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Anphcation Por - <br /> � PUBLIC WORKS PERMIT °�1e- -1�18�96-- - — — <br /> PUBLIC WORKS DEPARTMENT Public Works Permit M _._��,OZ / <br /> 3200 Codar Sireet <br /> Everett.WA 98201 259-8810 pertnit q_. <br /> TYPE OR PRINT ONLY <br /> �0 POSTING L� 1— 5 �����Wo�kgFaaa _�oez� <br /> Selco Development Inc PO IIox 1524 Snohomish 98291 668-7763 <br /> Owner Mnlling Address City Zlp Phone <br /> Onwer <br /> Applicant Malling Address Clty Zlp Phone <br /> Describe Proposed Work New hou ae � <br /> — � <br /> � <br /> — � <br /> PROJECT ADDRESS(ifknown) 6505 Cady Rd Lot 3 Short Plat 13-95 � <br /> Attach bur 14)copies ol plans for proposed work-Draw to scnle end note Iha lollowing II npplicnble: O � <br /> •Rnperty lines �Outline and dlmensions ol ell existing end proposed siructmes on the lot •Existing antl proposed utilities <br /> �Centerlina of street •Indicata NoAh •Show eny proposed grading changes •Show measurements � <br /> � DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: <br /> 1. All calls for inspection shall be made 24 hours in advance -phone 259•8810. � <br /> 2. All work shall be performed in accordance with this permit ard current City of Everett Deslgn and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> a. Rooftop drainage ahall be dlscherged to nn infiltration trench as per the "Residential _/ <br /> Roof Do�vnapout 9yetem". O <br /> a <br /> .1:/09,'9fr 7'4g�'M �;1�IC�f � _ � - <br /> HU00`06t5 <br /> RLqG 5535.9f� <br /> r;r, ih3.00 <br /> 'fECI' t60.(:^ <br /> �R�i+Rii i4.J��� <br /> nF• uwv s^c.'f� <br /> a, np-.;.,,p,. <br /> ^Q� S,FW � t, �D.iln <br /> .l— <br /> ACKNOWLED6Ety(�fyT OR,QONOI7�pNS <br /> � � � The undorsigned ovmer'applicar�kerpby a�re�a��twld and save harmless <br /> ` the City ol Everetl Irom any and"all`tinlms lol 2lamage5,costs.eapenses,or <br /> causes ol action that may nrise becnuse uf installatlon and maintenance ol <br /> Ap rovea for Consiruction / Dete ihe Improvement oro�her righl-of-way use hereto epplied forand luhhe�egrees <br /> � ,��. / / lo remove same upon notice Irom Ihe City nnd to replace ?ublic property <br /> i '�'/�. ..%� damaged thereby. <br /> ��1, �_ <br /> FIN SPECTION ���e � <br /> Approved as Constructed 2���q <br /> Sig re ol Apolicant Date <br /> COMP ET ON THF9 PERMIT MAY DE CA JCEIIED BV iH�E CIN IUPON ANV SO70PPAGE OF WORK ON THIS PROJECT 0 ERR90 DAOVS DULRATIONLY PURSUED TO <br />