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+� � r ✓ S'� " I 1 Pu��ic Worhs Perm�l� ��� <br /> Date��/95 IA POSTING MAY ,�1 1996 <br /> 6�OB�OeO� ' ---(�{�{�—��— <br /> Appticatio� <br /> PUBLIC WOR�S PERMIT PuhToiWFpeFee s <br /> O Le55 AD�I FPP PaiO 5 �Q�.� <br /> �� O O � � � � Balance Ouc S C/�� <br /> Print or Type Onry i;- `�' � � � � ��� <br /> p� G l� O �'' .-I <br /> "; ��.. wM � i� � N � 'aM <br /> �O 3 <br /> N� M M .ti ^ <br /> �� N� <br /> W E Boardman 808 Crown D� �verett 9820 � �.03-�1�u <br /> c`.� � ��— 7ip Phone <br /> M;1ili �T: �ss � '3 t� .] 6}It►� f w ` <br /> OWOP.f .p O [O V^ T L ° W O I f�t C.t <br /> 1 Cl n0 NilCl fi _� � FCS C ; G W <br /> F >tB� F: y� �inr� � � ac�i Sic1i <br /> d -- — <br /> Applicant Dd:,�Imq Address Ciiv Zip Phone <br /> Descri6e Proposed Work Nev house ___ ______— <br /> ------------- --- W <br /> Project Address UI knownl —@10_Crnxn_Dr _--- --- t�t 1 Short P — � <br /> Atlach four 14)coP�es ot Plans lo� Proposeu vurK - Drav: to sc�il,r.�n 1 nole th�� !ollnwing as apUlir.abie�. � <br /> � PropertY Lines • CianteNine nl street � <br /> • Outline and dimensions of all exishng and • Irtlicab� North <br /> proposetl slrucWres on Ihe lot • Shew any f:ropo5ed��atlin�j c�angcs <br /> • Ezis�ing and proposed utilities • Show mra5uremenis M <br /> W <br /> DO NOT WRITE B[LOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.A�I c+�lls for inspection shall be made 24 hrs.in advance•phone 259•8810. � <br /> 2.All work shall be pertcrmed in accardance with this permit and current Cily ol Everett Design and Construction <br /> Standards and Specitications. <br /> 3.Call Location Und=rgrou�d Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800�424•5555. � <br /> a. Four uti sUeet perl;ing stalls must be pro��ded for ilie rzsi�nce. � <br /> 5. A rtsidenti�l sprinkler system must be installed per NFPA standerd ]3D <br /> 6. TLe area west of d�e 12.5 foot setback line from ihe top of the bank is em�tto�unentally sensitive and there sh <br /> be a S' conspuction setback to U�c edge of iha buffec(12.5' sctback). � <br /> � There shell be no clearing, grading, altera6on or placeme�t f stnuhv�s west of the 12.5' setback buffer from <br /> ihe top-of-ba�ilc exccpl as pennitted u►Ihe tenns of Ilie prelictm�ety approval for tlris lols subdivisiut� //� <br /> S A perminant frncc musl be placed npprorrmately 12.5' from the toprof-bank. ,O <br /> 9. A c�vililevered deck ia nut penniUed wiUiin Uie 12.5' selback from die top-ue-bunk. <br /> t o A:�ite ohscwring fenr.e uncUor lendsr.aping must br installed on the boundary betwer.n lots l end 2. <br /> a <br /> ACKNOWLEDG[��1ENT OF CONDITIONS <br /> Th��unders�aned owner/apphcant hereby agree5 to holo and save harm� <br /> ----- "----� iess the Gty ot Everetl from any and all clalms tor damages, costs. <br /> � r*Penses. or causes of action that may arlse because ol insWllation <br /> � IA� I :�nA mamlenance o! ihe improvement Or other nghPobway u5e hereto <br /> ���1 /��ti �� � appoed lor and lurther agrees to remove same upon ootice irom Ihe <br /> Approved loi Cor�tuction ��•�O � CdY ����d to reP���� PuUhc pronerty da ged thereby. <br /> � i � • <br /> - S/G- � <br /> ��--- <br /> FINAL INSPECTI ��1e I ate <br /> qpproved as Conslructed I Sign. ure ol Applicant <br /> I WORK AUiliOR12ED BY THIS PERMIT MUST BE STAHiED WITHIN <br /> �A1I�� PUBLICWORKSDEPARTMENT i80 DFYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CedarSlreet BE DILIG[NTL1' PURSUEO TO COMPLETION. THIS PERMIT MAY BE <br /> Everett,WA98201 CAtICEILED BV THE CI7Y UPON ANV STOPPAGE OF WORK ON THIS <br /> Phone:259�8810 � PR�J,IECT OVER 90 DAYS DURATION. <br />