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1 <br /> _ a <br /> % r <br /> rumw won•PerPermitrm <br /> 2 0 <br /> Z emv pool •- —_'�--- <br /> � � nnCTIN(i lz� <br /> to Dele Application For rublr.wo.••Ftl 8�- <br /> PUBLIC WORKS PERMIT T11.1Fe• <br /> Let••r01 ia<P•�0 S�p <br /> O •� O 1111.0:•Due •S 4 <br /> rip in b <br /> N w <br /> Print or Type Only 07 644-2323 x142 <br /> o Belleuve WA 9E <br /> 14410 Be1-Red rid. !1200 Zip Phone <br /> H ' Countryaood Homes City Angie Stevens <br /> Melling AddresS <br /> N Owner <br /> •x Zip Phoria <br /> ep N city <br /> h O N owner Me111ng Address <br /> Applicant <br /> 13 <br /> Lot v Mill <br /> rn SFR _ <br /> Describe Proposed Work — <br /> �W''' <br /> Project Addreva III known) <br /> hcab!e <br /> •Centerline of street <br /> Attach lour 141 copie o1 plans for Proposed work•Draw to scale end note Indicate <br /> • Property Lines • Show any proposed grading changes <br /> • outline and dimensions of all edstln9 and 0 Show measurements <br /> proposed structures on the lot <br /> • Existing and propc9ed utilities <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS <br /> 1.All calls for Inspection shall 1 r made 24 ane it •diener•Phone 258•Btity0. <br /> Desig <br /> 01 Eye <br /> 4245555. Pr c i tv (,tea <br /> 2.All work shell be performed Ir accordance with This permit and current TOLL FREE NUMBER i!gpQ•n and Construction <br /> cP^ <br /> 'e Standards and Specifications. <br /> _e 0.Cell Lpcalfon Underground Service 48 hrs.before you dig. Public Works /�L <br /> 4 . Install rock ronstrurtion entrance behind driveway (`a/l <br /> Standard 020,9 and erosion control ae directed hY <br /> TnsPect,or. <br /> 5. Keep city at.T'P,P,t.lclean at all times i <br /> I .f�. g, Curb 91ltter and aidehall be the plat are now and undamaee discretion of the <br /> Idaaa <br /> env damage thP.reto shall be rePTaced at, the <br /> W In- <br /> to <br /> pub] to Worko Inspector•P. roved by the PO <br /> �• 7. AnV change in the drivWA'v cut. must be appapron <br /> I� B. Coactor nnect Alidth 81, Yard anroP d driveway drains etonetorm drain <br /> thon <br /> system providad to lot. t e <br /> cured before driving on h , <br /> �•I� I 10. Adiost wstsrr hallxbe romPlPtPl.yt end of r_onstruc . .on• n, <br /> ACKNOWLEDGEMENT OFC CONDITIONS <br /> toolhold and save harm, <br /> licant hereby agrees <br /> Tho undersignedo ,,air from <br /> arise because of installationhereto less the City of Everett Irom any end all clelma for damages, cos <br /> I 111110,'�� expenses, or causes of action a et may <br /> ^ -4 at imantlerion,:d for and Witherimprovement <br /> to reemove tome ebb.uponoticeslromrlhe <br /> 1/ app lace Pubht properly damaged thereby. <br /> �, 1 `� r--�--+ �— a City and to rep <br /> Approved lot Construction eSTART <br /> j , licalTDaeDale Signature of APPlicenl UST WITHIN <br /> FINAL INSPECTION THIS PERMIT <br /> Approved ea Constructed WORK AUTHORIZED BY <br /> 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER A T <br /> PUBLIC WORKS DEPAPTMENT BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> 3200 Cedar Street CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS I <br /> Everett,WA 98201 PROJECT OVER 90 DAYS DURATION. J <br /> phone:259.8810 <br />