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5925 4TH DR W 2016-01-01 MF Import
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5925 4TH DR W 2016-01-01 MF Import
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Last modified
5/10/2017 3:49:18 PM
Creation date
3/7/2017 11:50:07 PM
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Address Document
Street Name
4TH DR W
Street Number
5925
Imported From Microfiche
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Date 6/7/93 <br />�\ " <br />Appliw�ion For <br />PUBLIC WORKS PE�iMI����� <br />Prin; or Type Only <br />Select Homes Inc 237 Clm St Everett <br />Owner Mailing Adtlress <br />Same <br />qpplicant Mailing Address <br />Describe Proposed Work New house — Sasic 202 <br />Project Address (il known) <br />/ <br />PueM1c Worws Perm�t . 93�-G_' (� <br />ema oea�.. 40854 <br />PuGuc Woaf iec S <br />lo�al Fce <br />Le53/00�� Fe¢ Pe�O 5 <br />oriance Oue S —� <br />i� � <br />V� <br />98203 258-1503 <br />City Zip Phone <br />City 2ip <br />Atlach lour �4) copies ol Plans for proposed work - Draw to scale and note the followinc� as applicable: <br />�� <br />Approved <br />• Property Lines <br />• Outline and dimensions ot all existing and <br />proposed structures on ihe lot <br />• Ezisting and proposed utilities <br />• Cen�erline ol s�reet <br />• Indicate North <br />• Show any proposed grading changes <br />• :ihow measuremeNs <br />� <br />Phone '� <br />V? <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be mede 24 nrs. in advance • phone 259•8810. <br />2. All work shall be perlormed in accordance with this permit and current City of Everett Design and Construction <br />Standards end Specitications. <br />3. Call Locetion Underground Service 48 hrs. beFore you dig. TOLI FREE NUMBER 1•800•424•5555. <br />4. Inetall rock conatruction entrance behind driveway as per city <br />atandard it208 and eroeion control as directed by Public Works <br />Inapector. <br />5. Keep city streeta clean at all times <br />6. �rb gutter and aidewalk in the plat are neW and undamaged, <br />any damage thereto shall be replaced at the discretion of the <br />Public Worka Inaper_tor. <br />7. Any chartge in the driveway cut must be approved by the PW In- <br />spector, uidth at prop line limitE+d to existing apron width. <br />8. Connect all roof. yard and driveway draiue to atorm drain <br />syatem provided to lot_ <br />9. Adjust Water boxes to grade at end of construction. <br />10. IJriveNaye shall be completely cured before driving on them. <br />�-y3 <br />_ y, <br />FINAL INSPECTSON <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98207 <br />Phone:259�8870 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />H <br />� <br />� <br />� <br />O <br />� <br />N <br />O <br />a <br />The undersigned owner/applicaM hereby agrees io hold and save harm- <br />less Ihe Cny ol Everett Irom any and all claims lor damages, cosis, <br />expenses. or causes ot action �hat may arise because ol installation <br />and maintenance of Ihe improvemenl or other righbof-way use herelo <br />applied lor and lurther agrees lo remove same upon notice ��om ihe <br />City ai d to replace puUGc propeity damaged thereby. <br />��, r� � �� �t �z, . � 3 <br />ignature of Applicant D te <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />1B0 DAYS OF DATE PERMIT IS ISSU[D AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />ChNCELLED BY THE CITY UPON AtJY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />
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