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Date 6-?7-95 <br />PUBLIC <br />Print or Type Only <br />Select t?omes Inc <br />O�vner <br />�i12i <br />Application�For <br />WORKS <br />:U <br />h. <br />�� P�STI�G <br />PERMIT <br />r.� c.� :"i r:� �. <br />� � , . ..� �-, _. <br />C� -r . . O <br />�.� -,� <br />12811 8t{i ASe W IIA-201 Eve��. <br />i��B1119j.�1f:(1f�S$ i !Y� 31��� <br />ai r.i [� co �_> -o. r-> r� � <br />ci a n r� u- c,� .. � <br />r'� 1 I N.i i� f f.: G <br />r 7 ', � r �r. ;.�i r i r� �� xr. <br />ri <br />Myilm:; Addfcs5 ----- Cifq <br />Describe Proposed Work _ neW house <br />Projecl Address �if known! 8818 West Mall Dr <br />' C) r " <br />r� r.ir_i�� <br />t'1 t.•'�(i <br />C,l (�_ � � r. <br />• .�l Y. <br />r:, <br />�y� �I$-��jZ� <br />PY�IiL Y/O�ks Pnlmi( • <br />pin9 Oepl. s 48761 <br />I�( '�%fif45 Ff•P. <br />TO�.I� FPC S <br />Less Aoul Fre Pn�� S <br />e:,i,�«� o��� S �� <br />8204 5.13-9006 <br />._> . �c7_�n <br />i.i r�i ���'. <br />_��_ [,i c.� ;.�i <br />fil (!! i i� r j <br />Attach f0ur 14) cOPies of Plans loi proposed work � Drav: to ,c,ii:, ,;:�,y ��.�„ the Icqa.ving as analicahle: <br />• Pronerly Lines <br />• Outline and dimensions of all exishn9 and <br />proposed structures on the lot <br />• Existing and proposed utillties <br />• Ca^.terhne af sireet <br />• irdicate Norlh <br />� Show any pro,^,osed graCinr� chanues <br />• Show mrasuremen�s <br />Phone <br />vv iaui vvni It titLUW �HIS LINE <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 performed in accordance with this permit and current City of Everett Design and Construction <br />Standa�ds and Specifications. <br />3. Call Location Underground Servir.e 48 hr�. before you dig. TOLL FREE NUMBER 1-800•424•5555. <br />4. Keen city streets clean at all times. <br />5. Cwh gutter and sidewalk in ihe plat are new arul undmuaged, :m� damage U�areto shall bz rzplaced at the <br />discrcibn of tl�e Fublic Works lnspector. <br />6. Atry� chmige in Ihe �iveway cut must be approved by 11�c PW Tnspector, widlh at prop line lunited lo <br />existi,ig apron width. <br />7� Adjust water boses to p,rade at end of constniclion. <br />4. D�ivew:rys shall be completely cured bcfore driving on Hicm. <br />9. Rooflop dnw�age shall be di;charged to Q�e stomi drainage stub providc:l ;it the front of tLe lot. NO'CF: <br />lots 17-27 shall not Jisch;uge driveway ar�d/oryard drainage to fhe stonu �ainage shib. U�ese lols sliaU us <br />the stub for rooG(op drauisge onty. <br />Approved as Constructed "°" <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everetl, WA g8201 <br />Phone: 259-8870 <br />ACKN06VLEDG[MENi OF CONDITIONS <br />W <br />� <br />�w <br />_ ! <br />�� <br />� <br />ihr_� under�iqneA owneVapphc2nt hereby agrees to hold and save harm� <br />i less ;he Gty of Everett irom any and all claims for damages, costs. <br />; eapenses. o� causes of action that ma9 anse because ol installation <br />� and mamtenance n! the. improvemen� or Olher righ�rof-way use he�e�o <br />��Fn��ed br and further a9rees lo remove same upon notice from the <br />j Cay ard to r -ica public pronerry damna9ed thereby. <br />I � 1V1� p (� <br />I V ZG � <br />Signature ol Applican! ate <br />INORK AUTl10RIZED BY THIS PCRMIT MUST BE STARTED WITHIN <br />I1A0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSU[D TO COM11?LETION. THIS PERMIT MAY BE <br />i CANCELLEU BY THE CITY UPON ANV STOPPAGE OF WORK ON THIS <br />� PRO.IECT OVER 90 DAVS DURATION. <br />