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1 <br /> H c) t-4 <br /> C: H <br /> C: H <br /> 9H [n <br /> F Ex <br /> K 0 Z 2 � <br /> Hx <br /> 0y ° TO POSTIJJG z-I ?-`� pe°xeWokePermlle <br /> I-1 Dated-20.:92 Bldg Ont.• A6421 <br /> H Z t" Application Fol <br /> 0C3d+7 PUBLIC WORKS PERMIT "'alk w°°"" <br /> Tc walks <br /> �0 H �7 L9"Ao re.PoW $ n� <br /> F-1 f0x7 O Bneoen ane .6 <br /> 0V 0 <br /> yyy Print or Type Only <br /> H <br /> t Hy <br /> County ood Homes 14410 Bel-Red ltd. +%200 Bellevue 98007 644-2323 <br /> H 'City ,Zip Phone <br /> 0 t7 to Owner Melling Address. <br /> Angle Stevens <br /> y En <br /> Owner !�r Phone <br /> q N <br /> HOApplicant Mailing Address City <br /> new house <br /> Describe Proposed Work -- --- <br /> ___ W <br /> Protect Adcresa(11 known) 2530 59th St SW Lot 19 s <br /> Attach lour(4(copies of plans for proposed work•Draw to scale and note the enllowing al as applicable: <br /> • Property Lines • Indicate Northet <br /> Outline and dimensions of all existing and • Show any proposed grading changes <br /> proposed structures on the lot • Show measurements f� <br /> • Existing and proposed utilities w <br /> DO NOT WRITE BELOW THIS LINE 0 <br /> PERMIT CONDITIONS <br /> 1.All calls for Inspection shall be made 24 hrs.in advance•phone 259.8810. sell <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 /> a Call Location Underground Bervlca 48 bra,before you dig.TOLL FREE NUMBER 1-800-424-5555. <br /> 4. Install rocK construction entrance behind driveway as per nitY O <br /> ' Standard 0208 and erosion control Be directed by Public Works <br /> Inspector_ <br /> 5. Keep City streets clean at all times <br /> Fm <br /> 6. Qlrb gutter and sidewalk in the plat, are new and undamaged• <br /> any damage thereto shall he replaced at the discretion of the <br /> -I Public Works Tnapertor. A <br /> at be approved by the PW <br /> 7. Any change in the driveway rut mu . (v) <br /> Spector. width at prop line limited to eziating apron width. <br /> ' 8. Connect all roof, yard and driveway drains to storm drain <br /> system provided to lot. <br /> 9. Adiust Water bo"S to grade at, end of construction. <br /> 10. DrIVSWAYS shall he completely cured before driving on them. <br /> �1 ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the City al Everett from any and all claims for damages cost& <br /> expenses, or causes of action that may arise because of installation <br /> ,1 �l and maintenance of the improvement or other right•ol•way use hereto <br /> C l�0 4 �t`•r 1 npPlled for end lunher agrees to remove same upon notice from the <br /> Approved lot COnssstruclion <br /> Dela City and to replace public property damaged thereby. <br /> FINAL INSPECTT1=0N-- cele Date <br /> Slg urs of pp(cent <br /> Approved as Constru,ted WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Ceder Street BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett.WA 88201 CANCELLED BY THE PROJECT OVER 90 CIT DURATION. <br /> PON ANY <br /> STOPPAGE OF WORK ON THIS <br /> Phone:269.8810 <br />