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Date_. 4/5/93 . . 1:_:'— 7--z-e7 -a. weu wen.ee.v. 93 1 / <br /> r eea 0.0. 40134 <br /> rtnin��..e.'" �p pp� l <br /> PUBLIC WORKS PERNf� �— w«•^• <br /> ,.,er« f <br /> auK.p.. f 70 <br /> Print or Type Only <br /> d <br /> Countrywood Homes 14410 Bel-Red Rd /200 Bellevue 98007 644-2323 L <br /> Own@, Mailing Address City 2.0 Phone <br /> N <br /> Daniele Steele Same <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work New house Basic 132 <br /> W <br /> Protect Address 01 known) Slim a9.h at Rw I Age PnaaAe, will iNeh]aad <br /> Attach lour 141 copies of piano lo,prcoosed work-Draw to scale and nate the following as applicable. <br /> •Property Lines •Centerline of street /A <br /> •Outline and chmenbc I of NI enslotg and •Indicate North v, <br /> proposed structures on Ina lot •Show any proposed Brading changes <br /> • Existing and proposed utilities •Show measurements Y <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS <br /> 1.All mita for Inspecuon shell be made 24 hit in advance•phone 269.8810. s <br /> ass <br /> ) <br /> 2.All work Shall be performed In accordance with This permit and current City of Eyerott Design and Conslmchon <br /> Standards and Specdicallona <br /> 3.Call Locstlon Underground Service 48 hnbefore you dig.TOLL FREE NUMBER 1.800.424.6555. <br /> 4. Install rock construction entrance behind driveway as per city <br /> standard 11208 and erostnn control es directed by Illblic Works O <br /> Inspector. <br /> 5. Keep city streets clean at all time <br /> 0. Wru gutter and sidewalk in the plat am new and undamaged. �laae, <br /> em damage thereto shell be replaced at the discretion of the <br /> Public Works Inspector. <br /> 7. Any change in the drivway cut must be approved by the FM In- <br /> spector, width at prop line limited to existing apron width. <br /> A. Connect all roof. yard and driveway drains to storm drain �� <br /> aystes provided to lot. <br /> 9. Adjuat water boxes to grade a, end of conetru:tion. <br /> 10. nriveways shall be completely aired before driving on them. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownerlappi•canl hereby agrees to hold and save harm <br /> �— 1 lees The City of Everett from any and all claims lo, damage& coule <br /> e,pensel,of causes of action that may arise bemuse of inalallahen <br /> and maintenance of The improvement or other fight of-way use hereto <br /> "Plied for and further agrees to remove same Upon notice from the <br /> Approved to,cc $trot on Date Cu and l0 replace public properly damaged Thereby <br /> y1.er7I <br /> FINAL IN PECTION Date <br /> Approved as Constructed urs of pl nl Date <br /> fKIL'tIC WORKS DEPARTMENT WORK AIITH RRED BV THIS PERMIT UST BE STARTED WITHIN <br /> 3200 CAda,8 net 180 DAYD TL DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> CL Everett WA 99201 BE CELtE D BY PURSUED TO COMPLETION.THIS PERMIT MAY IS <br /> Ph.s..26.18810 CANCELL ED BY THE DCITYAYS <br /> UPON ANY STOPPAGE OF WORK ON iHl9 <br /> PROJECT OVER 90 DAYS DURATION. <br />