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Date 6-5-95r )L�y?r 5 PuaLa V0wls PerP11.11F " 5/Z(o-7 / <br /> Application Fnr1TT O f OSTINeIaq nor a__48510 <br /> PUBLIC WORKS PERMIT Puhxc wont Fee <br /> Tares Fee a <br /> Less APPl Fen No s <br /> ai �'' Bsancn eao s <br /> Print or Type Onlycl 14 <br /> n p <br /> •P M -at Ifl I_ <br /> M U «d <br /> LO <br /> Select Homes Inc 12811 8th Ave W Everett 9_82.04 513=9006 �l <br /> Owner —__ --'` (w, Phonr. J) <br /> Owner �p :•i iA �F, !W Cn i'A e <br /> Applicant- -----_ — bf.oling Address ON Zip --- ----� - <br /> Describe Proposed Work new house <br /> Project Address lit known) 919 58th Pl SW _ Lot 29 Merrill Crk Pkwy Div I <br /> Attach four 14)copies of plans lot proposed work - Draw to ncdl-!and note the following as applicable. <br /> e Property Lines a Centerline of street ♦^ <br /> e Outline and dimensions of all existing and a Indicate North v, <br /> proposed structures on the lot • Show any proposed grading changes <br /> s Existing and proposed utilities a Show measurements u <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.Call Location I Inderground Service 48 hrs.before you dig.TOLL FREE NUMBER 1.800.424.5555. <br /> 4. Keep oily streets clean at all times. <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 Inspector, <br /> width at prop line limited to existing apron width. Driveway may taper gradually i <br /> meet garage door entrance (for an approved 3 car garage). I_ <br /> 7. Adjust water boxes to grade nt end of construction. v, <br /> B. Driveways shall be completely cured before driving on them. O <br /> 9. Rooftop drainage shall he discharged to the lots infiltration trench as per the <br /> "Residential Roof Downspout System" detail (attached) and as per the sizing and /1 <br /> location information on the lot's site plan. A preconstruction meeting must be li <br /> scheduled with Dennis Gabelrnan (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. ACKNOWLEDGEMENT OF CONDITIONS <br /> The und. ;and owner/applicant hereby agrees to hold and save harm. <br /> - - - — - -- --- --' '— less the Gdv 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 Inn Improvement nr other right-of-way use hereto <br /> — -- applied for and fwdr. i,ees to remove same upon notice from the <br /> Approved for Construction Dai�� C,ty and to wrilaco neo ; ionetty damaged thereby. <br /> FINAL INSPECTION Date 01.q - - <br /> Approved as Constructed Signature of Applicant eta <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLIC <br /> 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Everett 9 Street <br /> BE DILIGENTLY PURSUED TO COMPLETION, THIS PERMIT MAY BE <br /> Phone:289.8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />