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7-29-94 `� <br /> Date.—._- TQ PSS 1T�IYG <br /> Z Pum¢WorMe Perms. I <br /> ,1u„or.iln•n I �, r Bmv Dept e_ _45072 <br /> PUBLIC WORKS PERMIT NhhcWorks Fee -- <br /> Q TotAl Fee S <br /> Less Apps Fee No S <br /> Print or Type Only $ 8 8 $ $ $ R° $ ea_” $ <br /> m N N N M N s-r <br /> Countrywood Homes 14410 Bel Red Rd 0 Bellevue 98007 642323N �v <br /> Owner Mailing Address �S�LsiY.,r,rfr rhos {p�I Phone <br /> Owner ffi ism � � J # �nCs <br /> Applicant Mailinq Address City Zip Phone <br /> ((r-1 <br /> Describe Proposed Work new house <br /> Lot 13 Powder Mill Highlands Div 2 <br /> LU <br /> Project Address lit known) 2518 58th St SWy" <br /> Attach lour(4)co,ites of plans lot proposed work- Draw to scala and note the following as applicable: <br /> • Property Lines • CBnterline of street <br /> 0 Outline and dimensions of all existing and • Indicate North <br /> proposed structures on the lot • Show any proposed grading chang,•z <br /> • Existing and proposed utilities • Show measurements <br /> DO NOT WRITE Br:LOW 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 acccidance vrllh this permit and current City of Everett Design and Construction <br /> Standards and Specificctlenc. <br /> 3.Call Location Underground Service 48 hrs.bef.,re you dig.TOLL FREE NUMBER 1.800.424.5555. <br /> 4 Install rock construction entrance behinti driveway as per city standard 0208 and erosion control as <br /> dire(ted by Public Works Inspector, O <br /> 5. Keel city streets clean at all times. <br /> 6. Curb gutter and sidewalk in the plat are new and undamaged,any damage thereto shall be replaced at <br /> the discretion of the Public Works Inspector. <br /> 7 Any change in the driveway cut nmst be approved by the PW Inspector,width at prop line limited to <br /> existing apron width <br /> 8. Adjust water boxes to¢rade at end of construction <br /> 9. Driveways shall be completely cured before driving on them O <br /> 10. Rooftop drainage shell be discharged: <br /> 1) to die site's storm drain system(private or public) 6� <br /> 2) to a residential roof downspout system designed per section 4.9.4 of the city standards <br /> 3) onto splash blocks <br /> The method selected will be subject to Public Works Departemetlt approval. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner,aoPhcant hereby agrees to hold and save harm- <br /> less the City of Everett from any and all claims for damages, coals. <br /> expenses, or causes of a_lion that may arise because of Installation <br /> and maintenance of the mprovement or other right-of-way use herelo <br /> -- ----- �-- I applied for and further agrees to remove same upon notice from the <br /> Approv for a ctio Date' City and to replace public property damaged thereby. <br /> 8 � 9 <br /> FINAL INSPECTION Date 3 <br /> Approved �— <br /> as Constructedignature of Applicarli Date <br /> PUBLIC WORKS DEPARTMENT IRK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett.WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phnne:259.8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />