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Date 6-27-95 <br />� <br />� �'� �'�!ST�NGHov u z »� <br />. Application For c,l <br />PUBLIC WORKSaPERMIT <br />O <br />8 <br />Print or Type Only Q g`b' o u�i, o � <br />� otimw� o <br />O � N � � « N <br />Select Homes Inc <br />Owner <br />Owner <br />Applicant <br />Describe Proposed Work <br />Project Address (if known; <br />12811 Eth <br />new house <br />T •� <br />PupbC WorFS Pefmi� a ____(�,Ci, .3�/ /� <br />6iaq. Dep�. � 48764 T-�— �. <br />Pu�im Works F_e <br />TOITI F¢¢ 5 <br />p Less Aool. Fne Paitl $ ___ <br />O O p� 2aiance Duc $� <br />or�?or� <br />n�+M O <br />N`OtrJ O� <br />N � y � <br />�87Q4, , 513-9006 <br />7_iF <br />AttaGh lour (4� copies ol plans tor propo5ed work � Drav: to sr.aia a�n ncle Ihe lollowing as appfir.able: <br />• Property Lines <br />• Outline and dimensions of all existing and <br />proposed struclures on the lot <br />• Existing 3nd proposed utilities <br />• Centerline of sireet <br />• Ir,tlicate North <br />• Show any croposed gratling changes <br />• Show measurements <br />Phone <br />PERMIT CONDITIONS <br />1. All calls for inspection slall be made 24 hrs. in advance • phone 259•8810. <br />2. All work shall be performed in accordance with this permit and current Ciry ot Everett Design and Construction <br />Standards and Specitications. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-500•424-5555. <br />4. Keep city streets clean at all times. <br />5. Curb gutter and sidewalk in the plat are new and undamaged, a� damagz thzreto shall be replaced ac the <br />discrotion of the Pubfic Works Inspector. <br />6. riny change in the drivewsy cut must be approved by the PW 7nspector, widUi at prop line lu�uted to <br />c;dsting apron width. <br />7. Adjust water boxes to grade at end of consm�cfion. <br />3. Driveways shall be completcly cured before driving on ittem. <br />9. Rooftop drainage shall be discharged to the stotm Jrainage shib provided at tlie front of Uie lot. N�TE: <br />lots 17-27 shall not dischazge driveway and/or yard clrainage to the stomi drainage stub, tliese lots shall use <br />the stub for roof-top drainage only. <br />Approved as Constructed I <br />�Ar�!'� PUBLIC WORKS DEPARTMEfJT <br />3200 CedarSireel <br />Everett, WA 98201 <br />Phone:259-8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />� <br />LJ <br />♦�^ <br />V♦ <br />0 <br />a <br />The undersigned owneNapplicznt hereby agrees to hold and save harm- <br />less ihe City of Everett from any and all claims for damages. costs. <br />expenses. or causes of action that may aris= because ol installation <br />and maintenance o! the improvement or other righbol-way use herelo <br />applind for and further a9rees to remove same upon nolice Irom the <br />C�:y and to re laca public properry damaged �hereby. <br />ti��vU l �" l�� ��/�7��� <br />Signa�ure ol Applican! Date <br />INORK AUTHORI2ED 8Y TFIIS PERMIT MUST BE STAf7TED WITHIN <br />lA0 DAYS OF DATE PERMIT IS ISSUED AND THEFiEAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANGELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />P90.IECT OVER 90 DAYS DURATION. <br />