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Date 11-15-93 <br /> Pub0.t WOIAr Permit <br /> Application For 13140 Gem .— 42706 <br /> PUBLIC WORKS PERMIT Publ. FBn`°° S — <br /> Leu APP Fee P1.4 S <br /> Print or Type Only T(1 aeixnceD., $ - <br /> Select Homes 237 Elm St Everett WA 98203 258-1503 1 <br /> Owner , Maibng Address City Zip Phone <br /> Owner <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new house lot 44 ffanabrook 4 <br /> l <br /> Project Address(if known) 112 58th P1 SW <br /> Attach low(4) copies of plans for proposed work- Draw to scale and note the following as applicable. <br /> • Property Lines <br /> • Centerline of street <br /> • Outline and dimensions of all existing and • Indicate North <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 <br /> PERMIT CONDITIONS O <br /> 1.All calls for Inspection shall be made 24 hrs.in advance-phone 25;3.8810. <br /> 2.All work shall be performed in accordance with this permit and curront City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Cell Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1.800.424.5555. <br /> 9. Install rock construction entrance behind driveway as per city Z <br /> standard #206 and erosion control as directed by <br /> Inspector. Public Works <br /> O5. Keep city streets clean at all times <br /> 6- Curb gutter and sidewalk in the plat are new and undamaged. <br /> any damage thereto shall be replaced at the discretion of the <br /> Public Works Inspector. <br /> 7. Any change in the driveway cut must be approved by the PW In- co <br /> spector. width at prop line limited to existing apron width. O <br /> 6. Connect all roof. yard and driveway drains to storm drain <br /> syster provided to lot. <br /> 9. Ad,iust water boxes to grade at end of construction. a <br /> in. Driveways shall be completely cured before driving on them. <br /> 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 /> �y l9 93 and maintenance of the improvement or other right-of-way use hereto <br /> Approved for Conslr tonapphed or and further agrees to remove same upon notice from the <br /> Date City ar to eplace u 11c property d aged thereby. <br /> 4"'V-,y '. <br /> FINAL INSPECTION Dalpdry ���L yam_ <br /> Approved as Constructed Signa re of Apphc nl Date <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200 Cedar Street 180 DAYS OF DOTE PERMIT IS ISSUED AND THEREAFTER IS i0 <br /> M•res Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone :59.8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />