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Date 11/3/92 �1��•/��_ <br /> -ZY� — l Public WaAe Vermis e <br /> APplicahnn I al Bldg D,,- • 3B <br /> PUBLIC WORKS PERMIT Public„Fee Fee <br /> Lille apps Fee Paid f <br /> Print or Type Only BrbnceDue <br /> Countrywood Homes 14410 Bel-Red Rd #200 Bellevue 98007 644-2323 <br /> Owner Malhng Address City Zip Phone <br /> Applicant <br /> Mailing Address CII <br /> Y Zip Phone <br /> Describe Proposed Wcrk New hati a — Raai r 173 <br /> Project Address(if known) 2702 59th St SW lot 15, Powdermill Highlands <br /> Attach four(4)copies of plans for proposed work- Draw to scale and note the following as applicable: <br /> • Property Lines <br /> • Centerline ofstreet <br /> • Outline and dimensions of all existing and • Indicate North <br /> Proposed structures on the lot • Show any proposed grading changes <br /> • E=xisting and proposed utilities • Show measurements <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> 1.All calls for Inspection shall be made 24 hrs.In advance-pho. a 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 Service 48 hrs.before you dig TOLL FREE NUMBER 1.800.424.5555. <br /> 4. Install rock construction entrance behind driveway as per city <br /> standard #208 and erosion control as directed by Public Works <br /> Inspector. O <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 <br /> Public Works Inspector. <br /> 7. Any change in the driveway cut must be approved by the PW In- <br /> spector, width at prop line limited to existing apron width. O <br /> 8. Connect all roof, yard and driveway drains to storm drain <br /> system provided to lot. 0M9. 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 all claims for damages, costs. <br /> lti� C 1 I� h_�� expenses, or causes of action that may arise because of installation <br /> and maintenance of the improvement or other right-of-way use hereto <br /> Approved for C struct ion �— applied for and further agrees to ova same upon notice from the <br /> Date Cily anId ce public propert da aged (hereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> Sig t re of Applicant Date <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY HIS PERMIT MUST BE STARTED WITHIN <br /> 3200 Cedar Street 180 DAYS OF DATE PER IT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 08201 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 />