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Date_. 12/2/94 � � �jj Z�� � <br /> L ��390 <br /> PuoLc Wod�Permil• <br /> Applic�ion=r.• Biap Depi . 46�60 <br /> PUBLIC WO�it�\� �G T Puoi�cWorM�iee -- <br /> � ���OSTING O ( �p(S tolelFea S-- <br /> Leu AOpI Fee Peia S <br /> Print or Type Only r � g � � � g S � g � Baiance Oue s�'� <br /> � M d� P O � O O O M .p <br /> � � M a � M �� � TO PfJSTIN6 =--�� -��._., <br /> Bolin Construction PO IIox 'L� �ukil[eo 27 " �SG-774R <br /> Owner Gk�111v3�i'R7tlress -t — <br /> � }� � � `{ � �� � � Z'p Phone <br /> _ _ o $ II� � � �15 � � (n �S <br /> Applicant Malling Address <br /> ���Y Z�P Phone <br /> Describe Proposed Wo�k _ �eW flou8e <br /> Proiect Addrese lif known� ISJ__���Q�� 7 p 9 horf F'�t 1 — � <br /> Attach lour(t,� copies ol plens lor proposed work� Draw�o scale and nole Iho Iollo.ving as appllcable: � <br /> � Properry Lines • Centerline nf street _ <br /> • Outlina and dimensions ol r.11 e�isting and ! Intlicale North � <br /> ar�poseC slr��ctures on fhe lol � Show an <br /> • Exisling and prpposed ulili�ies Y P�oPosed grading c�enb•es <br /> • Show measurements <br /> DO NOT WRITE �EI.OW TMIS LINE � <br /> ?ERMIT CONDITIONS O <br /> 1.All calls ior inspection shall be made 24 ivs.In adoance•phune 259•881 p. <br /> 2.All work shall be pertormetl in eccordance wilh this permit and current Ciry nf Everett Design and Constructlon � � <br /> Standards antl Spscllicafi:ns. � <br /> 3.Cell Locatlon Unde�prowtd Service 48 hrs.bc�!ere you dip.TOLL FREE NUMBER 1•800-424•5555. <br /> �1 Instell rnck constmchou eutr�icr, pelunA clnvew�rv ns per nty slmidnrd N208 nnd eroc�on conlrol ns�irrcted � <br /> FuLGe R'uik�Lispec:u�. O <br /> S. Kcep city strccl; clemr ar nll times. <br /> � � ._ . . .. , . . �, , � <br /> Mry chnnee in rhe dm•eu:T�cn1 musl he npproved by the PW Inspector, width at prop line linrited to exis�ing �/� <br /> up�uu widil�. \// <br /> 3. Adjust «�atcr Loxes lo �radc at cnd ol cusc;tnic,inn O <br /> 9 Dnveways simll bc cowpletely curr.d betorc � �rit ,�n 1;;m <br /> iC. Roollup ��wiugc >h�ll Lr Ji��:hrrvcd. � � <br /> . ro Ihe ritc'c stonn drsin �t�siem (pm•atc or pubiic) <br /> . �o a rcsideunal rool downspout ,ysrern de,i�tied per seccrn 4-R�4 of ihe city stwidnrds <br /> . outo splash blo:ks <br /> � iZ�j Phe methnd sele�ted will he subject tn Fnblic Wnrks I)e���n �nr,nPk�i�bVw',I�EDGEMENT OF CONDITIONS <br /> The nrde : � nad owner/applicant herepy ngreas to hold and save harm- <br /> less the �.n� of Everetl hom any antl all claims lor damages, cosls. <br /> ezpe�se�, o� causes ol ection Ihat may arise because of installation <br /> Z �3 _ antl m�in�enance ol the improvemnnt D�ofher righ��01-Wey use hereto <br /> Approved lor Cqs ruction � pa1e app6ed lor ani further agiees to remove same upon notice f.om the <br /> "� Cily and to replaca pubfic preperty damage ,�hereby. <br /> ��.7.i .� _ —' /�-- / <br /> f"' T 9C_ <br /> FINAL INSFECTION � � <br /> Approved as Conslructed Da�e �� - /— ?.--�'f C <br /> ign are o�p icant f DateL <br /> PUBLIC WORKS DEPARTMENT -�WORK AUTHORIZED BY THIS PERMIT MUST BE STAFITEU WITFdP( <br /> 3200CxdarSlreet y" 1A0 DAYS OF DATE PEFiMIT IS IuSUED AND TNEREAFTEF IS TG <br /> Everelt,WA g8201 '� BE DILIGENTLV PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259-BB10 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WOFK ON THIS <br /> PROJECT OVER 90 DAYS GURATION. <br />