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J <br /> A Pubic wPnr P.,.,l a <br /> /L l) <br /> � N <br /> Date 1:.5.-9z- TO POSTINf <br /> tly Application Io• <br /> K2 PUEt Wen.fn <br /> PUBLIC WORKS PERMIT a•Ir•• <br /> t.,..PPI P..P.M `—�— <br /> N <br /> attic.Du. <br /> Z <br /> M <br /> o H Print or Type Only <br /> m <br /> y Countrywood Homes 14410 Bel-Red Rd. 112D0 city Zip <br /> WA 2phone <br /> 8007 644-Px142 <br /> r MaikngAddreas Angie 'Steven. <br /> H owner <br /> N <br /> M <br /> �• �� Phone � <br /> h: try ttt.e - Applicant Mailing Address e�G7D'ty J <br /> H O rNr. W,Z, <br /> SFR Lot 17 <br /> Describe Proposed Work _.. <br /> W <br /> zco to _ 59TH sr sw <br /> Protect Address Iii known) <br /> Adach four(4)Copies of plans for proposed work• Draw to scale and nota a eCentew' nrli;le of streetli ,As abl : <br /> Yw <br /> / <br /> • property Lines • Indicate North <br /> •outline and dimensions of all existing and B Show any proposed grading changes <br /> proposed structures on the lot • Show measurements 00 <br /> • Existing and proposed utilities . <br /> 1—�' DO NOT WRITE BELOWssssTHIS LINE O <br /> 1 PERMIT CONDITIONS <br /> `` 1.All calls for inspection shall be made 24 his.In advance-phone 259.8510. <br /> s 2.All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br /> p Standards and Specifications. <br /> 11! &Cell Location Underground Service 48 hr a before you dig.TOLL FREE NUMBER 1.r driveway <br /> Cl z <br /> 4. install rock construction entrance behind driveway Public <br /> per Works <br /> standard 0208 and erosion control as directed by ?ublic Works <br /> Inspector. <br /> �.� 5. Keep city at In <br /> clean at all times <br /> 6. Curb Futter and sidewalk in tea pled are new and discretion <br /> of <br /> any damage thereto shall be replaced at the discretion of the <br /> Public Works Lllspector. <br /> CAI <br /> 7. Any change in the driveway rut must be existingproved by the id In O^ <br /> apoctor, width at prop line limited to existing apron width . <br /> 8. Connect all roof• yard and driveway dl•ains to storm drain i.i. <br /> Visit, provided to lot. <br /> I <br /> AMW to grad <br /> 1 10. Driveways9. Adjustter shallxes he completelytcured before nd of tdriving on them. <br /> ACKNOWLEDGEMENT by f reF*,TION <br /> The undersigned owner/applicant from <br /> nareby l clef •ol oldand sn "alff <br /> � less the City of Everett trom any and all cl.ims for dems,re.. cos's. <br /> expenses. or causes or action that may arise be^ause of ins^allation <br /> q7 and maintenance of the improvement or Mhar a apo notiwayce <br /> a Ir hereto <br /> /V applied for and further agrees Id romov! same upon nollta Irom the <br /> Date City and to replace public property damagec thereby. <br /> Approved for n r <br /> Z: q L /,'� -fi sir / '~�. <br /> Date CCL Date <br /> FINAL INSPECTION Signalure of Applicant <br /> Approved as Constructed WORK AUTHORIZED BY THIS PERMIT M T BE ARTED WITHIN <br /> PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> O3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION.GE O PERMIT MAY IS <br /> n Everett WA98201 CANCELLED JECT OVER 90 DAYS DURATION STOPPAGE OF WORK ON THIS <br /> Phone:2698810 <br />