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Date 6-26-95 <br />Aopliwtinn For <br />PUBLIC WORKS <br />I-'rint or Type Only <br />Select Hcmes Inc <br />Owner <br />0«iiei <br />ApplicaM <br />12811 Sth Avc <br />Describe Proposed Work RBW h011Se <br />Project Address lil knownl <br />TO POSTING �� �a 1yg�' <br />n <br />PERINIT <br />c['. <br />1 <br />�� <br />ri o['� I i�� '`] �i n':i n <br />�J r�i 'r O.;: C7 U� C� .� r Cd <br />'r4 Qi �li h= �'.� ' (h i'I i�J <br />• •U l�S t _. `I ]�' ['.j i`: ��'J <br />�l �-1 H3 f ) <br />._I C'.J 4� �' i] M b' <br />W, E{ii$rett 98204,`„513T900Ci <br />�'1;.1�)'CO trf Fi ii' i;1 �-�. <br />t'l U� --' 7= = O I� I r� W f_t - <br />1] Ol U[_I •,• �J F-' C� ? fA O <br />.J _.I tJ i.. id O¢ C� i,i .. <br />PubLc Works Pnrmn e I J�� /� <br />eia� n�o�.• 48752 <br />PuLlic YJo•ks Fee 5 <br />TOtN FeB <br />Less 400�� Fee PaiO 5 - <br />Balncce Duc $ 7n%% <br />Phone <br />n .^' (il p.. T_ Ul [l �: � K ll] fq (�r �..i <br />�flinq Addre55 City ZIp Phon� <br />8925 West Mall Dr <br />Lot 8 Arbor Glen <br />Atlath fOur (4) Copies of plans for proposed wu,K - Drav: to sr.al�r an7 nc,te the foila i�g as aoU�icabie�. <br />• Property Lines <br />• Outline and dimensions of all enisting and <br />proposed SlNcture5 on �he lot <br />• Existing and proposed utilities <br />��i�l:llli <br />• Ce.nteri'.,e nf sireet <br />�� Indicat� North <br />b Show any r.�Oposed c�ratling r,hanyes <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259-6810. <br />2. All work shall be pedormed in accordance with this permit and curren( 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 />4. Reep city streeLc cle�n at all times. <br />S. Curb g�itter and sidtwall: in the plat are new m�d imdama6ad, vry d;uu��e U�eteto shsll be repl�r.;;d �t the <br />discrelion of tLe Public �Vorks Lis�ector. <br />G. Any cha��ge in the ciriveway cut must be approved by t,he PW Inspector, widlh at prop 1'ui� finuted to <br />eri;W�, spron widtli. <br />7. Adjust water boxc; to �Tadc a1 end of constniction. <br />3. llrivew:rys sh:�l �e complcte�}� cur�d beforo driving ott ttiem. <br />9. Fooflop dra�iaoe sliall be disch�uged to thc s(oim dr.w��g� saib pro�7ded at fhe front of ihc fot. NOT�: <br />lots 17-27 sh;ill not Jischarpe Jriveway a�uUor yard drain,�ge to the stomi drainagc stub, Qtese lots shall u� <br />We stub for roof•top drainage onty. <br />������� --- <br />r�yMi vvc.. ..o ....�.o......•.,.. <br />j' PUBLIC WORKS DEPARTMENT <br />3200 Cedar Slreet <br />Everett, WP. 98201 <br />Phone: 259�8810 <br />ACKNOWLEDGGPAENT OF CONDITIONS <br />W <br />H <br />� <br />� <br />O <br />The under�i:aned owneUapplicant hereby ag�ees to hold and save harm- <br />Iess �he Cdy of Everett from 2ny and all claims lor ,amages. costs. <br />expenses. o� causes of aclion ;hat ma/ arise because ol inslallalion <br />and maintenance o� tne improvemeni or other right-ot-way use herelo <br />apphrd br and luriher a9rees to remove same upon notice from the <br />C�!y and to replace ublic property dama�ed Ihereby. <br />�/� <br />E�~�w�' � t'1� ) <br />Signature ot ApFlican! �ate <br />WORK AUTHORIZED 6Y TfiIS PERMIT MUST BE STARTED WITHIN <br />1B0 DAYS OF DATE PER�.AIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETIOV. THIS PERMIT MAY BE <br />GANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJEGT OVER 90 DAVS DURATION. <br />