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Date 6-16-94 � � x I- Zg 1 <br />/i���ICa�IQ(1 FOI �O <br />PUBLIC WORKa �E,�I1�d�ING -� 2�� � <br />PubL[ lVw4ti Pnrmi� a � ,� I/ �' <br />E3inn ��n� n ���� __ <br />�ulthc WO�MS �BC <br />ioiil Fnc S _ <br />Less Aopl F�o PniO S_ — <br />�i e4-� n� u� � o � o� e.��.,��: .. �:��,. S�— <br />Prini �: Type Only � , , , �____ <br />u� vimoo� o vi o.�� <br />CJ �Y' U r+ r-� M f+.l O [� C•J Ql <br />� O M� W ePr � ui C�l vJ <br />Countrywood Homes 14410 Bel-$ed $�,jl �1200 Belle�e � 98007 644-2323 �-', <br />-- --o.-�-�r----x.--m--p�----t�— � <br />Owner �Aqa��in�, .lndre�,s .+ t�,� o �+.� [.l A ���n Phnnc <br />Onwer o $i���'s�m��e'3��5"�"� I � <br />-- ------ _- --;---- <br />� <br />-- ---- ----- --- <br />4pplir,ant PA:�ilur.: ��ddrr•;s �r; iD o�,pnc .__ <br />:- Desciite Pronos�:: bcorh . new house <br />- � � ---- ------- ---- - - - --- -_ . <br />' Lot 65 Powder Mill Highlands Div2 <br />Pro�ed Address (d knovrn! .__2�z2 SStll St SW <br />Attaeh four (4� r,opies of pi:.s toi P�nnos�:�l wu��. � f)�av: tu ":,�'....,;,;� nc:te th�a'oilu:vmg as anUlicahie_ <br />• Pronerty Lines <br />• Outline and dimr,nsions o( ah existmy ;ind <br />proposetl sirucWreS on the Inr <br />• Existinn and proposed utilities <br />0o r� <br />• Cent�:ilinn pf ,;reN� <br />• li�.[!icab; PJr,rih <br />• �niiv.� 2ny r.ropoSNq prtv�ing r.h,incjns <br />• Show m�as•.naments <br />PERMIT CONDITIONS <br />1. All calis for inspection shall be made 24 hrs, in advance - phcne 25;i-8810. <br />2. All work shall be performed in accordance with this permit and current City of Everelt Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground S2rvice 48 hrs. before you dig. TOLL FREE NUMB�R 1-800-424•5SS5. <br />�. InstaY rock construction eotrance behind driveway as per city <br />standard aR208 and erosion conirol as directed by Pubic Works <br />Inspector. <br />5. Keep city streets ckan at aM limes <br />8. Curb gutter and sidewak in the plat are new and u�damaged, <br />any damage thereto shaN be replaced at the discretlon ot the <br />Pubic Works Inspector. <br />7. Any change in the driveway cut must be approved by !he PMf In- <br />spector, width at prop ine imited to existing apron width. <br />8. Adjust water boxes to grade at end oi conslruction. <br />9. Driveways shal be compktely cured before driving on them. <br />�� V <br />Approv d or CJonsiruction � � 'f�:"�t����' <br />— `" 'y��� _�• J'9� II <br />FINAL INSPECTION Datc i <br />Approved as Constructed <br />� PUBLIC WORKS DEPARTM[NT <br />3200 Cetlar Street <br />Evere;t, WA 98201 <br />Phone:259�8870 <br />ACh;NOVvLEDGEPAENT OF CONDITIONS <br />� <br />O <br />� <br />� <br />O <br />a <br />1!i�r �.inrlrrrrpned o,vneC�pphcnnt hereby agrees Io hold and s�ve harm� <br />I�rss ;hr: Cdy ni E�e�ett from any �nd oli claims for damages, costs. <br />oepc�ses. or caus�=s of aclion ihat may z.nse because of inst�tlation <br />nnd ;naintenanr,e r,f ihe improvement or other nyh�-of-way use here�o <br />,�;:�d���:; Icr �nd furihe•� aqrees to remove samn upon nohce Irom the <br />i. tv .�r.r, to rePl;rea oubhc proner;y �amaged therebY. <br />K ���-L- �/�T� <br />Siyn.iwre of Applican! Date <br />`;1'Cjof: AIITHORIZFG Bl' THIS PERMIT MUST BE STARTED WITHIN <br />150 Di.YS OF DA7E PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTI.1' PUFSUED TO COPdPL[TION. THIS F�RMIT MAY BE <br />r_ d"JCELLED BY THE CITY UPGN :.NY STOFPA�9E OF WORK ON THIS <br />Pq('�.iE(.T OVER 90 D�YS DURATION. <br />