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7 1 �4 <br /> Date—(31 9 I-ZS Puma At <br /> Werxr Pnrmlr <br /> �_ <br /> Appliea'Ion For TO POSTING_ kr-1=1Y �n Bid,bepr • 9127451 ... <br /> 5 PUBLIC WORKS PERIVHT t °,e,:Fe9 <br /> p 5 Leer April.Fee Pod f . <br /> aHance Due S G U <br /> 9 H m Print or Type Only <br /> Ir-1 X i <br /> H H <br /> H 70d Select Homes Inc. 237 Elm Everett 90203 258-1503 <br /> --- <br /> 'a7 H'a7 Owner Mailing Address Lady _ rY "� Z,p Phone <br /> � i r_ t ri <br /> 23, Owner o� r.�r �}. a- ri <br /> Cr1 O ll**11 rn <br /> H 0 Applicant Mailing Address City Zip Phone. <br /> O H <br /> n Describe Proposed tvrrk Construct now SFR - <br /> z -- - - .. <br /> rA LUqg dy _ S - - --- <br /> 3 9 t[pCxx,"1f; Project Address(if known) �r - 60th pl SE LLO 'T dl <br /> H y Attach four(4)copies of plans for proposed work- Draw to scale and note the following as applicable. r� <br /> • Property Lines • Centerline of street ♦^ <br /> •Outline and dimensions of all existing and • Indicate North yr <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 O <br /> ' 1.All calls for Inspection shall be made 24 hre.In advance•phone 259.8910. <br /> + 2.All work shall be performed in accordrnce with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Cell Location Underground Service 48 hra.before you dig.TOLL FREE NUMBER 1.800.424.5555. <br /> 1 4. Install rock ennetruction entrance behind driveway as per city pti)z <br /> dard 0208 and erosion control As directed by Public Works <br /> Inspector. <br /> 5. Keep city streets clean At all timeR <br /> +0 6. Curb Ratter and Aidawalk in the plat are new and undamaged, <br /> any damage thereto shall be replaced At, the discretion of the I_ <br /> Public Works Inspector. v, <br /> 7. Any change in the driveway cut must be approved by the Public O <br /> Works Inspector. <br /> B. Tightline all roof, yard and driveway drains to atom drain 0 <br /> Rtubs At back side of sidewalk. <br /> CI�� 9. Adlust wAter boxes to grade At end of nonetmlctiDn. <br /> 10. Driveways shall be completely cured before driving;; on them. <br /> 1 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 lot damages. costs. <br /> expenses, or causes of action that may arise because of Installation <br /> and maintenance of the improvemeul or other light-ol•way use hereto <br /> w�. VI {-YJL� ✓ applied for and further agrees to remove same upon notice from the <br /> Approved for Construction I Date City and to replace public property damaged thereby. <br /> FINAL INSPECTION Dale <br /> Approved as Constructed SiUn of AP'Plfcant Dale <br /> OPUBLIC WORKS DEPARTMcr1T WORK AUTHORIZED BY THIS rERMIT MUST BE STARTED WITHIN <br /> Cedar Strnel 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 CeBE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett da <br /> Phone. WA88100201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br /> ♦ r <br />