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Date 1/20/94 <br />PUBLIC <br />Frint or Type Only <br />Countrywood Homes 144 <br />owner <br />Same <br />Applicant <br />Y�� �n�T�Nc_i�1� <br />Application Fo <br />WORK� <br />� <br />8 <br />0 <br />7 <br />r1 <br />Mai4ing <br />PERMIT <br />1n000I!')� O <br />O y� M N a <br />�-1 .R �R <br />I� Bellewe <br />������c <br />S � � m <br />Q O S O[� <br />N CJ � [� <br />� <br />PuDiic Works Permlt � �— L�_ <br />Bltlp. Oepl. • 43315 <br />PUEIie Works Fee <br />TolalFee S <br />Leea AOG� Fea PaiG S_^y�.�-� <br />BaIBn_e0ue S /� <br />ary ap Phone <br />/ <br />� <br />Describe Proposed work 2409 SSth St SW New house =dasic 230 '� <br />- --- - N <br />Project AJdress (if known) <br />Y401 SSth St iW <br />Lot 67 Powder Mill Div 2 <br />Attach four (4) copies of plans fnr proposed work - Draw to scale and note the following as applicab�e: <br />• Property Lines <br />� Outline and dimensions of all exist�ng and <br />proposed structures on the lot <br />• Existing and proposrd utiliti•;s <br />• Centerline of sireet <br />• Indicate North <br />• Show any proposed 9rading changes <br />• Show meas�.irements <br />PERMIT CONDITIONS <br />1. All calls tor Inspection shall be mede 24 hrs. in advance - phone 259•8810. <br />2 I work shall be pertormed in accordance with this permit and current City of Everetf Dexign and Constructian <br />Standerds end Specifications. <br />3. Call Locatfon Underground Service 48 hrs. betore you dig. TOI.L FREE NUMBER 1•SOO-424•5555. <br />4. Instal rock construcdon entnnce behind driveway as per cNy <br />standard *208 and erosion coMrol as directed by Pubic Works <br />Incpector. <br />5. Keep city strests eban at al.times <br />8. Curb gutler and sidew�k In th� pW are new and undamaged, <br />arry damaps tnenrto shal be reptaced at the discrciion of the <br />PuWc W�ks Inspector. <br />7. l4ry chanpe in the d�ive�wy cut mud be approved by the PW i�- <br />spector, width a1 prop ine L nited to eristi�g aproe width. <br />8. Con,�uct al roof, yaM and .riveway drafns to storm drain <br />syst�m provided to lot. <br />9. Adjust w�ter boxes to grade at end of conslruction. <br />f 0. Orivevyays shal be compNtey cured be(oro driving on them. <br />ior ['ons ru� <br />� <br />FINAL INSPECTION <br />Approved as Constructed <br />' �'�� PUBLIC WORKS DEPARTMENT <br />5200 Ceder Street <br />Everett, WR.98201 <br />Phone:258-8810 <br />/� <br />/� - <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />� <br />The undersigned owner/applicant hereby agrees to hold and save harm• <br />less the City of F.verett from any and all claims for damages, costs, <br />ezpenses, or ca��ses of action ihat may arise because of installation <br />and maintenance of ihe improvement or other righbof•way use hereto <br />applied tor and further agrees to remove same upon notice from the <br />City and to replace public property damaged thereby. <br />�'�' �h�'� ���2-�/� 9� <br />Signature of Applicant—T Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITH!N <br />180 DAYS OF DATE PERMIT IS �SSUED AND THEFEAFTER IS TO <br />BE DELIGENTLY 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 />,. <br />