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Dete_3-23-93 C— ' Z"zo'� <br /> Application For Bue DrV. 79976 <br /> PUBLIC WORKS PERMIT °I. sr» . <br /> TO POSTING zaH ",sox.I..Pits <br /> Print or Type Only ansa.o.. • 7-�' __ <br /> r <br /> O <br /> Countryuood Homes 14410 Bel Red Rd /200 Bellevue NA 98007 644-2323 -M <br /> O met Malkng Address City Zip Phone V1 <br /> 1 <br /> Clamor <br /> ApPIx: 1 Meiling Address City Zip Phone 1 <br /> Describe Proposed Work new house L <br /> f'' <br /> ''rr <br /> W <br /> Prolect Address(if known) 2610 57th St 6'9 Lot 34 L <br /> Attach lour 141 copies of plans for propose work-Draw to stele and mole the follov img as applicable. <br /> •Property Lines •Caroline of street 'A <br /> •Outline and dimensions of all existing and •Indicate North v+ <br /> proposed structures on the lot •Show any proposed grading changes <br /> •Existing and proposed utilities •Show measurements M <br /> DO NOT WRITE BELOW THIS UNE WO <br /> PERMIT CONDITIONS <br /> L All caps foren amen Imade 24 ha.iadvance phone 269.8810. red <br /> 2.All Work smallll bb dbe performed Inn accordance with lNlt perm))and currant City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Cas Location Underground Service 48 him before you dig TOLL FREE NUMBER 1.000.424.5555. <br /> 4. Install rock constTvction entrance behind driveway an per city <br /> Standard #200 and erosion Control as directed by Public Works O <br /> Inspector. <br /> 5. Keep city streets clean at ell Limas L <br /> B. Curb Sutter and sidewalk in the plat are new and undamaged. r <br /> any damago thereto shall be replaced at the discretion of the <br /> Public Works Inspector. <br /> 7. Any change in the driveway cut moat be approved by the lei In- O <br /> Spector, width at prop line limited to existing apron width. <br /> B. Connect all roof, yard end driveway drains to storm drain 0. <br /> system provided to lot. <br /> 9. Adjust water boxes to grade at end of construction. <br /> 10. Driveways shell be completely cured before driving on them. <br /> W ACKNOWLEDGEMENT OF CONDITIONS <br /> Ij The undersigned owneUeppllcanl hereby agrees to hold end cave harm <br /> less the City of Everett from any and all claims for damages costa <br /> 11 expenses, or causes of action that may ens@ because of Imalhilal'.On <br /> and maintenance of the improvement or other right of-way use hereto <br /> Approved for C strudwo 11` sM P• Osla applied for and furlher agrees to remove same upon notice from the <br /> City and to replace public property damaged thereby. <br /> FINAL INSPECTION DateILel <br /> l <br /> Approved as Constructed ZIT 1 ppl v Date <br /> A -7 PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3]OO CeOsr Strael I80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 C ds B it BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Went, Enholli A9620 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION <br />