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� <br />Date 6-2i_95 r,,; ^� "'U�7 V''y 199� <br />� r��STIWG <br />Applir,ation For � <br />PUBLIiC WORKS PERNIITQ <br />0 <br />Print or Type Only � �� g�" � <br />.�Y N(�J�h�0p.+0 <br />N �(] MM� M <br />N M <br />*� N <br />Select Homes Inc <br />Owner <br />Owner <br />Describe Proposed Work <br />12811 8th Ave ' <br />i\^a�hm; 4�:Jress <br />h":��hr�4 Addnr�s5 <br />new house_____ <br />Prolect Address (i� known! $824_ West <br />R <br />PutL�cAVorks Pcrmil � _��J`-�� <br />Btr;� DeO�� a 48762 <br />Pu1�ncYmr�sFce 5 .---- <br />,�„� ���. <br />iess 4aui. ree a�m 5 <br />�4.,�.,��r � 8 � 5 -��---- <br />� F� n M�'} <br />M �-I M <br />re�Y't 98204 51''.{r' 90�jj6 <br />l.i.y� S �j Mp W -r�a U Phnnr. <br />���������t�i��� <br />Cit'; — —�--��ip Phnnr; <br />�E:3 <br />Attaeh four 141 coPies of Ulans lor nroPosed worH - Drav: tn ;,:ai;. a:,7 ncle uie !oilcenng as anphr,ah',e: <br />• Property Lines <br />• Outiine and dimensions of all exishn9 anA <br />proposed slructures on the lot <br />! Existino and proposed utiiities <br />A Cr�ntarlinr n' Sireei <br />• Indic3l•: Nor(h <br />O �how any r,;eposed �,7radinq r.hanoes <br />• Sh�ai measureinents <br />HI <br />PERMIT CONDITIONS <br />7. All calls for inspection shall be made 24 hrs. in advance- phone 2,59•$$10. <br />?.. All work shall be performed in accordance K�ilh this permit and current City of 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 />•i. Keep city sheets clean at ;ill tunes. <br />5. Curb gutt�r ;u�d sidewallc in ltie plat ave naw �u�d undamaged, :ury dvnage Ihereto shall be rcpia��d at Ihc <br />discrcfiou of thc PubGc Wodcs Inspector. <br />6. Arry chang� in the d�vew�y cut r�msf be �pproved by Ihe PW Tnspcctor, widUi al l�rop Gne lu�uled lo <br />ensling apron vriJth. <br />7. Adjust w•ater boxes to �radc at end of constmcfion. <br />3. Driveways shall be complelety civeti bePore d[iving on them. <br />9. Rooftop dr,iinage shall be discl�ar�ed to the sto�m drain�oc stuU pro��ded al the ftmit oFthe IoL NO'fE: <br />lots 17-27 shall not discharge driveway and/or yard dr��age to the stortn drau�agc shib, these lots shell use <br />the s,ub tbr rooGtop drtinage only. <br />�C,�1i/9i _—__ <br />Approved as Constructed <br />"'� PUBLIC WORKS DEPARTMENT <br />'��/ 3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259�8870 <br />ACKNOWLEDG[MENT OF CONDITIONS <br />� <br />0 <br />/�� <br />V♦ <br />O <br />a <br />ihe unc7ersr7nen ov+neUaPPhc2nl herehy agree5 to hold antl Save harm- <br />less ;he City of Everett from any and al� claims for damages. costs. <br />o*penses o� causes of action that may anse because ol instaliation <br />and :naintenanr,e n! the improvement or other nyh4obway �se hereto <br />�,^,p�inct lor and turther a9rees to remove same upon notice Irom tne <br />p!c ar.d to re �:�ca pubhc property damaged there6y. <br />��L.Jf vlJ�Ls� �(-%-5� <br />Signatwe of Applican! ���t <br />!NORY AUTHOR12ED BY THIS PERMIT MUST 8E STARTED WITHIN <br />7h0 DFYS OF DATE PER�NIT IS ISSUED AND THEREAFTFR IS TO <br />BE UILIGENTLI' PURSUED TO COMPLETION. THIS PEFMIT �dAY BE <br />CANCELLED BY THE GiTY U?ON Ai��Y STOPPAGE OF WORK ON T�115 <br />PRO.IECT UVER 90 DAYS DURATION. <br />