmg Atldress Ciry Zip pho�e � <br /> Describe Proposed work New house - Basic 249 <br /> ProjectAddress(ifknown� �g - 2"�d � 5� Lot 2 Srookwood Pl � <br /> Altech four(4)copies ot plans for proposed work• Draw to scale and note the following as applicable: � <br /> • Property Lines • Centerline of sireet � <br /> • nutline and dimensions ol all ezisting and • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> � Existing and Rroposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> 1.All calls for Inspectbn ahell be made 24 hra.in advance-phone 259•8810. � <br /> 2.All work shall be peAo�med in accordance with this permit end current City of Everett Design and Construction <br /> ; Standards end Specilicatlons <br /> 3.Cr:lt Locetlon Underground Service 4B hrs before you dig.TOLL FREE NUMBER 1•800�424•5555. � <br /> �. Indal rock construction eMnnce behind driveway as per cky O <br /> ctandard i208 and�rosion coMrol as dirocted by Publc Works <br /> inspector. <br /> 5.K�tp clty droets cNsn at al times � <br /> 8.Curb putler and ddew�k In ths plat aro new and undamaged, <br /> a�ry d�m�p�thento thal be roppced at Ihe discrotion a(Ihe ♦/� <br /> Pubic WoMa Inspector. M� <br /> 1./4ry ch�nga in ths d�v�wy c�d muct be approvsd by the PW In- O <br /> :pector,width at prop ine imRed to existing apron width. <br /> 8.Connect al roo(,yard and drivev�ay dninc to stortn drain � <br /> system provided to bl. <br /> 9.AdJust valer boxes to gr�de at end o(conslrucNon. <br /> 10.D�ivevuys chal be completey cured before drfuinp on them. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicaM hereby agrees to hold and save ha�m- <br /> less the City of Everett Irom any and all claims for damages, costs, <br /> � �, ��� expen:.=5, or causes of action that may arise because of install�tion <br /> 1y), _ // /y/P-//',. — -� aod maintenance of the improvement or other right-ohway use herelo <br /> ��� •�r�'`= applied for�� furiher ag s to re ve same upon notice from the <br /> Approved lor C�structicri Dale City and 6 re lace publi pr per�y �aged thereby. <br /> ��`i� 7-� f'� �'/� / , <br /> FINAL INSPECTION Dafe ��G <br /> Approved as Constructed - Signature of _ plicant Date <br /> � PUBL�C WORKSDEPARTMENT WORK A ORIZEO DY THIS PERMIT MUST BE SiARTED WITHIN <br /> 3200CedarStrr.et 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett WA 98201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMI7 MAY BE <br /> Phone:259�8810 CANCELLED BY THE ClTY UPON ANY STOPPAGE OF WORK ON THIS <br /> I PROJECT OVER 90 DA�'S DURATION. <br />