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y ^� <br /> F3 C-) <br /> HEa Date 8/12/91 <br /> H eras pop, 091/27527 <br /> Application For <br /> � <br /> t< H d PUBLIC WORKS PERMIT Pub'�tmaln r*1 <br /> QQ .. s <br /> H h] LIY A°°r F.01'.0 S <br /> CA 1-4 e.4nc.D.. a�/ <br /> z Print or Type Only TO POSTING / nr� <br /> � c <br /> �OHtc� <br /> N t" C Select Homes, Inc. 237 Elm St. Everett, NA 98203 258-1503 <br /> HY n Owner Melling Address City Zip Phone <br /> yzyy <br /> L H H Owner �... <br /> gIn Applicant Meiling Address City Zip Phone <br /> ti <br /> nbU.i <br /> I Describe Proposed Work Construct new SFR <br /> H � <br /> HOtn <br /> W <br /> - <br /> Project Address(It known) <br /> Am& – 60th Pl SE' 1. T • I F— <br /> Attach four(4)copies of plans for proposed work-Draw to scale and noir•the following as applicable: <br /> • Property Lines • Centerline of street / <br /> O Outline and dimensions of all existing and • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements M <br /> DO NOT WRITE BELOW THIS LINE <br /> i PERMIT CONDITIONS <br /> 1.All cells for inspection shall bf made 24 his.In advance•phone 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 �J <br /> Cellil IanlLirdf�P4!'dt�CfiI1 �INtbf�4ffY94A 19MifR%Nq"jE9JkWQlQ#' 5per city 1L <br /> standard 0208 and erosion control as directed by Public Works <br /> loss, Inspector. <br /> 1 0 5. Keeo 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 <br /> Public Works Inspect.>r•. <br /> , k 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��) 1 ak <br /> side of 9. Adjust waterboxes to gradeatend of construction. a <br /> 10. Driveways shall be completely cured before drl ,-ing on them. <br /> r I <br /> (�,� ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm <br /> fess the City of Everett from any and all claims for damages, costs, <br /> expenses, or causes of action that may arise because of installation <br /> GI/_. and maintenance of the improvement or other right-of-way use hereto <br /> applied for and lunher agrees to remove same upon notice from the <br /> Approved lot Construction Date City and to replace public property damaged thereby. <br /> FINAL INSPECTION Dale <br /> Approved as Constructed Signature of A*Iicanl Dale <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 9200 Cedar Street DAYS <br /> BE DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett WA 88201 BE DILIGENTLY PURSUED TO COMPLETION, THIS PERMIT MAY BE BE <br /> ff Phone:%9.8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />