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Date 9-27-91 9i3et <br /> .- PPCPPP., <br /> Application Forte TO POSTINGslap poor <br /> Pr.• 91 91/27801 <br /> PUBLIC WORK% PERMIT P1bTl t Fee Fe. fr — <br /> Leu APP' Fs Paid fj <br /> Print or Type OnlyuTy7ttt $ t$� $ p$ O o c Q o e•wreuue a ?� <br /> O 0 O h to <br /> 6f0e O �O <br /> Select Homes _ _7Eln St � etbQ 9820 A 258-15'03 <br /> Owner Mailing Ad"sa{�� N $ � � I\(fi ��-5+ Zip Phone <br /> Owner <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new SFR <br /> ui <br /> Project Address(if known) Lot 17 !ZP� - (Pot-" PL SE <br /> Attach four(4)copies of plans for p,ocosed work- Draw to scale and note the following as applicable: <br /> • Property Line❑ • Centerline of street <br /> • Outline and dimsnsion3 of all existing and • Indicate North <br /> proposed slruclun,a 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 /> 1.All calls for inspection shall be made 24 fire.In advance-phone 259-8810. 0 <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.Cell Location Underground Service 48 hrn,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 O <br /> Inspector. <br /> 5. Keep city streets clean at all times <br /> 8. 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. CIO <br /> 7. Any change in the driveway cut must be approved by the Public, O <br /> Works Inspector. <br /> A. Tightline all roof, ,yard and driveway drains to Storm drain <br /> stubs at back Side of sidewalk. <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 /> n J� 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 /> ^I expenses, or causes of action that may arise because of Installation <br /> c ©_8_��3 and maintenance of the improvement or other right-of-way use hereto <br /> epplled for and further agrees to remove same upon notice from the <br /> Approved for Const tion Date City and to replace public property damaged thereby. <br /> FINAL INSPECTION Date C <br /> Approved as Constructed Signature of Appiiallil bate <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORI ED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200 Cedar Straet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 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 />