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Dale 6-23-95 / <br /> TO POSTI NG9�.__ P1.1".1, Pnrmn• 7 � <br /> Application For elnp Dept <br /> pl 0•_ 48695 <br /> PUBLIC WORKS PERMIT Pul'ipin FneF� $ -- <br /> (u(�� <br /> (y Lele April inn Pn,d $ <br /> Print or Type Onlypp r " p <br /> f� Ili t., 8 q F3 CA a•Unrn cup $ fjoi <br /> i of ti n ,t ci vi ri <br /> in <br /> Select Homes Inc 12811 8th Ave W„ ' M <br /> EVv rete iti204 i, 13- 00 <br /> Owner Malhny Address <br /> ? a [el r5 Al P Phone. •-N <br /> 1• b i <br /> Owner � `tE as v_ :'. Fn iS <br /> Applicant Maqu,,,Address <br /> ZIP Phone <br /> Describe Proposed Work new house__- <br /> Prefect Address fit known! 909 58th Pl SW Lot 30 MCG I W <br /> Attach four(4)copies of plans for proposed work- Drav:to wale and note the following as applicable. <br /> s Property Lines <br /> • Outline and dimensions of all existing and • Conterline of streets Indicate North <br /> Proposed structures on the lot s Show any proposed grading changes <br /> s Existing and proposed utilities s Show measurements <br /> DO NOT WR11E HLL014 THIS LINE <br /> PERMIT CONDITIONS O <br /> 1.All calls for Inspection shall be made 24 his.in advance•phone 259.8810. <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and 6onstruction <br /> Standards and Specificstions. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1.800.424.5555. <br /> 4• Keep city streets clean at all times. Z <br /> 5. Curb gutter and sidewalk in the plat are new and undamaged, any damage thereto O <br /> shall be replaced at the discretion of the Public Works Inspector. <br /> 6. Any change in the driveway cut must be approved by the Public Works lnspector, <br /> width at prop line limited to existing apron Width. Driveway may taper gradually is <br /> meet garage door entrance (for an approved 3 car garage). <br /> 7. Adjust Water boxes to grade at end of construction. <br /> 8. Driveways shall be completely cured before driving on them. <br /> 9. Rooftop drainage shall be discharged to the lots infiltration trench as per tire O <br /> "Residential Roof Downspout System" detail (attached) and as per the fslaing and A <br /> location information on the lot's Rite plan. A preconstruction meeting must be Ili <br /> scheduled with Dennis Gabelman (339-7403 mob. or 259-8810 office) prior to <br /> installation of the infiltration system. Any change in the infiltration trench must <br /> be approved by the Public Works Inspector. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm• <br /> j less the City of Everett from any and all claims for damages. costs. <br /> vkv—� �r and main or causes of action that may arse because of uinstallationhereto <br /> .1L— and maintenance or the Improvement or other right-of-way use hereto <br /> Approved for Construct io Dain I applied for and further agrees to 'emove same upon notice from the <br /> / I Gty and to re ce public property damaged thereby. <br /> '� /.1 vt/• 9/' ����ISP r^r;"� <br /> FINAL INSPECTION Date 7 <br /> Approved as Constructed Signature o pllcant <br /> ate <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 6W 3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett WA 88201 BE DILIGENTLY PURSUED TO COMPLETION, THIS PERMIT MAY BE <br /> Phone:259.8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />