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Date 2/1/94 i <br /> P.M..Works P, l e <br /> Application Fp{ Bide Dept . 43 27 <br /> PUBLIC WORK6 PEgllffPublic Worxe Fee <br /> _ Toiel Fro a <br /> gQ Lep Apo(Fee Pud S <br /> Print or Type Only It/g�� pg g pN g pS g Igo $ Beience Due s <br /> .N-r 0 <br /> M d f� L� <br /> n"r MNMN NfJ til 9J <br /> Countr ood homes1 4�0 1-R d N rJ N « <br /> Owner Mailing dre Zi <br /> ,o c� t�C n *8QQZ 644-939 <br /> I1 P Phone <br /> Same <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work New house — Basic 246 ,�NJ <br /> 1 <br /> Protect Address til known) _ 2524 57tH St SW Lot 29 Powder Mill Div 2 W <br /> Attach four(4)copies of plans for proposed work• Draw to scale and note the following as applicable: <br /> • Property Lines <br /> • Centerline ofstreet <br /> • Outline and dimensions of all existing and • Indicate North <br /> proposed structures on the lot • Show any Proposed grading changes <br /> • Existing and proposed utilities • Show measurements <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> 1.All calls for inspection shall be made 24 hrs.In advance•phone 259.8810. <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.Call Location Underground Service 48 his,before you dig.TOLL FREE NUMBER 1.800424.5555. <br /> 4. Instal rock construction entrance behind drhrdNay as per city Z <br /> standard 111208 and erosion control as directed by Pubic Works O <br /> Inspector. <br /> 5. Keep city streets clean at al times <br /> S.Curb gutter 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 /> 8. Connect al roof,yard and drivewwy drains to storm drain <br /> system provided to let. <br /> 1.Adjust water boxes to grade at end of construction. <br /> 10. Driveways shal be completely cured before driving on them. <br /> ACKNOWLEDGEME14T OF CONDITIONS <br /> 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 /> _ - 2 -9-y� expenses or causes of action that may arise because of installation <br /> _ and maintenance of the improvement or other right-of-way use hereto <br /> Aper ved for Con ruction applied for and further agrees to remove same upon notice from the <br /> Dale Cdy and to replace public property damaged thereby <br /> , I � <br /> FINAL INSPECTION ate _�� ` liLl4 A4, 99 <br /> Approved as Constructed Signature of Applicant Date <br /> CawPUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259.8810 I CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />