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; i <br /> 8/9/94 �� ��/�� <br /> Date a���,��v,�,.s�,,,m��. I <br /> Aop�ication For ��n�� o«n� • 45217 _ <br /> �� <br /> PUBLIC WORKS P�I�TNG � �'������� W�,��``� - -- <br /> . ,.,�:,��..� s i <br /> o �ess nnm Fn,.Vn�a s ' <br /> O <br /> Print of Type Only R � � f�-' � � p � ��'�'°oi '_ _ <br /> , � � oa � o �� o �., �.� r; , <br /> c� a o .r .-� w ra o � � <br /> o . .-� .n «' . w ,,��. o�.. ��,, <br /> m .-i w «f +n� w ,-+ i <br /> Countrywood Homes 14410 Bel–Red Rd � Be�'�evue 98007 � 64{y�2323� tl� <br /> Ownei A"au�m; �Udress � ' .f C�Iv fiG 3 o JfY� w Phunr, <br /> �n o [D (,O 2 f'� 2 � o O W p �i <br /> C•.I O � G] C� tl f� � 0 � 03 � W <br /> \ O _� J W J fiC O C[ O W ,: �' ' <br /> O 3t410_ S hc � G] SC3i� b� fnG7 <br /> Applican; Pd..�L��, r!d�,:.,�--_._______— _„It� Lp _--.- Phone --___.___ <br /> L <br /> Describe Pronosed wors ____ New house – Basic 231 � <br /> - - ----- - - N <br /> ------- -------- <br /> - ------ _ _- -- -- - -------- W <br /> Project Address(il ;�ow�� _______,5520 25.e1�_Ave_Sd_.___._—.Lo�S3._Powdex_Mill�tv � H <br /> Atlach four(4� copies ef ptans foi aronosed won: - Diav. ta .e,il.. .u,.i nr.Lr ih�a lollc.ving as aoul�cabie: �� <br /> • Property Linec • Cen�rriinn nf street � <br /> • Outline nnd dimensions of all exishng �nd • Indicale Nor!h <br /> proposed slructures on ihe lo� • �nov: am, r.roposerf y�atling chanues � <br /> • Existing and proposed ufili�ies • Sh<>,n� mrasurements � . <br /> DO NOT WRITE B[LON� fHIS LINE <br /> PERMIT CONDITIONS O <br /> t.All calls tor inspection shall be made 24 hrs.in advance•phone 259-8810. � <br /> 2.All work shall oe performed in accordance with this permit and current City of Everett Design and Consiruction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.be(orr.you dig.TOLL FREE NUMBER 1•$00•424•5555. � <br /> 4. Install rock constniction entrr.nce behind ciriveway as per ciLy stendard#206 a�d erosion control as <br /> directrd by public Works Insprctor. � <br /> 5. Kecp city stree[s clea��at all[imes. O <br /> 6. Civb y�dte,r and sidewalk in the plat are new and undamaged, any damage tt,zretn shall be�epl�ceA at <br /> f}�e discrelion nt the Public WorF;s Inspector. <br /> 7. Any change in the clriveway cut mus[be appro�ied by Cne F'W Inspector,width at prop line limited to H <br /> rxisting apron width. � <br /> S. A�liust water boxes te grade at end of consWction. <br /> 9. Driveways shall be co�npletely cm•ed beFore driving on th?rri. O <br /> 10. Roof[up cL•aivage shall be disch:��ged: <br /> 1) to the site's storm<irain syst.em(private orpublic) � <br /> 2) to a residential rooF��OWIIG�JU�systern desiN;ed per section 4-9�1 oC d-�e city standards <br /> 3) ontosplashblocks <br /> 17�e meUiod selected will be subject to Public Wur4:s Departement approval. <br /> ^p� ACKNOWLEDGEPdENT OF CONDITIONS <br /> V�� iho u��der�iqned oivner/apphcxnt hc:reby agrees to hold and save harm- <br /> ' �� -�, ics:: ;h�a Cdy o� Evere�t from any and ali c�aims for tlamaqes. costs. <br /> /� 1N /� //jj���/�/ ; �xpenses. or causes ol ar,tlon that may anse because of installation <br /> ��I !�� ��7 � nnd maintenance o! Ihp improvement or other right-obway use hereto <br /> y 1��� —J � � a,^.p��ed for and further ;�qrees to remove same upon notice Irom ihe <br /> App�r v d for C%nsiruction ---] itc � C;'y �ind to rcplaca oublic proneiry damaged thereby. <br /> v ! <br /> _ �i � <br /> �ru`"`– ' � G 7-9�� � I�I,VH---� C�U'/�/�-- ���1-3 /�`� <br /> FINAL INSPECTION Datc <br /> Approved as Constructed i Sihnaturr ef App�ican! �—Date <br /> �A`�±� PUBLIC WORKS DEPARTMENT �.NONK AU7HOFIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � �90 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CedarStreet I BE DILIGENTLY PURSUED TO COMPLETION. THIS PER�11T IdAV BE <br /> Everett,WA 98201 CANCELLED 8'!THE CITY UPON ANY STOPPAGE OF WORK OIJ THIS <br /> Phone:259�8810 I PROJEGT OVER 90 DAYS DURATION. <br />