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Date -- 6-27-95 � � �nSTING �l� � � �t <br />Applicalion For <br />PUBLIC WORKS PERIVIIT <br />Print or Type Only � , <br />..,.t .� <br />Select Homes Inc <br />Ov�ner <br />_ Owner <br />Applicant <br />DescribeProposedWork __ <br />12811 Stn Ave�W <br />a+a����,; ,>,:d�esa; <br />r� <br />�. .,�Inti: A!1dr.•55 <br />new house <br />�.,,,,�,�,�,�_ �.m,,. �'��`_r- <br />n�n�, o�p� . _48760 -- <br />VubhC NpikS FnC <br />Total Fec S <br />Less 4onl Fne Ga�� $ 'J <br />.,. r.pCuv S_i.F�% <br />513-9006 <br />c, ��7 cn : �;,'�Y' , 7_rp <br />i ,' <br />i.�i�1i, i,L�' � <br />., i�.� L i: .�I �::� �,_. '' _� .i• r;' . . <br />Pro�?ct Address (�� known! __ BSII WES[ Nall Dr _ <br />v Z�n <br />__ Lo <br />Attach tour 141 copies ot pians tni t�rot»szd wu'�. � Drar. to ;,:.il., .in] nn!c Ih,�'cl�a::ing as apphr.abie. <br />• Pronerty Lines • Cunterline n; street <br />• Outline and dimen5ions ol all exis;ing :nd • Icillcal•: Nnrih <br />proposetl slrucWres on �he lot • Snom- any r.roposed �radinn ; har�G�•s <br />• Exisiing and proposed uti6ties • Shnw measurements <br />Phone <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 pedormed in accordance with this permit and current City of Everett Desi9n ar�d Conslruction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs before you tlig. TOLL FREE NUMBER 1-80Q-424-5555. <br />4. Kecp city sireels clean at a11 tunes. <br />5. Curb gutier and sidesvalk ui ihe plat :ue new and und:unageA, any damage t6ereto shall bc replsecd at the. <br />discretioo ol'Ihe Public Works Inspcctor. <br />6. A�ry change in the drivesv;ry cut must be approved by the FW li�spector, widtli at prop line fimited to <br />erisling apron widtli. <br />'. Adjast wsrer boxes to grade at end oC con�tnicfion. <br />S. Drivcways sha�l be cmnpictety ci�red bcfore driving on fliem. <br />9. Roollop drauia��e shall be discharged to the stom� rJrauia��e shiU pro��ided al the fi onl of thr Inl. NOTE; <br />lols 17-27 sh;ill nut disch�uge drivew;ry ;uuUor yard d�.u�age to thc slorn� drainage stub, these lots shall us <br />Ihe shib for ,00l'-top dr�inage onty. <br />Approved ac �onsiructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Cetlar Streel <br />Everetl, WA 98£01 <br />Phone:259�8870 <br />Z <br />O <br />ACKNOWLE�G[PdENT OF COND:TICNS <br />7 h�� imder�iqned oe�neUepphcani hcreby agrees to holtl and sace harm <br />i:a;s ;he City ot Everelt from any and al1 claims for tlama9es. costs. <br />e>penses. or causes ot action ihat ma9 aris= because of inslallation <br />and miin!en;inr.e n! Ihe improvement or o�her right-ol-way use here�o <br />appl�ed br and !uriher a9rees to remove samn upon notice from the <br />C��!y .ir.d �n rep�ac.' bhc property JamBge therehy. <br />_ F`�•Gz✓ t v �� cy 2�� <br />8iynature uf Applican! Date <br />lh'ORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />�90 DAYS OF DATE PERAiIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLI' PURSUED TO COMPLETION. THIS PERMIT MAV BE <br />GANCELL EU BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 OAYS DURATION. <br />