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Date 5/3/93 q3 Z <br /> h01re Werb Permll� Il <br /> Application For ppnn SS 1811, pop, . Y <br /> PUBLIC WORKS PERMITT�NG ' l�.Works <br /> LL@$.:0A:i`;:*PLC <br /> Print or lypr. Only P.. tt{ <br /> f <br /> Couc:zywood Homes 14410 Bel--Red Rd Bellevue 98007 644-2323 C� <br /> Owner M814ng/,ddress City ZIP Phone <br /> Owner <br /> Applicant Mailing Address Clly ZI <br /> P Phone ` <br /> Describe Proposed Work New house - Basic 129 c <br /> Protect Address fit known) 2601 59th St SW T M- R Pnwdpr Mill Div t UJ <br /> Attach lour(4)copies of plans for proposed work-Dram to scale and note the following as applicable: <br /> • Property Lines <br /> • Outline and dimensions of all existing and • Centerline of street I_ <br /> • Indicate North <br /> proposed structures on the fol • Show any Proposed grading changes <br /> • Existing and proposed utilities • Show measurements <br /> DO NOT WRITE BELOW THIS LINE /W <br /> PERMIT CONDITIONS r ' <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 /> 3.Call Location Underground Servlce 48 hrs,b+lore you dig.TOLL FREE NUMBER 1.800.424.5555. <br /> 4. Install rock construction entrance achind driveway as per city Z <br /> standard 11208 and erosion control as directed by Public Works O <br /> Inspector. <br /> 5. Keep city streets clean at all times <br /> 6. Curb gutter and sidewalk in the plat are new and undamaged. L <br /> any damage thereto shall be replaced at the discretion of the r <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 /> B. Connect all roof, yard and driveway drains to storm drain <br /> system provided to lot. A <br /> 9. Adjust water boxes to grade at end of construction. L �i <br /> 1(_ 10. Driveways shall be completely cured before driving on them. <br /> ^�V ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby ngwfv s to hold and save harm- <br /> less the City of Everett from any and all claims for damages, coats. <br /> / ►���r expenses, or causes of action that may arise because of Installation <br /> r� (,(j1� `] and maintenance of the improvement or other right-of-way use hereto <br /> Approv or Construction Date applied for and further agrees to remove same upon notice from the <br /> to replace public property damaged thereby. <br /> FINAL INSPECTION Date _ <br /> Approved as Constructed Signature of Icant ate <br /> GLPUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 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 />