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TO P05TIh��")) �� '���� -Z�z�'�f DA3�lr1 <br /> pp-,jp.,nor rOf'—� over oM. <br /> PUBLIC WORKS PERMIT ea ew.n.r„ <br /> teen.. t_ <br /> L....smr»e.b • <br /> e.uM.ow 7d2_n <br /> Print or Type Only C- <br /> I <br /> Countryvood Homes 14410 Bel Red Rd Suite 200 Bellevue WA 98007 !.!a1 <br /> Owner Maling Address Cd' 7T Phone 01 <br /> Owner <br /> Applicant Mailing Address Cdv 7m Pnonn <br /> d <br /> Describe Proposed Work new house __ C <br /> N <br /> Project Address pf known) 2631 57th St SW Lot 38 leasse <br /> Attach four 141 copies of plane for proposed work•Draw to scale and note the following as applicable: aaaam <br /> •Property Lines •Cenlerllne of street <br /> •Outline and dimensions of all euftmg and •Indicate North v+ <br /> proposed structures on the lot •Show any proposed grading changes <br /> •Esoling and proposed utilities •Show measurements M <br /> OO NOT WRITE BELOW THIS LINE Q <br /> PERMIT CONDITIONS <br /> t All ulla for Irspeclbn shall be made 24 hes in advance-phone 259.8810. sa�1 <br /> 2.AIl work shall be performed in accordance with this Permit and current City of Everett Design and Constnlclien <br /> Standards and Specifications. <br /> 3.Cali Location Underground Servlce48 him before you dig TOLL FREE NUMBER 1.800.424.5555. z <br /> 4. Install rock construction entrance behind driveway as per city O <br /> standard 8208 and erosion control as directed by Public Works <br /> Inspector. <br /> 5. Keep city streets r-lean et all times <br /> 5. (Mrb gutter and sidewalk in the plat are new and undamaged. <br /> any dsAtage thereto shall be replaced at the discretion of the -A <br /> Publtr- Works inapector. V� <br /> 7. Any change in the driveway cut asst be approved by the WIn- O <br /> spertor, width at pmP line limited to existing apron width. <br /> S. Connect all roof, yard and driveway drains to atom drain <br /> system provided to let. <br /> 9. Adjust water bootee 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 nave halm <br /> less the City of Everett from any and all claims for damages roots. <br /> e.penue4 or causes Of action that may onto bemuse Of Installation <br /> �. O 44 <br /> 1 A(1/. / 12�(,1� and maintenance of the Improvement lir other right-of-way use thrill, <br /> for Construction /f Dale applied for and further agrees to remWe some upon notice from thin <br /> City and to replace public property damaged thereby. <br /> �x� ��-if•4) <br /> FINAL INSPECTION Dote <br /> Approved as Constructed S OI Applicant Oa e <br /> ChitPUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST 8E START (THIN <br /> 0200 Cedar 8iml 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER 15 TO <br /> 32000 WA ee2U1 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone: illyA lg CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 80 DAYS DURATION. <br />