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l:A�.rll <br /> Hm Date 3-5-92 10 VMTING (_1 —cfZ <br /> APPiltalion Bldg <br /> rm3mn5.8459 <br /> z <br /> PUBLIC WORKS PERMIT Pub-Worts: ePoe — <br /> r�1a , .1 see • <br /> s M IN.MM Fee Net ST <br /> H n B.I.Me Oue It /� <br /> o a o Print or Type Only <br /> �{ tn H <br /> IL Z <br /> tO Countrywood Homes 14410 Bel-Red Rd. 8200 Belleuve WA 98007 644-2323 x142 <br /> k n Owner Mailing Address City Zip Phone <br /> to Angie Stevens <br /> M <br /> L " Owner — <br /> E H Melling Address Cly Zip Phone <br /> tn <br /> Applicant ..r <br /> N <br /> C N <br /> rye � Describe Proposed Work SPR 1.0t Ib tT0\V0E7- <br /> 1'h ILL <br /> ? N <br /> W <br /> Project Address fit known) Z(y 18 — 8c)-rK ST SW _ leads <br /> Attach four(4)copies of plans for proposed work-Draw to scale and note the following as applicable: v <br /> • Property Lines • Cenlerline of street /^ <br /> • Outline and dimensions of all existing and • Indicate North V+ <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements M <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> C:) 1.All calls for Inspection shell be made 24 his.In advance•phone 259.8and Construction <br /> 810. sal2.All work shall be performed in accordance with this permit and current City of Everett Design <br /> Standards and Specifications. <br /> 1 3.Cell Location Underground Service 48 firs.before you dig.TOLL FREE NUMBER 1-800.424.5555. Z <br /> 4. Install rock construction entrance behind driveway as per City <br /> See,'W standard #206 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, <br /> any damage thereto shall be replaced at the discretion of the I_ <br /> Public Works Inspector. V, <br /> 7. Any change in the driveway cut must be approved by the PW tIn- O <br /> specor, width at prop line limited to existing apron width. <br /> �. 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 /> 10. Driveways shall be completely cured before driving on them. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm <br /> less the City of Everett from any and oil claims for damages. costa <br /> expenses, or causes of action that may arise because of Installation <br /> and applied <br /> for and <br /> of the Improvement or v other right•n•wey use hereto <br /> applied for and lurlhar agrees to remove same upon notice from the <br /> Approved for Cons.rucllon Date City and to replace public property damaged thereby. <br /> L <br /> FINAL INSPECTION Dale /s�/ , // / r•i. e --J•� ' r •C_-.. <br /> Approved as Constructed Ignatwe of ApplicantDate <br /> -7 PUBLICWORVS DEPARTMENT WORK AUTHORIZED BY iv S I' SMUT MUST TARTED WITHIN <br /> ,& 3200 Cedar Street BE DAYS OF DATE PERTHEREAFTER IS ISSUED AND THEREAFTER 18 TO <br /> DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett WA 98201 BE IS <br /> Phone:269.8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS, <br /> PROJECT OVER 90 DAYS DURATION. ,/J <br />