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Date 3-29-93 TO POSTING E -2-Zv'4 <br /> Application For DW. 40068 <br /> PUBLIC WORKS PERMIT :,�•» . <br /> e..M.D.. • 7A� _ <br /> Print or Type Only <br /> Counttyvood Homes 14410 Be lCPI <br /> Red Rd Suite 200 Bellevue WA i <br /> Owner Maixng Address city Zip Phase <br /> Our:er <br /> Applicant Mailing Address City Zip P[onr. [ <br /> Dnecnoe Proposed Work new house <br /> st-T j 4_Cta/ _. W <br /> Project Address ld knotim 2520 IWOM111117 Lot 28 _ <br /> Attach Inur f41 copies of plana for mopos.A work-Drew to sale and note the following as applicable. <br /> •Property Lines •Cenlerhne of street <br /> •Outline and dimensions of all existing and •Indicate North V+ <br /> proposed structures on the lot •Show any proposed grading charges <br /> •Existing and proposed utilities •Show measurements Y <br /> DO NOT WRITE BELOW THIS LINE 0 <br /> PERMIT CONDITIONS <br /> t.All aIle IDsllbectbnrhes be made24 lira. advance•phone 259•8811 ease` <br /> Z.All work shall be performed In accordance with this permll and current Gly of Everett Design and Construction <br /> Standards and Speclficalions. <br /> 3.Can Location Underground Service 48 he colors you dig TOLL FREE NUMBER 1.800.424.5555. <br /> 4. Inatall r .k construption entrance behind driveway u ler city <br /> standard 0208 And erosion control as directed by Public Works O <br /> Inspector. <br /> 5. Keep city streets clean at all Lines <br /> 8. Garb Rutter and sidewalk in the plat aro now and mydnmagod. <br /> any damage thereto shell be replaced at the diepretion of the <br /> Public. Works Ine•,wctor. <br /> 7. Any change in the driveway cut must be approved by the PW In- O <br /> •pertor. width at prop line limited to existing apron width. <br /> 8. Connect all roof, yard and driveway critics to storm drain <br /> system provided to lot. CL <br /> 9. Arlitut water boxes to grade at end of construction. <br /> 10. Driveways shall be completely cured before driving on them. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> U The uldersignod ownenapploanl hereby agrees to hold and Save harm <br /> - ' - less the City of Everett from any and all claims for damage&coma <br /> ��A expense& or causes of action that may arae beause of Installation <br /> ens maintenance at the Improvement or other dghFof-way use hereto <br /> applied lot and further agrees to remove Same upon notice from the <br /> Approved for Construction Date ofttool replace Public property damaged thereby. p <br /> ANAL INSPECTION Dale <br /> Approved as Constructed Signature ul Applicant Date <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3800 Cedar SlrSa1 160 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER 1S TO <br /> 3200 C WA•tree BE DILIGENTLY P JRSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Payne geA 9820 CANCELLED BY TILE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION <br />