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Date�95 <br />Application For <br />PUBLIC WORKS <br />.-. <br />m <br />PER�lIIT <br />PrintorTypeOnly�d POSTING �Z� _�� �' <br />� <br />� <br />!T <br />Kurt Ehlers PO Box 8455 Everett 982 <br />Owner <br />A�:dress <br />Owner <br />Applicant M:;ihn.^, Address <br />Describe Pr000sed Work <br />Project Address (if known) <br />G � n O Ci O G <br />� G q lq (> I') [� <br />�'i �o ci ri-o ri,� r� <br />M f•J Cd CU +A ��.I M p. <br />�.... i H? yt� y�. <br />.-� ei M <br />339-8092 � <br />--Cit -- n�,��"�le1l <br />c�c=��r'x:� ow <br />O Ca:rL'iOC�'-! i'Op3 <br />i� i fi � X 4'i G ij n1 Yt ut <br />6510 Fleming St <br />---�� � ----- <br />A�taCh four (4) copies of plans toi Proposed wurk � Diav. to ;r,il�• <v�n ncte the !oilu�vinG as anulicab�e: <br />• Properfy Lines <br />• Ou�line and dimensions ol all exiyliag and <br />proposed structures on Il�e lot <br />• Existing and proposed utilities <br />PubLc WorMs Pnrmll � �ZZ4- `� <br />einq oeoi + 49288 <br />PuhLc Works F5e <br />Tolrl Fee $ <br />�ess noui Fee p;�,a S_� /�� <br />�%�nce Oi�c $ � !/G/ <br />m a.i <br />OJ Cl <br />.+ r^, <br />.n ��. <br />LLI <br />�a <br />• GaNer6ne nf street <br />• Indicale Yorth <br />• 5how any r,mposed �rading r,hanyes <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259•8810. <br />2. All work shall be peAormed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-$00-424-5555. <br />4. Aooftop drainage shall be diecharged: <br />• To the aita's etoRn cirein system (private or public j <br />• To a residential roof downspout eystem designed per section 4-9.4 of fhe <br />city standards <br />• Onto eplash blockR <br />'Ihe method aelected wili be subject to Public Works Departement approval. <br />5. A residential sprinkler system is rzquired for the shvctw-a on thie lot. <br />rpp�uvea as �ons[rUctetl <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone:255-BB10 <br />n� <br />ACKNOWLEDG[MENT OF CONDITIONS <br />W <br />� <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />Thn unde�siqnetl owneqappliC2n� hereby a9ree5 to hold and Save harm- <br />� irss Ihe City ot Everett Irom any and ali claims for damages, costs. <br />; eapense,. o� causes ol action that may aris= because of installation <br />j anA maintenanr,e n! !he improvement or other righbof-way use herelo <br />� appl�ed 1 r and further agrees to remove samr upon notice from ihe <br />; G%y .ir�' n repP ce��' lic property damaged ihereby. <br />! ��%S_�,/ b,�/,_- <br />d <br />Date <br />INORk AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />�BO DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAV BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />