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DatP_�95 <br />� G Z�') <br />PUBLIC WpaRK�r p <br />�o �O��T4—� <br />Print or Type Only <br />��°,�'� .. � . � . . <br />r•i.. : <br />Moore Alan 16021 N� 169th P1 <br />Ownei Wo _od <br />; Maiii�,; ,lr.pres�s , <br />�;= <br />{� Peterson Contracting :�fark Peterson <br />; • . APPlican} <br />^ -��: h1;,qin:7 Atldress -- <br />i', <br />` "'�� Describep,o a <br />l',j�"r A Sed Work new hause <br />� • —_— <br />�����m 4YorFy Pormit �G�nn��� �� <br />���9 DePI. � _ YJG6��� <br />�"�rppr. 1Vor45 Fce <br />iotaiFee <br />. le¢s 4oul Fae P�:p <br />� Pahnre Duc <br />vllte 98072 <br />r'�t� <br />77d 66�1`' <br />___.____�� <br />Cit; <br />Pro�ect Address (if kncwn! 5311 East Dr —�—'—�--- <br />Attach lour 141 coPies of pi���s lo� nropused H.�,K - �----"-- Lot 4 SP 119-93 <br />• Propert D�av: tn �c,�i„ ,�:�,y ni.��, tha foilu�wn as , <br />y Lines 9 �oUl�cabiP� <br />� Outline and dimenslons ol all exi5hng ��� <br />proposed structures on Lie lot <br />� Eristing and proposed utilities <br />• Centerl;ne nl street <br />• Intlicale Norih <br />• cl�piy any r.roposed �ratlin� chang�.5 <br />� Show measurements <br />PERMITCONDITIO�'S """ "LV°}, �HiS UNE <br />1. All calls f x inspec�ion shall be made 24 hrs. in advance • phone 259-gg1 p <br />2. All work shall be performed in accordance with this permit and current City ol Everett Desi n <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. belore yo�� dig. TOLL FREE NUMBER �-$pp.4245555ructio� <br />4. Roolie�� drainage sl!:III ��c CJI,rCI1Sll`��cl: <br />• To Ihe sile's stonn drun sy,tetn (priv�te or public) <br />• To a r�sidential roofdownspout spstetu desig�i�cl �z1• 5�ction 4-y.�l oFfho <br />city st.mda�•ds <br />' (�nto spl;�sh blocks <br />77it: method salected will be �abject to Yublic 1�Vorka Depm�temeni approvsd. <br />----l�s� -- ---i <br />� � i <br />Approved for ��� t <br />Construcfion I <br />L'atc <br />C�J.._P _.. I <br />3 -�r yL � <br />FINAL INSPECTION I <br />Approved as Construcled p — <br />����:� PUBLIC WORKS DEPARTMEN7 I <br />3200 Cedar Slreet I <br />Everett. WA 9820t <br />Phone:259-8810 <br />$ <br />s �� <br />$ <br />—�� <br />Fhnnp <br />� <br />� <br />� <br />� <br />� <br />O <br />r <br />� <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The unhr.rsignetl owner/aPPhcant hereby agrees to hold and save harm� <br />hrss :he Gty oi Everell Irom any and all daims lor dama�es, costs. <br />exPenses, �r rauses ol acfion thal may ans= because of ins�a�����o� <br />and mamtenance o! Ihe improvemenf or olher right�ohway use heietn <br />��� n��n�' �p� �^� �°'�he� egrees to remove sdme upon notiCe Irom the <br />C���'���� �� �eP��CB p�phC properiy �ima�jed thereby. <br />�) <br />� �� uvit rERlvllT IS ISSUED qN0 THEREAFTER IS Tlp <br />BE DILIGENTLY PURSUEU 70 COMPLETION. THIS PERMIT Mqy g� <br />CANCELLED BY iHE CITY UPON ANY SiOPPqGE OF WORK ON iH1S <br />PROJECT OVER 90 DAYS DURATION, <br />