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Date 3/2-4/92 <br />Application For <br />PUBLIC WORKS <br />Print or Type Only <br />DALLY HOMES INC 3240 <br />Owner <br />RON PEARCE 252-9098 <br />Applicant <br />Describe Proposed Work <br />Project Address (if known) <br />TO POSTING_a_-)1- T- <br />PERMIT <br />Mailing Address <br />Mailing Address <br />NEW SFR <br />Public Works Permit 97- <br />I' •L— <br />Bldg Dept.I _ 1G08E _— <br />Public Works Fee <br />Total Fee -- --- <br />Less Appl. Fee Paid <br />Balance Due ZOO' <br />pE E SEATTLE 98102 XXX 328-3770 <br />City Zip Phone <br />City Zip Phone --� <br />732 41ST PL LOT 11, SILIERHAWK <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: <br />• Property Lines • Centerline of street <br />• Outline and dimensions of all existing and • Indicate North <br />proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <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 />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800.424-5555. <br />4. Install rock construction entrance behind driveway as per city <br />standard #208 and erosion control as directed by Public Works <br />Inspector. <br />5. Keep city streets clean at all times <br />6. Curb gutter and sidewalk in the plat are new and undamaged, <br />any damage thereto shall. be replaced at the discretion of the <br />Public Works Inspector- <br />7. Any change in the driveway cut must be approved by the PW In- <br />spector, width at prop line limited to existing apron width- <br />s- Connect; s1.1 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 />�c <br />A-3 -9z <br />Approved for Construction <br />Date <br />FINAL INSPECTION <br />Date <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259.8810 <br />s / <br />ca <br />0 <br />z <br />O <br />Ch <br />am <br />ACKNOWLEDGEMENT OF CONDITIONS <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 causes of action that may arise because of installation <br />and maintenance of the improvement or other right-of-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City an1/1 <br />ace public property damaged thereby. <br />rr,t�[/ <br />nIArV/!! „1n'/nc� <br />WORK AUTHORIZED BY T IS PPRMIT MUST BE STARTED WITHIN <br />18o DAYS OF DATE PERMI ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />