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i <br /> C <br /> Sys -- <br /> y H <br /> !rH � Date 12/3/91 runi,r w,:�..re.mne <br /> `-'qzq Application For TO �n�TiNc 3 1 -Bid,Deni • 0-X798974 <br /> OHC (Replaces 27803) <br /> � g PUBLIC WORKS PERMIT' r°°,.olFee • a _ <br /> _ <br /> I-i rJ Lev�r01 res Mid a <br /> `L H <br /> 1718 Ous S <br /> Print or Type Only $ <br /> CA <br /> � � � <br /> H M <br /> C]t7 rAP <br /> L•Q1 Select Homes Inc. 237 Elm St Evert, WA 98243 258-1503 <br /> " Owner Mailing Address n N I <br /> cy� City S a�?� k�+ Zip Phone <br /> 1-3 CAI <br /> Lo <br /> r.l a <br /> F9 0 14 <br /> Applicant Mailing Address City Zip Phone 1 _ <br /> Describe Propo -rd Work Qonstrur•t new SFR <br /> LU <br /> Project Address fit known) 10 - 60th P: BE <br /> Attach four(4)copies of plans for proposed work•Draw to scale and note the following as applicable: Itrer• <br /> • Property Lines Is Centerline of street <br /> • Outline and dimensions of all existing and • Indicate North of <br /> proposed structures on the lot •Show any proposed grading changes <br /> • Existing and proposed utilities •Show measurements <br /> W�A <br /> DO NOT WRITE BELOW THIS LINE <br /> I <br /> s PERMIT CONDITIONS <br /> 0 1.All calls for Inspection shell be made 24 hire.In advance phone 259.8810. alra� <br /> i 2.All work shell be performed In accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> i 3.Cell Location Underground Service 48 hr&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 Word - <br /> Inspector. <br /> 3. Keep city streets clean at all times <br /> s .� 1 b. Curb putter, and sidewalk in the plat are new .-.nd undamaged. <br /> I�� any demacte thereto shall Inc- replaced at the discretion of th. <br /> i Prlblic Works Inspector. <br /> 7. Any change in the driveway cut must be approved by the Publi ,. o <br /> ' WorS.s Inspector. <br /> A. 1'.inhtl.ine all roof , yard and driveway drains to storm drain <br /> i Sf.UtIS at back side of sidewalk. <br /> 9. Adjust water boxes to Elrade at end of construction. <br /> til. Dri.vieways shall he completely cured before driving on them. <br /> s <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. cost& <br /> 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 /> applied for and further agrees to remove same upon notice from the <br /> Approved for Construction Date City and to replace public property damaged thereby. <br /> 7 L <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature of Apjplicant Oa e <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 180 DAYS DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Cedar Street <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY <br /> Phone:269-8810 PROJECT <br /> BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br /> `/ 1 <br />