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JK07blic <br /> G Work.Petmn <br /> Date_ 9-23_94 <br /> Application For <br /> TO ruSTING (�c l� D.Pre 4565�;VORKS PERMIT wueefeaPUBLIC mel Faa <br /> aper Fee Pero a�pnce Due a O� <br /> Print or Type Only ' `. r� <br /> l7 rNp 04 0 `0 <br /> ^S M <br /> all <br /> M C 1 <br /> + M <br /> Cuuntrywood Homes 14410 Bel Red Rd #,p Bellevue 4 98007 644-2323 <br /> Owner Mailing Address m Cil, . <br /> ZIP Phone <br /> W <br /> J <br /> o � 6 <br /> Owner City Z,—p phone IC <br /> Applicant <br /> Melling Address <br /> Describe Proposed Work <br /> new house <br /> W <br /> 2624 58th St SW Lot 18 Powder Mill Highlands Div 2 1... <br /> Project Address(if known) a <br /> Attach lour(4)copies of plans for proposed work• Draw to a:ale and note the following as applicable: <br /> • Property Lines 9 Centerline of street <br /> at • Indicate North Outline end dimensions of all existing entl * Show any proposed grading changes <br /> proposed structures on the lot 0 Show measurements M <br /> 0 Existing and proposed utilities Isis <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for Inspection shall be mDesign and Construction <br /> ads 24 hra.In advance•phone 259.8810. <br /> 2.All work shall be performed in accordance with this permit and current City of Everett <br /> Standards and Specifications. z <br /> 3,Call Location Underground Service 48 hrs.before you dig.TOLL TREE NUMBER 1.800-424-5555. <br /> 4. Install rock conslnicnnn entrance behmd dnvewlty as per city standard H208 and erosion conuoj as dilecfed by O <br /> Public W016. Irrspeclot. <br /> S. Keep city streets clean at all dme5. <br /> o. Club gutter and sidewalk in life plat are new and undamaged, airy damage thereto shall be replaced at file <br /> disclefion of die Public Works Inspec1101. /A <br /> 7 Any change in the drivewav cut rust be approved by the PW inspector,width at prop line limited to existin! �I/♦ <br /> apron width. O <br /> 8. Adjust water boxes to grade at end of construction. <br /> 9. Driveways shall be completely cured before drtvhte on them. am <br /> 10. Rooflup disinage shall be dfsch0rged: <br /> a to the site's storm drain system(private or public) <br /> a to a residential roof downspout system designed per section 4-9.4 of die city standards <br /> r • onto splash blocks gCKf�INLEDOEMENi OF CONDITIONS <br /> The method selected will be subject to Public Work%Departern la rt etr rKo ajapplicant hereby agrees to hold and save harm- <br /> The <br /> less the City of Everett from any and all claims for damages. costa <br /> expenses. or causes of action that may arise because of Installation <br /> lA �� '� 'd lad.. and maintenance of the Improvement or v other right-of-way notice <br /> use hereto <br /> VI` 'T 7'r applied for and further agrees l0 remove same upon notice Irom the <br /> App ved for nstruct on <br /> Dae City a to replace lie property dam ged thereby. <br /> G.� • i/ U- 0-q <br /> "-- Data <br /> FINAL INSPECTION Dalo <br /> Sign to a of pP n <br /> ApprovedasConstructed WORK AUTHORIZED BY T S PERMIT MUST BE STARTED WITHIN <br /> PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PER IT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Cedar Street BE DILIGENTLY FUR 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 />