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Dale_ 6-23-95 <br /> TO POSTING jUN 2 ,r 1996 Pup.r Work.P.rmll. Is <br /> nnnhrafion rn, ems Dept . 48701 --`-/ <br /> PUBLIC WORKS PERMIT PullKwolTotal reeee6 —_ <br /> Less PPI Fee Pi , S <br /> Print or Type Only n.w"r.c,,,, s <br /> Select Homes Inc 12811 8th Ave W Fverett 982_04_513-9006 <br /> Owm'I Hadley AadreSS --- UIY Zip <br /> Phone <br /> Owner 17/13/95 10:54AM 000AN3557 Mt <br /> Applicant _ _. _.- M. 6rndrlr,..;s --_y-- -- _— <br /> DIIY lip NW048701 Phone <br /> Describe Proposed Work new house BLDG $612.50 U"1 <br /> PLBB— <br /> --- - —_JECH $60.00 <br /> SRCHRD $4.50 <br /> Protect Address til known; 1206 59th Pi SW i rt 4771 $105.00 WW <br /> Attach four(4)copies of plans lot proposed work Draw In srdln.tn-, �— <br /> A note the following as <br /> e Property Lines pplicahle SES $70.00 �r <br /> a Centerline Fit street SYSDEV $482.00 w <br /> e Outline and structures <br /> dimensionsof all existing and a Indicate North ry('{ ��yJ.! <br /> Proposed structures on the lot a Show any proposed gradinq'cfirnge$1431.00 <br /> s Existing and proposed utilities • Show measurements <br /> DO NOT WRITE BELOW THIS LINE mminimil <br /> PERMIT CONDITIONS O <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 /> al <br /> 3.Call Location Underground Service 48 firs.before you dig.TOLL FREE NUMBER 1.800.424.5555. <br /> 4. Keep city itraets clslan at all times. Z <br /> 5• Curb gutter and sidewalk in the plat Are new and undamaged, any damage thereto <br /> 611811 he replaced at the discretion of the Public Works Inspector. O <br /> 6. Any change in the driveway cut must be Approver! by the Public Works Inspector, <br /> width at prop line limited to existing apron width. Driveway may taper grRdtIRllV tr <br /> meet garage door entrance (for An approved 3 car garage). ♦� <br /> 1. Adjust water boxes to grade At end of construction. V♦ <br /> 8. Driveways shall be completely cured before driving on them. r <br /> 9. Rooftop drainage shall he discharged to the lots infiltration trench as per the O <br /> "Residential Roof Downspout System" detail (Rttached and as per the sisin¢ ^ <br /> information in Table 1i1-3.2 . A preconstruction meeting must be scheduled with an <br /> Dennis Gabelman 1339-7403 mob. or 259.8810 office) prior to installation of the <br /> infiltration system. Any change in the infiltration trench must be approved by the <br /> Public Works Inspector. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersoned owner/applicant hereby agrees to hold and save harm- <br /> less the City of Everett from any and sp 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-01•way use hereto <br /> tFIECTION <br /> onstr� � Dain I applied lot and further agrees to remove same upon notice from the <br /> City and to replace public Properly damaged thereby. <br /> sC ' <br /> <L� / Date —�3— 9S <br /> Approved as Constructed Signature of Ap ant 0 <br /> Date <br /> PUBLIC WORKS DEPARTMENT WORK AUTHO ED BV TI{IS PERMIT MUST BE STARTED WITHIN <br /> 3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everetl,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 />