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Da?e 6-16-94 <br />� <br />Y �-- I-� 4 <br />AppliCation For N <br />PUBLI� WORKS �RMIT <br />Print or Type���pOSTING � "-`� �c � g $ $ � �p <br />M �MM MMC�I <br />M <br />Countrywood Homes 14410 Bel-Red..Ra��n;i uviie.,.. <br />Owner <br />Onwer <br />Applicdnt <br />8 s8� <br />O r �NN m <br />N � M N <br />P M <br />4C�rE�ss� � ( � J � � � � <br />�D <br />� a s <br />�dailin;; Address <br />�r <br />Zip <br />Public Worhs Prrmn � � Z V <br />BiCg. Dept • 44689 <br />{'uphc Worxs Fee <br />Total cpe $ <br />less4oul FnePaia $ <br />Mlance Duc $ �_ <br />Phone <br />Fhnne <br />Describe Proposed Work IIEW hpuS_g___ __________ __ <br />_ Lot 64 Powder Mill Hi�hlands Div 2 � <br />Project Address (il known; _ Z<<�6 SSth St SW -/ <br />Attach four (41 coPies of Pl,�ns br Pr�: osed work - Draw to �cal,: .,:,.� �„ne Ihe'ollowing i; apUGr,able: <br />• Property Lf��es <br />• Outline a�A dimensions el all ex�s•inq and <br />proposed atructures un tha lot <br />• Existing and proposed utilities <br />�G <br />• Centnrline nf street <br />• Intlicate No�Ih <br />• Show any r.roposed graCing changes <br />• Show mrasurements <br />PERMIT CUNDITIONS <br />1. All calls for tnspection shall be made 24 hrs. in a�vance • phone 259•8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />°'.: :darde and Specifications. <br />3.1.�+� �ocation Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-500-424-5555. <br />l. kutN rock constructbe eMrance behind drive�wy as per city <br />standard *208 and erosfon comrol as dirocted by Publc Works <br />Insp�ctor. <br />5. Keep cNy dmets cban a1 al times <br />8. Curb putter and sidewrk in the ptat aro nwv and undamaged, <br />any damape thereto shal bs rophced at fhs discrotion o( the <br />Publc Worics Incp�ctor. <br />7. /4ry chanqe M the drivewiy cut must Es approved by the PW In- <br />spector, width a1 prop Ine imiled to s�d:ting apron width. <br />8. Adjuct wate� ooxes to ynde at �end of conatructfon. <br />9. DriveYwys shal be completey cumd beforo drfufng on them. <br />FINAL INSPECT�ON <br />Approved as Constructed <br />��PUBLIC WORKS DEPA�9TMEIJT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone:259•8870 <br />At:KNOWLEDGEMENT OF CONDITIONS <br />� <br />� <br />� <br />� <br />O <br />a <br />Thr undersigned ownei/applicant hcreby agrees to hold and save harm- <br />� less Ihe City of cverett from any antl all claims for damages. costs. <br />� e+cpenses. or cau.;es of action that may arise 6ecause of installation <br />� and m, intenance af the improvemen� or other riqhPol-way use here�o <br />� apphn,; for and furiher ac��ees to remove same upon notice irom the <br />' Crty and to replact� public property Jamaged thereby. <br />�' �S'!n� 1-y-C�' `�lJ •`"� <br />Date i, l�Yl�- [� V l a�/ ('y' <br />Signa�ure ol ApphCant 7 Date <br />INORK AUTHOFIZED HY THIS PERMIT MUST BE STARTED WITHIN <br />190 OFYS OF DATE F�ERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS FERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PRO.IECT OVER 90 DAYS DURATION. <br />