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b <br /> y <br /> A � LL.*% <br /> ° yfLN nate-3-S-'92 Tn �nSTING 1Z " MZ Appbr-Ninn Forort Fee <br /> FeeO = a PUBLIC WORKS PERMIT r iae aneN Due <br /> c „ Print or Type Only <br /> 0M <br /> 42 <br /> H <br /> y City - Zip Phone <br /> t Count ood Homes 14410 Bel-Red Rd. fl200 eelleuve WA 8007 644-2323 xl <br /> Halling Address Angie Stevens <br /> y Owner <br /> N <br /> w <br /> O NZip Phone <br /> ttv Mailing Address City - <br /> y Applicant <br /> C N <br /> P—0—\VD -MIU- .--.-- <br /> Describe Proposed Work <br /> 2 SO 1 - 5911+ ST s\V <br /> Protect Address Ili known) <br /> Attach tour 14)copies of plans for proposed work•Draw to scale and note tDBnlowing of as applicable: <br /> street <br /> • Property Lines • Indicate North <br /> to Outline and dimensions of all existing and 0 Show any proposed grading changes <br /> proposed structures on the lot 0 Show measurements <br /> • Exisllnp end proposed ulilihes <br /> 1_�' DO NOi WRITE BELOW THIS LINE <br /> z.acs <br /> PERMIT CONDITIONS <br /> 1.All calls Ior Inspection shall be made 24 bra,in advance•Phone 259.8810. <br /> y 2.All work shall be performed in accordance with this permit and current City of Evorett Design and Construction <br /> 1_ Standards and Specifications. <br /> p 3. II L alto U rlergroun Service 4B lira before you dig.TOLL FREE NUMBER 1.800.424.55Fla Fl <br /> ion <br /> Rtandardr020t3rAnd terneinn control rUrtinn soPasPdirected hind vbyaPublic 5. <br /> eWorksy O <br /> inspector. <br /> 5. Keep city Streets clean at all times <br /> 6. Curb gutter and sidewalk in the plat are neva and undamaged. <br /> any damage thereto shall he replaced at the discretion of tL <br /> 1Public Works Tnspector. T,,7. Any change in the driveway cut must hs approved hY the PW T <br /> Spector, width nt prop line limited to existing apron width <br /> H. Connect all roof, yard and driveway drains to Storm drain <br /> system provided to lot. <br /> w A. Ad3ust water boxes to grade at end of construction. <br /> 10. Driveways shall he COmpletely cured before driving on them. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> �r <br /> kcanl hereby agrees to hold and save harm- <br /> The <br /> arm <br /> The undersigned ownerlapp <br /> 'FI less the City of Everett from any and all Ctalma for damages. coals <br /> and <br /> or causes of action that may arise because of Installation <br /> r� �•7��q and maintenance of the Improvement or other right•ol•way use hereto <br /> L� �r- (J—_L applied for and further agrees 10 remove same upon notice from the <br /> {— Date City end to replace public property damaged thereby. <br /> Approved for Consiry9lion <br /> � a of <br /> Date <br /> FINAL IN rIBEDILIGENTL <br /> of Applicant <br /> Approved as Constructed UTHORIZED BY THIS PERMIT UST BE STARTED WITHIN <br /> REAFTER IS TO <br /> PUBLIC WORKS DEPARTMENT 180 YAYS OF DPURSUED TOATE PERMIT ICC�IPLETIONT HSEPERMIT MAY BE <br /> 3200 Ceder 8lreet LED BV THE CITY UPON AN/STOPPAGE.OF WORK ON THIS <br /> qjjElpeorrr Everett.WA 88201T OVER 90 DAYS DURATION. <br /> Phone:2598810 <br />