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Date 5-10-95 <br />Application For <br />PUBLIC WORKS <br />f,l <br />rn. <br />PE R M�I�T <br />�� 'j � �� <br />STING " <br />Print or Type Only�„' �� I I���" £ <br />¢ <br />e <br />Kurt Ehlers PO Box 8455 Everett 9820L, 3. <br />Owner <br />Mai4inu <br />PAu�linq Addr�Ss <br />Describe Proposed Work new house <br />Project Address lif known! _ 6512 Flemin St <br />f�_—._- --- <br />Att h <br />oonr�oo[4 <br />�r�[]c� C� in nb- <br />o r�• Cr ri �: ,j r.i <br />�aiwui»�'�i,i�" <br />9-8092 � <br />Cu� (�� <br />tbyt� 2 r.'] 2 � �o <br />Cl O� f.J O[> H:[_ O <br />� 1 lil ,I v�i• J p <br />m2 x �i����.�u..a <br />Ciiy ��p <br />� <br />aC fow (4) copies of plans for proposed wo•k � Drav: to sr.ai�� a;;n nole the 1pIlGwinq �y apGhr.ahle: <br />� Property Line; <br />� Outline �nd dimensions of all existing and <br />proposed structures on the lot <br />• Existing and proposed utilities <br />a„oec wo,xs ae,mn , �� 45 / <br />BiN9 pept. a �i828] <br />P�bpf, WOlNS —�--'� <br />TOtal fQC $ —. <br />Less 4opl Fee Pain $ —/)�� <br />�d�f�JC S ��j� <br />O D CJ <br />r o. m <br />.+� c..i o� <br />u� <br />: a+' <br />r•'� �.� �� Phonc <br />�ibc'l t�l _ <br />� � N T <br />Phnne -- <br />• Centerline nf s�reNi <br />� I^tliCab_ Norih <br />• �nuw Tny r,roposed gratling change5 <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 h�s. in advance - phone 259•8870. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Cail Location Underground Service 48 hrs. before you dig. TOLL FREE hUMBER 1•$00•QQQ-5555. <br />4• Rooftop clrainage shall be discharged: <br />• To the site's stonn cirain syetem (private or public) <br />• To d residential roof dowiispout system desig�ed per saction 4-9.4 of the <br />city st�ndards <br />• Onto splash blocke <br />The method selected will be Subject to Public Worke Depatfement a�proval. <br />5• A reaidential sprinkler syslem is required for fhe structure on Ihis lot. <br />�� -.__ .............��.,��� <br />�PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 99201 <br />Phone:259-8870 <br />—' <br />I <br />� <br />i <br />� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersianetl owner/applicant hereby agrees to hold and save harm� <br />less the Gty of Evere(t from any and all claims for dama�es. r,osts. <br />expenses. or causes of action that may aris� because of installation <br />and mamtenance o! the improvement or other righbof•way use hereto <br />app6ed lor and turiher a�rees lo remove same upon notice from �he <br />C�ty and 1 re laca pubhc property damaged thereby. <br />���� s� �S- <br />Signature�pplican! /'�a�e <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />�AO DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLI' PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PRO.IECT OVER 90 DAYS DURATION. <br />