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Date---2--L"— 5 `To PG � '� Public WOAePermtlr <br /> Appnca.Ion or Dido Debt a_A 2.7 <br /> PUBLIC WORD PERMIT P°°,,bw°AeF°• <br /> c� Tc W Fee <br /> p Lees Spot Fee Paid S <br /> Print or Type Only g 8 i3 R $p g g g g BalsnceDue s 1/7- <br /> p, m .Mp app O S C•J O N o] a15J <br /> X30 M N N N Mr 410M .eF l: <br /> Select Homes Inc 12811 8th AvGJW Everett 9 04"0513M-006 < <br /> Owner Mailin `ddress it r• Zip Phone <br /> � s �2 = SL) � <br /> Owner r :� a `6� FS 3 rn �s <br /> Applicant MailingAddress City Zip Phone <br /> Describe Proposeo Work new house \ a 1\ <br /> - W <br /> Project Address(if known) 1127 58th P1 8W _ Lot 5 Merrill Crk Gardens <br /> Attach four(4)copies of plans for proposed work•Draw to scale and note the following as applicable: <br /> • Property Lines • Centerline of t.treel ,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 <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for Inspection shall be made 24 hrs.In advance-ptw oe 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.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1.800.424.5555. z <br /> 4. Keep city streets clean at all tunes. <br /> 5. Curb guticr and sidewalk in the plat are new yid undamaged, airy damage thereto sha8 be replaced at the <br /> discretion of the Public Works hispector. <br /> 6. Any change in the driveway cut must be approved by the Public Works Inspector, width at plop line <br /> limited to existing apron width. Driveway may taper pndmity to meet garage door enhance (lot an <br /> approved 3 car garage). V <br /> 7. Adjust water boxes to pude at end of construction. O <br /> 8. Driveways shall be completcl), cured before driving on them. 0 <br /> 9. Roolfop drainage shall be discharged to the lots infiltration trench as per the "Residential Roof Downspout <br /> System" detail(attached) and as per the sizing and location information on dic lot's site plan. A <br /> preconshuction meeting must be scheduled with Alan Locke (388.9655 mob. or 259.8810 office)prior to <br /> installation ol•the infiltration system. Any change in the infiltration trench must be approved by the Public <br /> Works hnspecti 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 or other right-of-way use hereto <br /> 16A11 �i(((.••l��CCC/// J applied for and further agrees to remove same upon notice from the <br /> Approv <br /> __A(Tr CCoonn tr'`tion Dale City and to replace public property damaged thereby. <br /> 57-1-6 _9r 2 29' <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature of Appli ant Date <br /> WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERM T MUST BE STARTED WITHIN <br /> PUBLIC <br /> PUBLICde Ceder Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Everett, BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> 9 tree <br /> Phone:269.8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br /> 1 <br />