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i <br /> Date 7_29-97 <br /> Application Fm sus h.m. 40070 <br /> PUBLIC WORKS PERMITTQ POSTING .:...» . <br /> i� -)7.h'� <br /> Muir.D. a 9g <br /> Print or Type Only n�xy <br /> Countryvood Homes 14410 Bel Red Rd Suite 200 Bellevue WA 98007 V <br /> Owner Lh ianp Address City Zip Phone <br /> Owner <br /> APPbcant fdmbnp AOO�ess --- City —_ Zip Phone <br /> Det:nbe Proposed l,an _ new house <br /> --N <br /> Project Address Id known) 2501 57th St SW Lot 50 L <br /> Attach tour p)copies of plane for Proposed work•Draw to scale and note Ina following as applicable. asp <br /> •Properly Lines •Cenlerbns of street <br /> •Outline and dimensions of all euslml and •Indicate North v+ <br /> proposed atruclures on the fol •Show any proposed grading changes <br /> •Existing and nteposed utilities •Show measurements <br /> DO NOT WRITE BELOW THIS LINE 0 <br /> PERMIT L 1NDiTIONS <br /> 1.All calls for Inspection shall be made 24 him In advance-Phone 259.8810 <br /> 2.All work shall be performed In accordance with the permit and current Clly of Eve retl Design and Construction <br /> SlandArd$and Specifications. <br /> O.Call Location Underground Service 48 Ma before you pig TOLL FREE NUMBE R 1-800.424.5555. <br /> 4. Install rock construction entrance behind driveway ea per city <br /> standard 0208 and erosion control as directed by Public Works O <br /> Inspector. <br /> 5. Keep city streets clean at all time <br /> 6. Ourb gutter and sidewalk in the plat are new and undamaged. <br /> any, damage thereto shall be replaced at the discretion of the V/ <br /> lass- <br /> Public Works Inspector. <br /> 7. Any change in the driveway cut must be approved by the PW In- O <br /> spertor, width at prop line liul.ted to existing apr»n width. <br /> B. Connect, all roof. yard and driveway drains to atom drain <br /> uyetem provided to lot. <br /> 9. Ad.iust water boxes to grade at and of construction. <br /> 10. Driveways shell be cospletely cured before driving on them. <br /> 'g ACKNOWLEDGEMENT OF CONDITIONS <br /> .1' The undersigned owner/applicant hereby agrees to hold and save harm <br /> —'- less the City of Everett from any and all claims for damages costs <br /> /J s.penses, or causes of action that may else because of installation <br /> and maintenance of the improvement or other nphbobway use hereto <br /> Approved IOC CDnabuCbOn -f Date applied for and further spree$to remove aline upon notice from the <br /> city nd to refface public property damaged thereby. <br /> FINAL INSPECTION Dale <br /> Approved as Constructed Signature of Applicant Cate <br /> PUBLICWORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> p200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTCR IS TO <br /> WA B tree BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett <br /> Phone: WA 8820 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />