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1 23 95 n( <br /> D�.te�� �. P�blic Works Pe�mlt♦ O J <br /> - Applica6onFor � �0 POSTING � -`� ��`� BIa .De0�.� 46793 <br /> PUBLIC WORKS PE�MIT PubTotalFaeFee a <br /> � Less AOGI.Fee Paid S_ <br /> Print or Type Only � � n o o n' $ � o '�1eo�a S_ZO" _ <br /> � �ry <br /> r 00 � � � C��J O ti0a <br /> 'i .-1 M tli W .w tli �O f] <br /> Countrywood Homes 14410 Bel-Red Rd 1120� �3�levue 9800� � �;�i44-2�13 <br /> Owner Mailing Address rn � v� City > cu oZip� Phone <br /> N oo � � q � F'� � � n3 � w <br /> � � md 's'� o'�.iu oa � anit"�nc=i <br /> Applicant Mailing Address City Zip Phone � <br /> Describe Proposed Work New house - Basic 256 � <br /> - _ W , <br /> Project Address lit known� 5_g7,�Sth .�ve � Lot 10 Powder Nlill Y.i hlands II � <br /> Attach four(4)copies of plans for proposed work- Draw to scale and note the following as applicable: � <br /> � Property Lines • Centerline of street � <br /> • Outline and dimensions of all existing and • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and �+roposed utilities • Show measurements � <br /> DO NOT WRITE BELOW�iHIS LINE � <br /> � PERMIT CONDITIONS <br /> . 1.All calls for inspection shall be made 24 hrs.in advance•phone 259•8810. � <br /> 2.All work shall be performed in accordance with ihis permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> ' 3.Call Location Underg��und Service 48 hrs.before you dig.TOLL FREE NUMBER 1-500-424•5555. � � <br /> 4. Install rock constructior. entrance behind driveway as per city standard 11208 and <br /> erosion control as directed by Public S�Torks Inspector. O <br /> 5. Keep city streets clean at all times. <br /> 6. Curb, gutter and sidewalk in the plat are new and undamaged; any damage thereto shall <br /> be replaced at the discretion of the Public Works Inspector. � <br /> 7. Any change in thE drieway cut must he approved by the PW Inspector, width at prop. lin � <br /> limited to existing apron width. � <br /> 8. Adjust water boxes to grade at end of construction. � <br /> 9. Driveways shall be completely cured before driving on them <br /> 10. Rooftop drainage shall be discharged: <br /> - to the site's storm drain system (private or public) a <br /> - to a residential roof downspout system designed per section 4-9.4 of the city stand. <br /> - or.to splash blocks <br /> The method selected will be subject to PW Department approval <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm� <br /> i !ess Ihe Clty ot Everett from any and all claims for damages. costs, <br /> C /// expenses, or causes of action that may arise because of installation <br /> y j and maintenance of ihe improvement or other right-of-way use hereto <br /> � applie for and further agrees to remove same upon notice from the <br /> Approved fo�Construction Dale City a to replace ublic property d ed ihereby. <br /> G;. /_, . <br /> .�C��:.r�.-f� ' /-/�-S�i � J �-/ / <br /> FINALIKSPECTION Date ��' ` <br /> Approved as Constructed Sig ature ol Appli ant Date <br /> �A�� PUBLIC WORKS DEPARTMENT WORK AUTHORIZED HIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet 780 DAYS OF DATE P RMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA98207 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phona:259•8870 CANCELLED BY THE CITY UFON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />