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Date 8-9-95 <br />�1 i z z�-y � <br />AnPhr.aUon F.�, TO POSTING � <br />PUBLIC WORKS PERMlT <br />Print or Type Only <br />Lineil Time <br />Ow�er <br />Apphcant <br />Describe Propost�d WorN <br />�ment ,PO Box 1057 <br />�a:��•��,,.:�,:�v�•�, — <br />0.'..,L �:� Adqn•—ss' <br />new houae <br />�rt <br />----- - _ - <br />----------- <br />Project Address pl known! 6826 Beverly _ Lane _ __ <br />� �n <br />P�„�,�� ,.ra,., ��,m�, . �'I.s�9 z � � <br />r,����� orc� . _491�0-------- <br />i�i!il�f WOIYS FPP. � - <br />10Iv1 Cn�. .S <br />L¢SS 41�Vr �rr. [�,� ,1 rJ <br />n,. ..�:,�, g�v�-- <br />__—_.�ip _.__. <br />Attach fow 141 copies ol Pians foi n�oposed wo�e - Diav: lo ":,ib. .�r.,t ni�.1e Ihe �r qc:nnq a:; aoPhcabi�,_—_'__ <br />• Properly Lines •(,un�erhnn nl shr. t <br />• Ouilir.e and dimensions ol all exiyhnq ,intl • Irrlicab: Nnrih <br />propOsetl siructures on Ihe lof • 5hpw any r.r000seq �r,�d�nn r.hanues <br />• Esisting and proposed uli6ties • Show mnzsurements � <br />PhonR "—_ --' <br />.+.��.vivvniicnLLvwIHISLINE — <br />PERMIT CONDITIONS <br />1. All calls lor inspection shall 6e made 24 hrs. in advance • phore 259•f3810. <br />2. All work shall be performed in accordance with this permit and currenl City of Everelt Design and Conslruction <br />Standardn and Specilications. <br />3. Call Lo�:ation Underpround Service 48 hrs. before you dig. TOLL FREE NUMBER 1-$00-QQq.5555. <br />�1. Rooftop cL ainage shall be discharged: <br />� 7'o Ihe site's stoim drain �ystem �privnte or public) <br />• To a rc�nidenlial roof downepoul nyntetn deaigt��d per neclioti d•9.4 of O�e <br />city stm�dards <br />� Onro splusl� blocks <br />'Ilie method selected will be subject to Yublic Works 1?rpa�tement approvul. <br />Approvetl a5 Consliucted V��" <br />� PUBLIC WOF��:S DEPARTMENT <br />3200 Cetlar Street <br />Everett, WA 98201 <br />Phone: 259�B810 <br />ACKNOWLEDGEPAENi OF CONDITIONS <br />W <br />� <br />�w <br />_ / <br />� <br />O <br />/i/� <br />V♦ <br />� <br />a <br />1 F�� un��o-i^�ed owneUTpphcnnl hereby .lgreeS �o holA and Save harm� <br />, iess ihrr Gtv of Evr.re0 from any anA all claims for tlama�es. costs <br />; e.pen,es or causes ol action that m-ry ans= because ol msallahon <br />:ind maint� nance ol th� �mprovement or other rghboFway use hr,relo <br />- •irp��qd f-�r and lurther �q�ees to remove same upon notice Irnm Ihe <br />� r'v .inrf io r.,pl:� � ul r perty tlamaged thereb��. <br />I <br />I � � C <br />I Si dWreo , . �I �, / 5 <br />iPPlican Date <br />l'1 RK A'TfiORIZED BY THIS PERMIT MUST BE STARTED WI7HIN <br />� 190 DAYS OF DATE PERMIT IS iSSUED AND THEREAFTER IS TO <br />� �E DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT �dAV BE <br />: CANCELLEJ HY THE CITY UPON ANY 3TOPPAGE OF WORK ON THIS <br />', PNO�iEGT OVER 90 DAVS DURATIpN. <br />