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DateZPublic WOMS Permll <br /> 1-14-94 • ��—/ <br /> . u <br /> Applicatioab_For TO POSTING. `(-27�`� - area oePl • 41211 --- <br /> PUBLIC WORgS PERMIT Pub TotalFeeFee $ <br /> CL Leu AOL Fee Paid 8 <br /> OOTy G o S p i Balance Due 6 G'L" <br /> Print or Type Only ss tSi 8 v� g On O O <br /> O r J rn <br /> .r .+ N 'A ~ e• N 0 .ti r J <br /> Countrywood Homes 14410 'BeVMd Cd #200 B leZ WA Q8007 644-2323 t!' <br /> Marllnt4d ss = _ SS I� toZip Phone <br /> Owner <br /> Dower — <br /> Mailmg Adc^Pss CIIV Zip Phone <br /> Applicant N <br /> Describe P.opused Work new house __ 1 <br /> Lot 43 Powder Mill Div 2 —--- <br /> -- W <br /> Project Address(it known) 2601 57th St SW - <br /> Attach four(4) copies of plans for proposed work•Draw to scale and note the following as applicable: <br /> tllllll� <br /> • Centerline of street <br /> • Property Linea <br /> • <br /> • Outline and dimensions of all existing and <br /> Show a North <br /> • Show a <br /> proposed structures on the lot any proposed grading changes <br /> • Existing and proposed tdilities • Show measurements <br /> - DO NOT WRITE BELOW THIS L114E O <br /> PERMIT CONDITIONS <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 Construztion <br /> Standards and Specifications. <br /> 3.Call Location Undo-ground Service 4B hrs,before you dig,TOLL FREE NUMBER 1.800.424.5555. <br /> 4. Install rock constru .on entrance behind driveway as per city O <br /> standard#208 and erosion control as directed by Public Wol'ks <br /> Inspector. <br /> 5. Keep city streets clean at an 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 fie ,w <br /> Pubic Works Inspector. V, <br /> 7.Any change in the orivetjay cut must be approved b the PV! In- <br /> special,width at prop line limited to existing apron vadth. <br /> a. Connect an roof,yard and driveway drains to storm drain <br /> system provided to lot. li <br /> 9.Adjust water boxes to grade at end of constrncti.m. <br /> ate <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 /> _j less thu City of Everett from any and all claims for damages, costs, <br /> 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 /> applied for and farther agrees to remove some upon notice from the <br /> Apr,ro ed for C truetl — Date Vnature <br /> to rep'ice public Groper y de aged thereby. <br /> FINAL INSPECTION ale Dale <br /> of Applica <br /> Approved as Constructed UTHORIZE Y THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLIC WORKS DEPARTMENT BE DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY S <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF NORK ON THIS <br /> Phone,2598810 PROJECT OVER g0 DAYS DURATION. <br />