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^ nu°ec W,res Permn.Date 1-13-92 A-1 - 2 TO "OSTI11G __341q_ELf__ 11w,D.01 <br /> PUBLIC WORKS PERMIT• """"W " <br /> S <br /> to <br /> " N <br /> Print or Type Only <br /> of M <br /> Select Homes <br /> 7.37 Elm St Everett WA 98203 Randy Clark 258-1503 or <br /> 34 -1320 <br /> Owner i• Mad,ng Pddress <br /> O rMr�� <br /> M M Owner <br /> Mailmg Address C'�Y zip <br /> H APPhcant <br /> BCH <br /> F � new construction Lot 28 <br /> In D2scrlbe Proposed Work <br /> - 1.1.1 <br /> Project Addr.ss lit known) Zw - tp 1ST' F(_ 9E lease <br /> — <br /> Attach lour(4)rc;les of plans for proposed work• Draw to scale and note the following as applicable <br /> rrrre>•s <br /> • Props ty Liner, • Centerline of street <br /> • Outline and dimensia.m of all existing and • Indicate North <br /> Is Show any proposed grading changes <br /> proposed structures on the lot <br /> • Show measurements M <br /> • Existing and proposed utilities W <br /> -60—NOT WRITE BELOW THIS LINE O <br /> PLRMIT CONDITIONS <br /> 1 All calls for inspection shall be made 24 him in advance•phone 259.8810. <br /> 2.An work shall be performed In accordance with this permit and current City of Everett Design end Construction <br /> low n, 7lendards and Specifications. <br /> 9.Call Location Underground Service 48 lira before you dig.TOLL FREE NUMBER 1.800.424.5556. <br /> 4. !natalI rack construction entrance behind driveway as per city O <br /> standard 0208 and ercontrolosion ontrol lie directed by Public Works <br /> Inspector. <br /> 5. Keep city streets clean at all times <br /> 6. Curb glitter and sidewalk in the plat are new and undamaged, <br /> any damage thereto shall be replaced at the discretion of thn <br /> Public Works Inspector. <br /> 7. Any change in the drivewa3r cut must be approved by the PW In <br /> spector, width at prop line limited to existing apron width- <br /> 8. <br /> 9. Connect. all roof, yard and dri.vewa.v drains to storm drain 16 0 <br /> system provided to lit. <br /> 9. Adjust water boxes to grade at: end of construction. <br /> ! 10. Driveways shall be completely cured before driving on them. <br /> v ACKNOWLEDGEMENT OF CONDITIONS <br /> _1 ^ T he undersigned owner/aPplicenl hereby agrees to hold and save harm. <br /> lApprved <br /> less theCity of Everett from any and all claims for damages. costs. <br /> expenses. or causes of actirn that may arise because of Installation <br /> 3 .-�O-- and maintenance of the Improvement or other rlghl-ol•way use heretoroapplied for and further ages to remove same upon notice from the <br /> or Ccnstruchon Dale Clty a raplac ubllc pe damaged thereby. <br /> � Dela u Dale <br /> FINALFINAL INSPECTION Signalur of APplicant <br /> Approved as Constructed WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett WA 90201 CANCELLED BY THE CITY UP014 ANY STOPPAGE OF WORK ON THIS <br /> Phone:259.0810 PROJECT OVER 90 DAYS DURATION. <br />