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Date b-27-95 <br />PUBLfC <br />Print or Type Only <br />Select Homes Inc <br />Owner <br />Owner <br />Applicant <br />Describe Proposed Work . <br />Applic:.ticqiFor <br />WOR�S <br />Q <br />0 <br />0 <br />a <br />� <br />12811 <br />�� ���TING d�,�Y �0 t4qf ���7s� <br />i � ���ni.�. wa,ws a�,mn . <br />ro-i�� o�n� . 48767 _ <br />PERMIT <br />.�i rC'-'� o � o g <br />ONO �u�! � G <br />� M M .> M <br />e W IIA-201 �Ev <br />�•.••...^O .`..O � G] C.J U H O� <br />c,i �wa�a5�oa <br />� on:� <br />rd;���l���,c: �ddress -..----- <br />new house <br />R�b4c \Vor45 Fee <br />T011l �fC S <br />�ess nom. F=e aam S <br />o � �' � e.i,,��,.o�� S �L7— <br />o r�+ o r- <br />p- .+ P i 0 <br />M � (n Q� <br />� yi � <br />ett 98204 513-9006 <br />- -r,-T---- <br />LL W� H � 7-�P Phnne <br />3W U1 [] W <br />U� UI f�iY C=..t <br />Zip <br />Phon� <br />aroiect nddress �ii known; 8922 West Piall_ Dr__ __ _________ Lot 23 Arbor Glen _ <br />A�taCh �our (J) COP�es of plans foi proP�sed wo�K � Diav: ta ��:,ti...;n:i ncde tha'ollu�vinc� as anUlicah�e� <br />• Pronerty Lines <br />• Outline and dimensions ol all exis'ing and <br />proposetl structures on th� lot <br />• Existing and proposed utilities <br />• Genterline nt stree� <br />• Indi�.:ato North <br />• Shov; any r,roposed grotling chanui•s <br />• Show measurements <br />PERMIT COMDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance • pr.one 259-8810. <br />2. All work shall be performed in accordance with ihis permit and current Ciry ot 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 />4. Reep city streels clevi .d :�l tu��es, <br />5. Curb guiter aud sidewalF: ut the plat are netv and tu�daniaged, ;u�g� daroage therelo shall be replactd at lhe <br />discrelion oF thc FuUGc Works �tispcclor. <br />(�. Atp+ ci�a��ge in lhe dtivew:ry cul mus� Ue approvz� bV �Le PW Inspector, widlh al prop luie linuted lo <br />ca�sfing apron widtfi. <br />Z Adjust water baxes to �Tade at end of conshliciion. <br />S. Dm�ewsys shati be completefy cured before drivu�g on them. <br />9. RooRop drtinage sh�ll bc disch:vged lo the storm dr�inege stub providcd al thc fiout uf'Ihe lol. v0'CE: <br />lots 17-27 sh�!l uot �ischare.e clrivew:ry �ncUor y:ud draina�c lo fhe stom� drainaee slub, these lots shall ns <br />the shib for roof-lop di:vnage only. <br />npp�wcu oo i.unsuuciuu <br />�A��e� PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259-BB70 <br />ACKNOVJLFDG[IdENi OF CONDITIONS <br />� <br />`� <br />i ho u�.h�-iriqned owner/appbcrnt hereUy a4rees �o liold and save harm- <br />less �hc C,ty o� Ev�:relt Irom any and all claims for damages. costa <br />expenses. or causes of action fhat may arise because of install�tion <br />and maintenance of Ihe improvement or o�her ri�hl-of-way use herelo <br />ar.N:n,d lor and further aqrees to remove samc upon notice Irom ihe <br />G!y ai:d to renlace nublir, proPer;y damaged ihereby. <br />/� - S-�S <br />i�nalwe of AnPli an! Date <br />WORY. AU7HOP.1 ED BY THIS PERMIT MU5T BE STARTED WITHIN <br />1A0 DAYS OF DATE PEHtiItT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT �dAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PNOJECT OVER 90 DAYS D'JRATION. <br />