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Date 6-27-95 <br />PUBLIC <br />Print or Tvpe Only <br />Aoplioation 6vr <br />WORF�� <br />�p <br />O <br />r_ <br />¢ <br />N <br />Select Homes Inc 12611 81 <br />Owner <br />Describe Proposed Work <br />\��iiln� <br />�-�: ;:, AUG 0 9 1ryVryryy��n �"`=""48768 ���� <br />�� �� � ��TING Gld� �eoi., . — <br />pERMlT <br />Pu�i¢N'orvsFee S <br />ioldl FCe <br />Less <pLl. fee Pai� S ^J <br />O O L�[� lG Vb'J U�'J O Q O O� L� Baiancr Duc S l�� <br />o�.;�o.> �.in ui o�ao� <br />ON +7M- I e+ C1 n h U`��' L� <br />L'l M M M -- M CJ t t�+ <br />�R T al �� I� i0 � W <br />W IIA-201 Eve�tt �8204 513-9006 <br />r,+,�i��,„ addr.,ss <br />Project Address (d known! 8926 West <br />= O f•] 1��� LL d L�J G� �-'� U�r <br />o�S c.� m u� y r� o�-- 0 3 cn c� w <br />iw'- - �'o� o�i .x <br />ax=Tnu�uSn_ Ycaacn`ui�.-�ca <br />A7tach four (4) co: ies of Pl.uis foi ProPoseJ worn � Drav: to �.'.u,..u,,r ncde tn��'o�ic;nng as anChr.ah�e: <br />• Property Lines <br />• Outline and dimensions of all ex�siing anci <br />proposeC siructures on the lo� <br />• Existing and proUosed utilities <br />• C��tntCrlii'�9 nt str9e� <br />• Indicaie Norih <br />• SrtpV� 8ny p�nposed gratling r,han:7e5 <br />• Show measuremenis <br />one <br />PF.on� <br />PERMIT CONDITIONS <br />t. All calls for inspection shall be made 24 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 NUMBER 1•800•424•5555. <br />4. {eep city streets clean at all tuues. <br />5. Curb gutter and sidewalk in the p(at are new a��d imdamaged, arry damage iLarelo sl�all bz replsced ai ihe <br />cliscretion of the Pu6Gc Works Inspector. <br />6. Arry change in the driveway cut must be approved Uy the YW Inspector, width ai prop line liuuted to <br />cxisting apron widUi. <br />7. AJjust water boxes to grade a� end of conslnrfion. <br />8. Drivew�.rys shall be completely cured before cirivu�g an tliem. <br />9. RooRop drainage shall be discharged to the stonn drtinage shib provided at the Gont of Ihe lot. NU7'1�;: <br />lots 17•27 shaU not discharge c(riveway uuUor yud drainage to the stonn drain�ge sh�b, thesc lots shall us <br />the stub for roof-top drainage only. <br />�PUBLIC WORKS DEPARTMENT I <br />� 3200 CedarStreet I <br />. Everett, WA 96207 , <br />Phone: 259-(i810 , <br />AGKNOVJLECGEPdENT OF GONDITIONS <br />W <br />H <br />� <br />N <br />� <br />O <br />/�� <br />V♦ <br />OA <br />1� <br />The under�iqned o�L�neUapplic?nt hereby agrees to hold and save harm- <br />less ;he Cny ot Everett lrom any and alI c�aims for tlamages, costs, <br />e*penses. or causes of action that may ariss because of inslallation <br />and main�PnanCe n! ihe intprOvernen� or o�her right�of-way use heieto <br />a^pheC lor and further agrees to remove same upon notice from the <br />G'y irn tn replxa pubhc proper;y damaged thereby. <br />�e,�r__ ,Cl� � f�� ��a3�4� <br />Signatu�e ot Applica ! Date <br />INORY. AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />tA0 �AYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPL ETIO�'. THIS PERMIT MAY BE <br />CANCELLED BY TNE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />FROJECT OVER 90 DAYS DURATION. <br />