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1\- F 12�95 � L �� � � 1� , CS�3C�, / <br /> Daie � _ FEB 2 7 1�"' Pum c�vn.ka Pa.mn• _ <br /> Applicatlon F�r <br /> TO ��StING _�---'�� taan0ec� • �48 81 <br /> PUBL� WORKS PERMIT `°°°""°„""� --- <br /> ,o,.,�F�� s— <br /> iess>ouiFnrPa�;f S <br /> ' , , r' �-;. . � , e,�.,��.•o�� S� <br /> Print or Type Only � , � <br /> , � , , <br /> R W Brokaw PO Boc 254 Ev,�rett 98206 259-6543 <br /> Ownei A1a�Bnq Pedress �,; - . �'��> : .�, 1•-. !.� i;�� i;JiP PI•.nne <br /> ; ; - , i . r� :. r� i�I <br /> r i,i . <br /> _ , , , � . � . , rr ... . . <br /> Applicant Dd:��;in;:�ddres? Citi Zip Phone <br /> Desciibe Pronosed work _ New ho_use _^_____ — --- — <br /> � �.lw.H�,w__�n��- W <br /> 7�-- --- <br /> Lot 1 Short Plac 21-84 _ � <br /> Prolecl Address Id known! -__. -------- �------ --- -�— �� <br /> Attach lour 14) wP�eS ol Plans b� nroposed wur�: � Drac: t:� ":.r�:. .,r:.i nc��r J�r fo�lcnvinq os anphcah�e. � <br /> • Prope�iv 1-�ne5 • Cr.nterlinr�t streNt <br /> • Ou:lme and dimen�io�s o�aii e.�s;mo and � �rdicaie Norlh <br /> proposed sVuctures on the lo• • �����'+�ny r.rop�sed�Jrah�np changcs <br /> � Eristmg and proposed u�ih:ies • Sho�.v measurer.ienis M <br /> W <br /> DO NOT WRITE 6ELObV THIS LWE O <br /> PERMIT CONDITIONS <br /> 1.All calls lor inspection shall be made 24 hrs.in advance•phone 259•8810. � <br /> 2.All work shall be pertormed in accordance with this permit and current City o(Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> 1. A preconstructlon meeting must be scheduled wlth Dannis Gabolman (339-7403 <br /> mob. r 259-8810 oflice rlor to instellntion of the i rovement�. O 'i <br /> � 2. A repura e Qerccttt ie require for tlie retaining wall along the riveway accea. IP it ,_ I <br /> Is a rockory end exceeds 8' in helght the design will need to be stamped by e � I <br /> structural en 'aeer. <br /> 3. eep c ty streets cle3n at sll times. ♦/� <br /> 4. Drainage from tha drivewny muet be collected in e cetch basin and diverted under V♦ <br /> the paved walkwey to the gutterllne In the stree,t. O <br /> S. RooRop drninage ahall be discharged to the lots infiltrxtion trencn as per the <br /> "Restdential Roof Do�mapoul System" detatl and ae per the al2tng and locatioii � <br /> information on the lot's eite ptnn. <br /> 6. Eroaion control ahatl be inetalled at the direction of t}�e Public Worka inapector. <br /> 7, Use of Publ�c R;ytit-o�„ax pd'apr�wca rkc+.� -ti�-F�,c p�pou o{ la.�dsc*+�L,� W III �t � <br /> a�le•,�d . stio�id+.l�e r_j1 e,e,-nee�+ to �se bl,�s area e-F R.o•�. �•v+ sa:d usc wn� <br /> b.�. r-GVOkCdol' �ndc��.�� q�. pM� t��`'�L• ACKNOWLEDGFh'ENTOFCONDITIONS <br /> i h�•�:nd•=rs�anrtl uv:nevaPP��<<n�hereby agrees to hold an,]save harm� <br /> - -�- ��" --i irss 1h�� C�ty o� cverett trom any :ntl aU ctaims lor tlamac7es. cosis. . - <br /> � ��� �( �j , e�penses or causes of achon that n��y :vi5= because ol m5lallati0❑ <br /> �� 2(/�/s' I and r�amtenance n ne i rovement or Uher nghPol�way u5P here�o <br /> � ar.n���� � ��� ��� �« ��re to remove same upon no�ice Irom Ihe <br /> Appro ed for Con t� ��'�" � C�tc ind � . uo��ca ����i�c won ��Y��maged thereby. <br /> r=a��l � <br /> fINAL INSPEC710N ���e I ���� <br /> Approved as Consiructed Sign,ture ol Applican! <br /> WORK AUTHORIZED BV THi.": PERMIT MUST BE STARTED WITHIN <br /> ����e� PUBLICWORKSDEPARTMENT tA0 DAYS OF OATE PERMIT IS ISSUFD AND THEREAFTER IS TO <br /> 3200CedarStreet BE DILIG[NTLY PURSUED 7G CCMP'.E710N. THIS PERMIT tdAY BE <br /> Everctt,WA 98201 I, CA!10ELLtD BY THE CITV UPON ANI� STOPPAGE OF WORK ON THIS <br /> Phone:259�8810 � PRO.IECT OVER 90 DAYS DURATION <br />