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;�, <br /> � <br /> Date 2-24-94 ap 7 v("��" Public Warke Permli+ � O� � <br /> ApplicationF� TO �5���� .y '���4Y BIEB.Depts 43611 <br /> PUBLIC WORK� PERMIT PubTo�FeeFea s <br /> ¢ - <br /> o less 4ppL Fee Paie S ��q�.� <br /> � O g O O tl O O O O 'O Balance Due S v✓ <br /> Print or Type Only � o n o �n o 0 0 o n <br /> VGj �Y' NO C7 .t0 In O �[tJCJ ��� <br /> !J O '+ .�-I M NN � MC�IN <br /> Countrywood Homes 14410 BeT'-Re� 1Zd �1200 Bel ui�WA 9�007 644-2323 <br /> Owner Mai;ing A res» = 1 0� �n Zip Phone � <br /> Onwer � ah�ia '�' b5� � � � �� � tTi 1 <br /> P <br /> Applicant Mailing Address City Zip Phone � <br /> < <br /> Describe Proposed Work new house <br /> Lot 62 Powder Mill Div 2 N <br /> i <br /> Project Address�if known) 5415 25th Ave W_ � <br /> Attach four(4)copies of plans for proposed work• Drew to scale anti note the following as applicahle: � <br /> • Property Lines • Centerline of street � <br /> • Outline and dimensions of all existing and • Indicate No�th <br /> proposed structures on ihe lol • Show any proposed grading changes <br /> • Existing and proposed utilities � Show measu�ements � <br /> DO NOT WRITE BELOW THI� LINE O I <br /> PERMITCONDITIONS <br /> 1.All calls for inspection shall ba made 24 hrs.in advance-phone 259-8810. � <br /> 2.All work shall be performed in accordance with this permit and current City of Everott Design and Constructlon <br /> Standards end Speciftcations. <br /> 3.Call Location Underground Service 46 hrs.before you dig.TOLL FREE NUMBESt 1•800-424•5555. � <br /> 4. Instal rock co�stnicNoe eMronce behi�d drivev�ay as per city <br /> standard a1�208 anQ erosion control as direc;ed by Pub6c Works O <br /> Inapecto�. <br /> 5.Kesp cky streets clean at al times <br /> 8.Cutb guUer and sidev�pk in the piat are new and undamaged, � <br /> arry damage theroto shal be roplaced at the discretion o(':ne <br /> Publc Works Inspector. ♦A <br /> 1.My change in the drivevaay cut must be approved by the PW In- ��� <br /> spector,width at prop ine imNed!u edsting apron wtdth. O <br /> 8. Gonnect al roo(,yard and drerd+ray drains to storm drain <br /> system provided ta bt. � <br /> 9.Adjust water boxes to gnde at end ot construction. <br /> 10. DriveVqys shal be compbtey cured before driving on them. <br /> ACKNOWLEDGEMENT OF GONDII'IONS <br /> �l � <br /> Y The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less ihe Gity of Everett from any anG all claims for damages, costs, <br /> /� expenses, or causes of action that may arise because of installation <br /> � 1 / {�L� 3-3—� and maintenance of the improvement or other right-o!-way use hereto <br /> y� � �� F'�'" applied for and further agrees to remove same upon notice from the <br /> Approved for Consiruction Date City and co replace public property damaged thereby. <br /> �� - <br /> .�-_��-«,� � 5-iG yy 1� � ��'l(� nq,�-�.�1- '� �4� �5� <br /> FINAL INSPECTION ' Date �-�_�;�IL� T�.._ <br /> Approved as Const�ucted Signature of Applicant �— Date <br /> ���� PUBIIC WORKSDEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE gTARTED WITHIN <br /> 3200CederStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA98207 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT M,�1Y BE <br /> Phone:259-8810 CANCELLED BY THE CITY UPON ANY STOPPAGE GF WURK ON 1'HIS <br /> PROJECT OVER 90 DAYS DURATION. <br />