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Date 9/29/93 (('TT AA u Pubis Werke Permit. <br /> Application For TO IOJIII'i ri_�_ �--/ y eifO Depl . 42187 <br /> PUBLIC WORKS PERMIT PubTa <br /> Wart.Fee S <br /> Lees Appi Fee Putl $ <br /> eeience Due S <br /> zvr <br /> Print or Type Only <br /> Countrywood homes 14410 Bel-Red Rd Bellevue 98007 644-2323 <br /> Owner Mailing Address City Zip Phone <br /> Owner <br /> Applicant Mailing Address City Zip Phone ` 1 <br /> Describe Proposed Work <br /> New house - Basic 230 C <br /> W <br /> Project Address lit known) _ 2& 14 5TL S kV Lot 36 PowderMillliighlands 2 <br /> Attach low 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 dimonsions of all existing and • Indicate North <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 LINE O <br /> r <br /> ..' j PERMIT CONDITIONS <br /> t r 1.All calls for inspection shall be made 24 hrs.in udvance-phone 259.8810. <br /> 2.All work shall be performed In accordance with this permit and current City of Everett Design and Construction <br /> •: 7 Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1.800.424.5555. <br /> 4 . Install rock construction entrance behind driveway as per city <br /> standard 0208 and erosion control as directed by Public Works <br /> Inspector. <br /> 5. Keep city streets clean at all times <br /> l 8. Curb gutter and sidewalk in the plat are new and undamaged, <br /> any damage thereto shall be replaced at the discretion of the <br /> y Public Works Inspector. �/� <br /> 7 . Any change in the driveway :ut must be approved by the PW In- W <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. a <br /> 9. Adjust water boxes to grade at end of construction. <br /> 10. Driveways shall be completely cured before driving on them. <br /> �Q T ACKNOWLEDGEMENT OF CONDITIONS <br /> A •Y�"� 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 /> i expenses, or causes of action that may arise because of installation <br /> and maintenance of the improvement or other right-if-way use hereto <br /> /Z/G <br /> /! applied for and further agrees to remove same upon notice from the <br /> Approv d for Construction I Date City and to replace public property damaged thereby. <br /> FINAL INSPECTION Date (��_ <br /> ;Approved as Constructed , nature of Applicant Dale <br /> WORK AUTHORIZED BY THIS PERMIT MUST DE STARTED WITHIN <br /> PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> M Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259.8810 PROJECT OVER 90 DAYS DURATION. <br />