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Date 5-2%-95 5°�j. ��S 1 � lY U ��`, ��1 1�J1� <br />Aoplication For : � <br />PUBLIC WORKS�;PE�MIT <br />Print or Type Only <br />T: <br />ri <br />Select Homes Inc_ 12811 Pth !{u, <br />iin„ 4 <br />M.,Ihr�,: �1ddrCSS <br />Describe Propose�d Work _ new house <br />�(�' � �t � <br />PubLc WorFs Pnrmil . __��J J <br />�innoec�.= �i8757 <br />r'uliM1C WOfN6 FCc <br />iotal �ee S <br />Less Aoui Pe�. pa�y S <br />or-ic� .�o ,.� <br />� L: rl n [_� . . � C�inn�e.Dur <br />•D D- LI r'i � : . <br />I.- i_- `LI ' . r'., ,� <br />1', 1 . - O <br />,�i � . ,.�_' , <br />W'.1%A-�5 201 r_Eve�'et��98204 513-9006 <br />�r--r----�"-- -- <br />[ i r. f� �i i U::ii r ,. _�� <br />I,I'' <br />u d r��• L t r i i a � o i� b, ��. <br />n...i . � i�i c " 1- c.7 , u'i :_ i��., <br />� fp O ¢ G; LI .. <br />_.,. . . . .. V'i y »� .3 �^ !;, [r� i,,� <br />ProjeCt Address (d known! __BS29 WOSt Mall_ Dr._ ___ <br />C:it._.___ <br />Attach four (4) coPies ol plans fa nroPose.l �rorv; - Drav. r.� ,,:,:�...,:,.� r„�,rc nia biI ;.., „ ____.___ <br />� � ..i ,g as anulicahie. <br />• P�operty Lines <br />• Outline and dimensions of au exishn9 �nd <br />proposed siructures on the loi <br />• ExiSUng and prOposed utilities <br />• Cen,ler6ne n� sfree� <br />• IrdicaP� Norih <br />� �����•: any r.ropOserl qrading r.hange5 <br />• Shovi measurements <br />Phore <br />PERMIT CON�ITIONS <br />1. All calls tor inspection shall be matle 29 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 />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUM�ER 1-800•424-5555. <br />0 <br />�1. Kcep city streets cleu� at all tuncs. <br />5. Cmb 6vtter and sidew�lk ut the pl�t are nzw and undamaged, ;m}� d;uuage Uizreto sh�ll be replacecl at Ute <br />discrepon of the Public Works Inspeclor. <br />6� rliry change u� the driveway cut mttst be approved bV Ihe FW Lispec�or, wiJd� at prop lu�e lunited to <br />e�sting apron widUi. <br />%• Adjust water boxzs to �ade at end of coustn�cfion. <br />S. Drivcw:rys siiall be completely cured before ciriving on them. <br />9. Rooflop dr:{inage sh;�I Ue disch.Uged lo the stom� tlr;�na�e shib provided at ihc 7ionl ol'Ihe IoL NO'CE: <br />lots 17-27 s6a11 not disclt;uge drivew;ry ;uuUor y;ud dtainage to the stomi drainacc shib, Ihcse lots shall us <br />q�e sh�b for roof-top drain�ge on}y. <br />�i,�i�s <br />APProv��❑ Gf--rX- _7� j�� <br />Approved as Constructed <br />nIAA��� PUBLIC WORKS DEPARTMENT <br />� �' 3200CedarSlreet <br />Everetl, WA 98201 <br />Phone: 259�8810 <br />ACKNOWLEDGEP:1EN�f OF CONDITIONS <br />W <br />� <br />�w <br />_/ <br />Z <br />0 <br />♦iA <br />V♦ <br />O <br />a <br />Thn �,mtler�i�necl ownPr/applicant her=by agrees to hold and Sae�e hann- <br />Inss ;he CiP,� of everett Irom any ar.d all claims (or tlamages. cosls. <br />ewpenses. or cnuses o� action that may arise be�ause ol installation <br />and maintenanr.e n! Ine unpwvement or other right-ohway use nereto <br />a,^,phcd for and further �nrees to �emove same upon notice irom the <br />Glv �r.d tn repincu public pr�per,y lamac�ed ihereby. <br />r <br />SignaWre of Appiican! � Da e� <br />lh'ORY. AUTHORIZED BY Tl115 PERMIT MUST BE STARTED WITHIN <br />18p DAYS OF DATE PERMIT IS ISSUEC AND THEREAFTER IS TO <br />BE GILIGENTLI' PUHSUED TO COMPLETION. THIS PERMIT 67AV 6E <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PAOJECT OVER 90 DAYS DURATION. <br />