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Date 6-26-95 <br />� Application For <br />PUBLIC WORKS <br />Print or Type Only <br />Select Homes Inc 12811 Sth <br />iiirn.; <br />Owner <br />Ap�licant <br />Describe PropuseA Work new house <br />� �� :��; gT�NG i'tIAY � a <br />a <br />O <br />�PERMIT <br />a O O Ifl O S O O <br />o m o�o vi ' <br />w -�'ow "F� �"�o <br />.Y w «. � �� o� <br />ti �, N <br />Av W'OEvere 98 � �13-9006� <br />Aad. �ss +��p ��W" . �„ ��]i� <br />M [..t' ��HOO Y— 03 O W <br />� arJi�� �i��`a�a[�ti�n s <br />Addrass --__--. City _— �ip <br />Proiect Address lif known! 8932 West Mall Dx <br />PuUimVlarFSPrtrmita 9�_�3� _�. <br />oi�i, oPu� , 48769 <br />Pubhc Ylorks Fec <br />To�al FCe S <br />less Appl. Fe�� P�ip �u <br />Ealance Dun $ � <br />Lot 25 Arbor <br />PhOnr <br />AtlaCh �ow �4) copics of pl�ns loi proposed �,vu:�: � Dia�^ to .c.ii�r .�ni notia p�e !pllornng as anuiir,abi�.;ll/Ol/95 12:57PM I <br />• Property Lines <br />• Outline and dimensions ol all existing and <br />nroposed slrucWres on the lot <br />• Fxisting ; � id proposed utiliti��s <br />• Centerline ol street � <br />. ,�d;�,,,_ N�,th #Q0048769 <br />• Show any r,raposen yradir�l�-pi9anaes �60i5.00 <br />• Shnw measurements PLPG $77,UQ <br />PERMITCONDITION6 DI�iIVb1Y 4^cO.Q`J <br />7. All ca�ls for inspection shall be made 24 hrs. in advance - phone 259-8810. f10000E610 <br />2. All wort; shall be pedormed in accordance with this permit and current Ciry of Everetl DesigW��i�onst�5w�0 <br />Standards and Specitications. H00030e^71 <br />3. Call LocaCoi Underground Service 48 hrs. before you dig. TCLL FREE NURIBER 1-500•4��G555. s70.00 <br />`I. kccp citv strects clean at all t�ncs. S'1SDEV 31613.00 <br />5. �.urb c��tter aud sidewall: u� the pl�t a:e netv :u�d undamas�d, airy cluuagz I��TT'h:l� U��e�icad :tl the <br />discreli��n oFlhe Ful�lic \Vorks inspecler. ENDIfI 4�30.00 <br />6. Arry c!iangc ui tlic cltive�u;N cut mu,i bc approved by the k''d- Inspector. wi��pro�y�ug�ted lo <br />cri�lin� apr,n w�d(li. <br />'. Adju. t�vater boxes lo �ade at end of conshuctima. <br />S. lirivca�rys shall b, completefy curod before driviti� on U�un. <br />9. P.00ftop ar�inage sl»II be disch;uged to the ;rom� dr;un,i�e shib providrd al the Gont of Ihe loL NO`fF: <br />lots 17-27 s6ail not discharge rivew.ry arul�or Vard dr:iinaee to Ilic sronn dr�inage slub, these lots shsill us <br />tLz stub ('or roof-lop drainagz onl}�. <br />Hpprovea as Gonstructetl <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Slreet <br />Everett, WA 98201 <br />Phone:259�8810 <br />I <br />I <br />ACKNGWLEDG[A1ENT OF CONDITIONS <br />� <br />� <br />♦�^ <br />V✓ <br />O <br />a <br />ih�9 underviqned oWneUappliCan� hereby agrees �O h01d and 5ave harnl- <br />less the. Gty of Everetl Irom any �nd all daims for damaqes. costs. <br />expenses. or causes of action that may arise b�cause of installation <br />ard maintenance n! ine improvement or other right-ol-way use hereto <br />.�ct������d for and further a�rees to remove same upon notice trom the <br />G!y and tn replace Uublic property dan�a�ed thereby. <br />�,�-� �3—l.�'__ % �^ � '/'� <br />Siqnature of Applican! Date <br />l'JORK AUTIiORIZED BY TIiIS P[RMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERM1IIT IS ISSUED AND THEFEAFTER IS TO <br />BE DILIG[NTLY PURSUEO TO COMPLETIUN. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />