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Date 6—z6-95 <br />Application For <br />PUBLIC WORKS <br />Print or Type Oniy <br />4� P�ST�NG <br />�ERISAIT <br />SC <br />tJ <br />!__ <br />LL <br />Select Homes Inc 12811 8th Ave W <br />uwner <br />�WII2L <br />Applicant <br />Describe Proposed Work <br />Prolect Address (if known! <br />,�''{AY � 0 i3g6 <br />�.. `t� r, � � n c7 <br />� r; , 7 <br />O'i � 4"� �.r i:'� <br />' .i.l . _.l '} �'.� <br />i� ia' lw 'A� <br />�9ai�ing Ardress .TF <br />r_i <br />C- <br />O <br />Rlsilin;; Addres5 <br />new hc.use <br />8931 West Mall Dr <br />cr� <br />ri <br />�n <br />ci <br />.� <br />!i. �3 (� f,. <br />[D�]] ti _. O LJ <br />fp [_l Ll '-: f] {-.. <br />.I lil f: rJ c� <br />�l_ v, [fl l.l. :tG _S <br />PubLr. V/orks Permil a ������ <br />Bh19 DaPc �� �] S j <br />PupOCWorksFee —� <br />iplal Fee S <br />Less A4�I. fr,e PaiO S <br />c c�p'i!'1�5�:due_i �' S ��7— <br />[' 1 `1� ! �� fJ . <br />�. :l`. M �I I' � . <br />+" C.J I^ J <br />.� - <br />� a. >' <br />i <br />17� ci ��= i--�i �,i j..� Phanc <br />�3cnrir niy <br />� (n U� ii] �ii n �" <br />�� S1 <br />��P Ph�oo __._ <br />Lot 7 Arbot Glen <br />Attaeh lour (4) copies of plans for proUosed worK � Dr�v.� to scal.� ,v:n ncte �he (ollowmg as applir.abie. <br />� Fronerty Lines <br />• Outline and Cimensions o� all exisLng ann <br />proposed structures on the lot <br />• Exis�ing and proposed utili�ies <br />• Cen�erline nf sireN( <br />• Irtlica�e Nor�h <br />• 8how any r,roposetl grading r.hanye> <br />• Show measurements <br />�� •��� �..+n� o�ww ini5 LINE <br />PERMIT CONDITIONS <br />i. All calls for inspection shall be matle 24 hrs. in aeivance - phone 259•$810. <br />2. All work shall be pertormed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 4tz hrs. before you dig. TOLL FREE NUMBER 1•800-QQ4•5555. <br />�• ICeep cit � streets clean at all tin es. <br />5. C�ub g�mer v�d sidewalk u� ttie �.lat are new and undamaged, s:�y damage therzfo shall be repl,�ced �t 4�e <br />discrelion of �he Public Work; Inspector. <br />6. Airy chang; in the drivew�y cut rnust be approved Uy the PW Lupeclor, widlh at prop linc linuled �o <br />e,dst'vig apron widih. <br />�� Acljust water boxes to gradc nl end v"conshl�cfion. <br />S. Drivaw;ry, shall be cornpletciy ;.ured bzfore d�ving on Ihem. <br />9 FooFlop drainage snall be di,ch;ugc� t� ti�e .;tomi dr,unage shib r�roti�ided at the front of lhe lot NOT�: <br />lots 17-?7 shall not discharge d�ivcwap and/ory�:d dra�na��e to the stonn dr�ivaee stub, lhesz lots shall use <br />ihe slub For roof�top dr,tinage only, - <br />� V V � ���� „s i.unslNcietl "–� �" <br />�PUBLIC WORKS DEPARTMENT <br />3200 Cedar SYeet <br />Everett, WA 98201 <br />Phone: 259�8810 <br />I <br />� <br />i <br />! <br />ACKNOWLEDG[MENT OF CONDITIONS <br />W <br />� <br />�w <br />_ / <br />♦I�^ <br />V♦ <br />O <br />a <br />Th� iu�dersipnetl owneVapplicant P,ereby agrees to hold and save harm� <br />less Ih� Gty ol Everett Irom any antl all claims for damages, cosls. <br />expensa;. or causes of action ihat may aris= because ol installation <br />and mr �tenanr.e o! tlie improvement or other right�of-way use hereto <br />�Up��e lor and further agrees to remove same upon notice (rom ihe <br />�'�Y ��'�� �o reP��c� pubhc pronerty damaged thereby. <br />Si�nature M App icant �� Y <br />Date <br />WORK AUTIiORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />id0 DAYS OF D4TE PERMIT IS ISSUED AND THEREAFTER IS �O <br />i3E DI�IGENTLV PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CA^10E�LED BY ThIE CITY UPON f.NY STOppqGE OF WORK ON THIS <br />PROJECT OJER 90 DAYS DURATION. <br />