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Date 10/26/93 7 <br /> rnrn� Public Works Permde <br /> Application For <br /> TING__4. � ' Bldg Dept a 42486 <br /> PUBLIC WORKS PERMIT Pubpc Wore:Fee <br /> Toth Fee S <br /> Less Appl Fee Fell >< <br /> Print or Type Only IBalance Due ti <br /> Countrywood Homes 14410 Bel-Red Rd #200 Bellevue 98007 644-2323 <br /> Owner Mailing Address City Zip Phone <br /> Same <br /> Applicant Mailing Address Cn" Znt Phone <br /> Describe Proposed Work New house - Basic 234 <br /> JN <br /> 2608 51t"t SW Lot 33 Powder Mill HighlitIlds 2 IOU <br /> Project Address lit known) <br /> Attach lour 14)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 /> 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. 7 <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.Cell Location Underground Service 48 hr&before you d1j.TOLL FR MBR 5 <br /> 4. Install rock construction an�rance a in r� �i$�e4,&4 W'per city <br /> standard #208 and erosion control as directed by Public Works <br /> Inspector. O <br /> 5. Keep city Btreette clean at all times <br /> 8. Curb gutter and sidewalk in the plat are new and undamaged, <br /> any damage thereto shall. be replaced at the dierretion of the !— <br /> Public Works Inspector. r <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 all roof, yard and driveway drains to storm drain <br /> system provided to lot. <br /> 9. Adjust water boxes to grade at end of construction. am <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 tveretl from any and all claims for damages, rosla <br /> expenses, or causes of action that may arise because of Installation <br /> ,►'n/1G�I 06, 3 <br /> � q 7 and maintenance of the Improvement of other right-of-way use hereto <br /> Approved for Construction 1, Iv Date J applied for and further agrees to remolie same upon notice from the <br /> �L..� City and to replace public property damaged thereby. <br /> FINAL INSPECTION <br /> Approved as Constructed Signature of Applicant Data <br /> �-7 PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> AW 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:2598810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />