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Date_2-11,6-95 To PASTING ` - 5 PubkcWorks Permit• s/0 Z j <br /> Application For Bldg.Debt a 17f1�1 <br /> PUBLIC WORKS PERMy IT Public Total <br /> s <br /> p Less sort Fee Paid B �� <br /> Print or Type Only Ss FBp� r8py 8 8 5µi g trSj {� e <br /> I 11 N M M 9 M <br /> Select Homes Inc 12811 8th Ave Ey -e M - MN <br /> Ownei Mailing Aa_ <br /> Phone <br /> W <br /> Owner St � � $ rn its <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new houag <br /> W <br /> Protect Address(if known) 1011 58th P1 SW Lot 10 Merrill Crk Gardena <br /> Attach four(4)copies of plans for proposed work-Draw to scale and Fort .me following as applicable: 1� <br /> • Property Lines • Centerline 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 wA <br /> DO NOT WRITE BELOW THIS LINE 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 Construction <br /> Standards and Specifications. <br /> 3.Cell Location Underground Service 48 hre,before you dig.TOLL FREE NUMBER 1.800.424.5555. Z <br /> 4. Keep city streets clean at all times. O <br /> 5. Curb gutter and sidewalk in the plat are new and undamaged, arty damage thereto shall be replaced at Ih: <br /> discretion of the Public Works Inspector. L <br /> o. Any change in the driveway cut must be approved by the Public Works Inspector,width at prop line r <br /> limited to existing apron width. Driveway may taper gradually to mce(garage door entrance (for an /A <br /> approved 3 car garage). O <br /> 7. Adjust water boxes to grade at end of construction. <br /> 8. Driveways shall be completchr cured before driving on them. <br /> 9. Rooftop drnuwge shall be discharged to the lots infiltration trench as per the "Residential Roof Downspout am <br /> System" detail(attached) and as per flre sizing mid location information on the lot's site plan. A Illes. ass <br /> preconsmrction ineeting must be scheduled with Alan Locke (388-655 mob. or 259.8810 office)prior to <br /> uistallation of the infiltration system. Any change in the infiltration trench Frust be approved by the Public <br /> Works Inspector. ACKNOWLEDGEMENT OF CONDITIONS <br /> 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 /> expenses, or causes of action that may arise because of Installation <br /> and maintenance of the improvement oother rig way use hereto <br /> —J-s� �/•7 applied for and further agrees to remove <br /> e same upon <br /> notice from the <br /> Approved for Co struction T City and to replace public property damaged thereby. <br /> FINAL INSPECTION Date Date <br /> Approved as Constructed Signature of Applicnt <br /> WORK AZ D BY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLIC WORKS DEPARTMENT <br /> 180 DAYSS OF OF DDATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> OL 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259.8810 PROJECT OVER 90 DAYS DURATION. <br />