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E. Z-Z <br /> Date 9/22 93 � —zj-Q� Pubic WorxSP°'^^ 35 <br /> ApplicationTO POSTING.For Bid, alibi42. <br /> PUBLIC WORKS PERMIT PubLCWdreer°° <br /> t°r°l Pee $- <br /> L°Sx•°°r r• l'sid S <br /> Print or Type Only e.r=^r•ov° $ <br /> Countrywood Homes 14410 Bel-Red Rd Bellevue 98007 644-2323 J <br /> Owner Mailing Address City Zip Phone <br /> Owner <br /> Applicant Mailing Address City Zip Phone 4 <br /> Describe Prcposed Work New house - Basic 213 <br /> —fu <br /> Project Address(if known) ZSo� rJ7i;�1 StYPe� rJ\V Lot 27 Powdermill 2 <br /> Attach four(4) copies of plans for proposed work- Draw to scale and note he following as applicable. <br /> • Property Lines O Centerline of street <br /> • Outline and dimensions of all existing and • Indicate North W <br /> mw <br /> proposed structures on the lot 0 Show any proposed grading changes <br /> • Existing and proposed utilities 0 Show measurements IM <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for Inspection shall be made 24 his.In advance•phone 259.8810. littltttt+ <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and Construction + <br /> Standards and Specifications. <br /> 3.Cell Location Underground Servi-e 48 hrs.before you dig TOLL FREE NUMBER 1.800.424.5555. <br /> 4 . Install rock construction entrance behind driveway as per city <br /> standard 0208 and erosion control as directed by Public Works O <br /> Inspector_ <br /> 5. Keep city streets clean at all times <br /> 8. Curb Butter and sidewalk in the plat are new and undamaged, <br /> any damage thereto shall be replaced at the discretion of the <br /> Public_ Works Inspector. <br /> 7 . Any change in the driveway cut must be approved by the PW In- <br /> spector, width at prop line limited to existing apron width. O <br /> B. Connect all roof, yard and driveway drains to storm drain <br /> system provided to lot. A <br /> 9. Adjust water boxes to grade at end of construction. ii <br /> 10. Driveways shall be completely cured before driving on them. <br /> ^� ACKNOWLEDGEMENT OF CONDITIONS <br /> J' 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 /> expenses, n causes of action that may arise because of installation <br /> J ri Gtu G _/ V`G-1 antl maintenance of the improvement or v other right-of-waypoonotice <br /> use hereto <br /> 1 � ' Xit/Ci �(/ 7 applied for and lurcher agrees to remove same upon notico Irom the <br /> Approved lot Con.)ruction Date City and to replace public properly damaged thereby. <br /> FINAL INSPECTION Dale <br /> .Approved as Constructed nature of Applicant Date <br /> J& PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200 Cedar Street BE DAYS DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,W'A 96201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> E7r Phone:2596810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJF_CT OVER 90 DAYS DURATION. <br />