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3-10-94 oval,Walk$Parm11• <br /> Date Bldg D•PI • 43753 <br /> Application For r. __-- <br /> Worts Fee <br /> PUBLIC WORKS PERMIT TO POSTING-_ Lei^P�Fat Paid s <br /> Balance Due s <br /> Print or Type Only ru' <br /> 1� <br /> p pO . OrZ� , 91 <br /> (•1 6441wA, 98)Q7 _ <br /> Countr wood Homes Zip 232 Phone <br /> Owner Mailing Addre 9+ mlyco W <br /> ` -- <br /> " � � co <br /> OnWer City Zip Phone <br /> Applicant <br /> Meiling Address <br /> t <br /> Describe Proposed Work __.pew--NOUS <br /> W <br /> Project Address(if known) <br /> 1,,r 25 Powder Mill 2 <br /> 2503 58th St SW 1 <br /> Attach four(41 copies of plans lot proposed work• Draw to scale and note the following of applicable, <br /> • Centerline of street <br /> • Property LinesIndicate North <br /> • Outline and dimensions of all existing and • Show any proposed grading changes <br /> proposed structures on the lot • Show measurements M <br /> • Existing and proposed utilities W <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 Underground Sew 48 hrs.before you dig,TOLL FREE NUMBER 1.800.424.555 . <br /> 4. Instal rock construction entrance behind driveway as per city O <br /> standard*208 and erosion cutllrol as directed by Pubic Works <br /> Inspector. <br /> 5. Keep city streets clean at all times <br /> B. Curb gutter and sidev+alk in the plat are new and undamaged, <br /> any damage thereto shall be replaced at the discretion of the <br /> Pubic VVorks Inspector. <br /> 7.Any change in the drivewaykne limited must <br /> exi be <br /> approv- tb tithe Pk'J In- v <br /> Spector,width at prop ' am <br /> 8. Connect Aroot, yard and drivel+ay drains to storm drain <br /> system provided to lot. IN <br /> 9.Adjust water boxes to grade at end of construction. <br /> 10. Drirveways shag be completely cured before driving on them. <br /> (� ACKNOWLEDGEMENT OF.'ONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> ,fN" 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 /> GI�^ n eM AYGI„ I8 <br /> and maintenance of the improvement or v other right-of-WRY notice <br /> use hereto <br /> l..X�—� I r I Fl applied for and lurcher agrees to remove same upon notice Irom the <br /> gpproved for Cgnstruclion, — <br /> Date City and to replace public property damaged thereby. <br /> fe De e <br /> FINAL INSPECTION ignalure of Applicant <br /> Approved as Constructed WORK AUTHORIZED BY THIS PERMIT M ST BE STARTED WITHIN <br /> PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Ceder Street BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY IS <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 />