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11/29/93 Pueke wake Perrex42826 <br /> Date Application For Tn POSTING �Lf-a,{ Bide Deer. <br /> PUBLIC WORKS PERMIT PueTotal al rk'FssFea S _ <br /> To <br /> Leo APPr Fee Pii S <br /> Babnce Dee <br /> Print or Type Only <br /> Countrywood Homes 14410 Bel-Red Rd 11200 B 11CvY X8007 zn4-2323 phone / <br /> Owner Mailing Address <br /> Same -- Zip Phone <br /> Applicant <br /> Melting Address City <br /> New house - Basic 238 fd <br /> Describe Proposed Work — <br /> W <br /> 2532 57th St SW Lot 31 Powder Mill Div 2 1111111 <br /> Project Address(if known) -_ <br /> Attach four(4) copies of plans for proposed work-Draw to scale and note the following as applicable: <br /> • Property Lines • Centerline of street <br /> • Outline and dimensions of all existing and • Indicate North <br /> • Show any proposed grading changes <br /> proposed structures on the lot • Show measurements M <br /> • Existing and proposed utilities W <br /> Mellon! DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for Inspection shell be made 24 hrs.in advance•phone 259.8810. on <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design end Construction <br /> Standards and Specifications. <br /> 3.CII L ation Underground Service 48 hre.before you dig.TOLL FREE NUMBER 1.800-424-5555. <br /> i. �nstal.l. 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 /> 6. 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- O <br /> spector, width at prop line limited to existing apron width. <br /> B. Connect all roof, yard and driveway drains to storm drain <br /> system provided to lot . <br /> 9. Adiust water boxes to grade at end of construction. <br /> 10. Driveways shall be completely cured before driving on them. <br /> ACKNOWLEDGEMENT 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 /> expenses, or causes of action that rnay +.rise because of installation <br /> and applied <br /> for and <br /> of the improvement or v-their right-01-wall notice <br /> use hereto <br /> applied for grid further agrees to remove same upon notice Irom the <br /> Approved for Constr chop <br /> Date City and to replace public property damaged thereby. <br /> FINAL INSPECTION ale Date <br /> S of Applicant <br /> Approved as Constructed WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 0 PUBLICWORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Ceder Street BE DILIGENTLY PURSUED TO COMPLETION.THIS PEnMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPOAGE OF WORK ON THIS <br /> wr Phone:259.8810 PROJECT OVER 90 DAYS DURATION. <br />