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R <br /> r <br /> s <br /> t q <br /> Date—_ 119/93 ,' I'�'� numrt Worts Pnmd• 11L� <br /> Applicalion Foi Bora Deor • 149 2— <br /> PUBLIC WORKS PERMIT nuolme FeeFee a <br /> p leu Aool Fee Pnd 8 <br /> yy � <br /> Print or Type POSTING. BNenreDue • �� <br /> EmAlt <br /> O w W SELECT HOMES INC 237 ELM ST EVERETT 98203 258-1503 u) <br /> V H It Owner Mailing Address City Lp Phone <br /> N H <br /> H � <br /> j O RANDY CLARK SAME <br /> H C7 Apohca Dt Mailing Address City Zip Phone <br /> nM g NEW HOUSE BASIC 100 S <br /> L.i Describe Proposed Work <br /> Z <br /> ti <br /> � t Project Address(11 known) 77 ' ifth HlNADRoaK DIV 3 LOT 16 <br /> tx1 <br /> zOrn Attach four(4)copies of plans for proposed work•Draw to scale and note the follumng as applicable: g� <br /> Lr <br /> • Property Lines • Centet ne of street <br /> • Outline and dimensions of all existing and • Indicate North �( <br /> proposed structures on the tot • Show unv proposed grading changes <br /> • Existing and proposed utilities • Show measurements /yam <br /> DO NOT WRITE BELOW THIS LiNi: Wj� <br /> L (=9)) <br /> ' PERMIT CONDITIONS <br /> � 1.All cells for Inspection shall be made 24 hrs.in advance•phone 259.881 O. �� <br /> 2.All work shall be performed in accordance with this permit and current City sl Everett Design and Construction <br /> Standards and Specifications. <br /> _ 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1.800.424.5555. <br /> AAj 4. Install rock construction entrance behind driveway ae per city <br /> standard 02O8 and erosion control as directed by Public Works O <br /> Inspector. <br /> 5. Keep city streets clean at all times <br /> 0 1` 8. Curb gutter and sidewalk in the plat are new and undamaged, <br /> any damage thereto shall be replaced at the discretion of the <br /> Public Works Inspector. <br /> 7. Any change in the driveway cut must be approved by the PW In- v <br /> spector. width at prop line limited to existing apron width. <br /> i 8. Connect all roof, yard and driveway drains to storm drain <br /> system provided to lot. <br /> 9. Adjust water boxes to grade at end of construction. <br /> \�1+' 10. Driveways shall be completely cured before driving on them. <br /> --"- ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and gave harm- <br /> less the City of Everett Item any and all claims for damages, costa <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 /> applied for and further agrees to remove same upon .iobce from the <br /> approved for Construction Dale City to reply public ublic prop tqt y damaged thereby. <br /> I'INAL INSPECTION Date <br /> approved as Constructed Signature of Applicant Dale <br /> WORK ABY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLIC WORKS DEPARTMENT DAVES ODATE DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Cedar Street BE <br /> Everett WA Ba201 BE DILIGENTLY <br /> LY PURSUED TO COMPLETION,THIS PERMIT MAY BE <br /> CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259.8810 PROJECT OVER 90 DAYS DURATION. <br /> 4JGw6,r.•S�wiL <br />