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Dat pc 4/27/9! TO POSTING P.aIK Worb Perm{b ��/� <br /> Application For 4 <br /> Okla Deer.e <br /> PUBLIC WORKS PERMIT P.a ur o.e Fee ___ <br /> Late Actor Fee Pud 8�� <br /> Print or Type Only Balance D., s <br /> Countrywood Homes 14410 Bel-Red Rd Bellevue 98007 644-2323 <br /> Owner L <br /> Mailing Address City Zip <br /> Phone <br /> Applicant Mefling Address Clty <br /> Z'p Phone <br /> Describe Proposed Work 'few house — Hanle 190 <br /> r' <br /> Prosect Address(If known) 2511 58th St SW Lot 24 Powder Mill Highlands DIv. 2. icn Arach lour(4)copies of plans for proposed work• Draw to scale and note the following as applicable: <br /> • Property Lines • Centerline of street• Outline and dimensions of all existing and • Indicate Northproposed structures on the lot • Show an <br /> • E.isling and proposed utilities Y Proposed grading changes <br /> • Show measurements <br /> r_ <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS <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 Curren;City of Evaelt Design and Construction <br /> Standards and Specifications. <br /> Bill <br /> 3.Cell Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1.800.424.5555. 'J <br /> 4. Install rock construction entrance behind driveway as per city z <br /> standard 11208 and erosion control as directed by Public Works O <br /> Inspector. <br /> 5. Keep city streets clean at all times <br /> 8. Curb gutter and sidewalk in the plat are new and undamaged, H <br /> any damage thereto shall be replaced at the discretion of the <br /> Public Works Inspector. <br /> -*7. Any change in the driveway out must be approved by the PW In- <br /> spector, width at prop line limited to existing apron width. O <br /> 8• Connect all roof, yard and driveway drains to atom drain <br /> system provided to lot. <br /> 9. Adlust water boxes to grade at end of construction- <br /> 10. Driveways shall be completely cured before driving on thom. <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 /> and maintenance of the improvement or other right-of-way use hereto <br /> Approvetl for Constr ton Oato applied for and further agrees to remove same upon notice from the <br /> J d to replace public property da ed t ereby. <br /> F���z�93 <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> e e of Applicant Date <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3230 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Caff Everett,WA98201 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 />