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Date 6-28-95 <br />PUBLIC <br />Print orType Only <br />Select Homee Inc <br />Ow.�er <br />Owner <br />Applicant <br />Da:,oribe Proposed Work <br />qpplication Fo, <br />WOF#;KS <br />� <br />O <br />� <br />:T. <br />CI <br />O � <br />12811 it}.�nliV� <br />Y(� a �U�� ��''�C' .,,,<<�,o,�,o�,,,�. ��3%/ <br />N 4J ��iSTING eiAn Oeo�. a 48749 _ <br />PERMIT <br />�) O G� UC'� [�j � � O O Ci <br />�o L� n,:F G u� CJ `l] fJ �: <br />��� v+c�.i o t�rni-:r, <br />,e. C..; .... L7 <br />M iP + uE CJ <br />C.l N +'� '�' <br />W llA-201 �er$'�,t 98204 <br />.. _ r•• " c� � id ca x <br />� n G i m U <br />CJ � Gt G_ y: <br />0 <br />M.���linr, Addr��ss <br />new house ______ _ <br />=c o r� e%?.%r.'.�� w.-� x <br />bo���own�ac+ <br />'-+oro_ao�ou_� <br />fr' CJ Q O '+J - "� �- <br />G1 St' :T a. U) 4n DS U <br />CitY <br />Ri1iM1c Works Fee S <br />TJ�TI GpC <br />Lt�55 n0{)I F�•� P:IiO � <br />Pamn.��0u,• S �� <br />513-9006 <br />7in Phonr <br />Project Address pi known! 9005 West Mall Dr ____ ________ Lot 5 Aibor Glen <br />A�taCh f0ur (n) coPies of plans for ProUused wo:'��. � Drav.� Io ,cai,: ano note Uie'ollc.ving as anphca:�ie. <br />• Property Lines <br />• Outline and dlmensions ol all existm9 and <br />proposed strucWres on Ih� Iot <br />• Existing and proposed utilities <br />• GeNerllnn ot .ireet <br />• Intlicate North <br />• ci�pw any rroposed yratl�n9 r.hang�s <br />• Show measurements <br />one <br />PERMIT CONUITIONS <br />1. All calls tor 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 h:s. betore you dig. TOLL FREE NUMBER 1•800•424•5555. <br />4. Keep city sheets cica�i at all tunes. <br />5. Cmb gutter a�id sidewalk u� ltte plat ve ne�v �u�d und:uuaged, any dunage thereto simll oe replaced at U�e <br />discrotion oFlhe PubGe Works In;pector. <br />G, ptry clefnge in �i�e chivew;ty cut must be approved by the FW Lispector, tividth a1 prop line Gmited to <br />c.dsting apron tividUi. <br />7. Adjust water boxes t� gade at end of constn�ction. <br />8. llriveways shall be completrly cured befor drivuig on them. <br />9. RooRop draoiage shall be disch:uged to the stomi drtinage stub pro��ded ar the front of ihe lot. NO"Pfi: <br />lots 17-27 shall not discharee driveway a�uUor yard d�tinage to the stomi drau�a�� sh�b, tticse lots sirall u: <br />the shib for rooG�op dr:miage o�ily. <br />o��lz�i� --- - <br />Approved as Construcled <br />�A��j� PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett. WA 98201 <br />Phone: 259-8810 <br />ACKNOVJLEDGF_PdENT OF CONDITIONS <br />W <br />H <br />� <br />N <br />� <br />O <br />/r/� <br />V♦ <br />O <br />a <br />lhr �.inAer�i�ned o�vneUapplicant hereUy agrees �o hold and sace hanc� <br />less the G�y o� Evere�i irom any and all claims �or dama9cs. r.osts. <br />e*pense, or causes of ar.tion that may anse hecause of inst�llaua�� <br />a��� mam�enanr,e o! ihe improvemen� or othe� n9ht-o�-way use heie�o <br />�pphpi: i0f 2(1l1 (liflhP.1 2CJfCP,S l0 tBffIOVQ Sdflln U(]Of1 f10�iCE ��Ortl �h@ <br />ptv ard tn iaplaca uubhc p�onerty damayed thereby. <br />1���,�54 � �.,�e'rn� a�3/9� <br />Si9natwe ol Applic Date <br />INORY. AU7HORIZED BY THIS PEFPd1T MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSU[D AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MA1' BE <br />CA^JCEILED BY THE CI"i Y UPO� ANY STUPPAGE OF WORK OtJ THIS <br />pRp.IEGT OVER 90 DAYS DURATION. <br />