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f <br /> 1f r <br /> rl <br /> t7 <br /> I <br /> _ Date 8/12/91 Po°lx WWk*1`9ne91/27519 1 3OCD <br /> �Pphralum I r,r Bldg Dept <br /> C PUBLIC WORKS PERMIT "°,o;:°Flile • <br /> Oil, <br /> ��JJ pp pp p L.S.spill Fee NO fi Lti <br /> R 8 8IllDue S <br /> K 0 Print or Type Only {x- v• ' <br /> I' P� P M rr?1 r`•� Nd <br /> »t m TO POSTI NG <br /> sV� H w <br /> 1-3 Select Homes Inc 237 Elm St $verett 98203 25 tnb1 <br /> [+f Owner OVIIIIp'aI;Address LJL1�(t �t '!\�' �I� 0.1 Zip Phone <br /> 4 Al U N <br /> Hyyp O Applicant Melling Address City Zip Phone O <br /> t+y Z <br /> Describe Proposed Work _ New single family res <br /> co <br /> g ca <br /> L <br /> oC <br /> A 1 21 — (oottli PI 5E 7-o SIV <br /> Project Address lif known) <br /> Attach four(4)copies of plans for proposed work•Drew to scale and note the following as applicable: <br /> • Property Lines • Centerline 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 <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS <br /> Saw <br /> w 1.All calls for Inspection shall be made 24 hra In advance•phone 259.8810. <br /> _1 2.All work shall be performed in accordance with this permit and current City of Everett Design and Construction all <br /> Standards and Specifications. <br /> 3.Cell Location Underground Service 48 his.before you dig.TOLL FREE NUMBER 1.800.424.5555. z <br /> 1 � 4. Install rock construction entrance behind driveway Be per city O <br /> � standard 0208 and erosion control as directed by Public Worker <br /> Inspector. <br /> 5. Keep city streets clean at all times <br /> 8. Curb ,,Tutter and sidewalk in the plat are new and undamaged, lesse <br /> any d"mage thereto shall be replaced at the discration of the 'w <br /> Public Works Inspector. V, <br /> 7. Any change in the driveway cut must be approved by the Public <br /> Works Inspector. <br /> ' 8. Tightline all roof, yard and driveway drains to storm drain <br /> stubs at back side of sidewalk. CL <br /> 9. AdJust water boxes to grade at and 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 clams for damages, coots, <br /> iexpenr.^s. or causes of action that may arise because of installation <br /> Ural `� mL and maintenance of the Improvement or other right-of-way use hereto <br /> I x• Q �'r 1 —•J1 applied for and further agrees to remove same upon notice from the <br /> Approved for Constru lion// Dale City and to replace public properly damaged thereby. <br /> FINAL INSPECTION Date •� L-s �'L I-7�eIL tt <br /> Approved as Constructed Signature of Applicant Date <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 7 PUBLICWORKSel 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> � T 3200 Cedar 9 tree BE DILIGENTLY PURSUED TO COMPLETION,THIS PERMIT MAY BE <br /> CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON TH13 <br /> Phone:259.8810 PROJECT OVER 90 DAYS DURATION. j <br /> i <br /> �_a li <br />