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Date 9-27-91 T er SX3 /!/l�/�� �` Pvbhc Wo,FF Permll <br /> Application For Beep Dept• 91/27866 <br /> PUBLIC WORKS PERMIT Purim e Fee <br /> FeFes <br /> ^ Lon Apo[Fee Peld e. <br /> ., Print or Type Only TO POSTING_._ I— Bebnce Doe • <br /> i:. <br /> Select Homes 237 Elm St Everett 98203 258-1503 <br /> L` Owner Mailing Address City Zip Phone <br /> o-mar _ <br /> Applicant Meiling Address City Zip Phone <br /> Describe Proposed Work new SFR <br /> o/ <br /> TT' _ <br /> W <br /> Prolr:t Address(it known) Lot 12 2-(n _ Co Oth PL •- <br /> Attach four(4)copies of plans frr prr nosed work• Draw to scale and note the following as applicable: <br /> • Property Lines • Centerline of street <br /> • Outline and dimensions of all existing and • Indicate North <br /> preposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements <br /> DO N3 WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for Inspection shall be made 24 hra.in advance•phone 259.8810. <br /> 2.All work shall be performed In accu-dance with this permit and current City of Everett Design and Construction <br /> Standards end Specifications. <br /> 3.Cell Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1.800.424.5555. 3 <br /> 4. Inat:all rock construction entrance behind driveway as per city <br /> star 'ard #208 and erosion control as directed by Public Works P <br /> Ina,,.tletor. <br /> 5_ Keep city streste 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 /> Publi.c Works Tnspsrtor. <br /> 7. Any change in the driveway cut must be approved by the Public O <br /> Works Tnnpeel.or. <br /> R. Tightline all roof, yard and driveway drains Lo storm drain <br /> stubs at back Ride of sidewalk. an I <br /> S. Adiust water boxes to grade at and of construction. r <br /> 10. Driveways nhall he completely cured before driving on them. <br /> y 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, costs, <br /> expenses, or causes of action that may arise because of installation <br /> P0 MC ri_„ ,1�,�8t�� and maintenance of the Improvement or other right-of-way use hereto <br /> 1 RU-� 1 I s•YX. ap ed for and fu!Iller agrees to nnove same upon notice from the <br /> Approved for CCoonsttr Ion Date Ci an tore laqopubh6propert d a ed thereby. <br /> FINAL INSPECTION Date m 1 <br /> Approved as Constructed ignat re of Applillalit IDale <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200 Cedar Street 180 DAYS DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY <br /> Y PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone:258.8820 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />