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Date 4/29/93 -2 <br /> PUBLIC WORKS <br /> uo.wi n.h.a f <br /> Print or Type Only a aftir o.. t — <br /> t <br /> Countr•iiood (tomes 14410 Bel—Red Rd Suite 200 Bellevue NA 98007 �J <br /> Owner Mailing Address City Zip Phone <br /> Owner <br /> APPIK2,11 Meiling Address City Zip Phone <br /> Describe Proposed Work new house <br /> W <br /> Project Address(if known) 2513 57th St SW Lot 47 Powder Mill Div 2 <br /> Attarh lour(4)copies PI plane lot proposed work-r aw 10 tele and note the followh.g as app;icable. Missile <br /> •Property Lines •Cenlerl,is of street <br /> •Oultine and dimensions of all e.abng and If Indicate North v+ <br /> proposed slruclures on the lot •Show any Proposed grading changes <br /> •Existing and promoted utilities •Show measurement <br /> OO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> I.All calls lot Inspection shall be made 24 his in advance-phone 288.8810. sy <br /> 2.All work shall be performed in accordance with this permil and current City of Eve ret)Design and Const/¢tion I <br /> Standard*and Specifications <br /> 3.Call Localion Underground Service 48 him before you dig TOLL FREE NUMBER 1-800.424.5555. <br /> 4. Install rtx:k construction entrance behind driveway as per city <br /> standard 0208 and erosion contml as directed by Public Works O <br /> Inspector. <br /> 5. Keep city streets clean at all times <br /> 8. Curb gutter and sidewalk in the plat are new and undamaged, lassea <br /> any damage thereto shell be replaced at the discretion of the Vea <br /> Public Works Inspector. <br /> 7. Any change in the driveway cut must be apprro rd by the PN In- O <br /> Spector. width at prop line limited to existing apmn width. <br /> 8. Connect all roof. yard and driveway drains to storm drain a <br /> System provided to lot. <br /> 0. Adjust water boxes to grade at end of const.uction. <br /> 10. Driveways shall be completely cured before driving on thou. <br /> n ACKNOWLEDGEMENT OF CONDITIONS <br /> J� The undersigned ownerleppitcant hereby sprees to hold and save harm <br /> leu the City of Everett Irom any and all claims for damages, costa <br /> ///l ,. expenses, Or causes of action that may arise because Of Installation <br /> lI/,(••(/�0� .�IZ.lt3 and maintenance of the improvement or other right-of-way use hereto <br /> rwuc. BMM�reWb� 7 T applied for and further agrees to remove same upon notice from the <br /> App and for Co elru.lion Dale to replace public property damaged thereby. <br /> /rte /in <br /> FINAL INSPECTION Dale A �J <br /> Approved as Constructed Sip u I pp 1 IF 15010 <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200Ceder Steal IBO DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett WA 98201 IIE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone-2598810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />