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Date 6-26-95 <br />Applicalion For <br />PUBLIC WORKS <br />Print or Type Only <br />>L <br />� <br />��v ��STING <br />m <br />PERII�IT <br />O <br />� <br />Select Home�; Inc 12811 Sth Ave W <br />O�vner <br />Owner <br />AppliCant <br />Describe Proposed Work <br />Pro�ect Address Uf knowN <br />Mai��nq Atld�ess <br />PAs�im:7 llddrass <br />new house <br />9008 West Mall Dr <br />� 3� % <br />�''IAY 3 0 1g,� �,<<�,o„=P�,,.,,. � <br />���noeo�.• 48771 --- <br />�c�iov�io 8 <br />oNm«�ic o <br />�il M W M .i <br />u iw <br />Gty <br />v <br />� <br />P ilihc wo�hs Fae <br />To�al Fee 5 — <br />Less loU�. Fee Paitl $ — <br />�8.�<�'i�� 5��� <br />or;ot� <br />h.-�M O <br />M��p� <br />� w eR <br />.J <br />a--�� <br />�i�' � H V Phnnt� <br />� 3 N O W <br />C�UI�� <br />ZiP Phon� —_--- <br />Lot 27 Arbor Glen <br />Attach four I�) coPies of Plans foi Proposed wo:k � Drav: to <rai:..u,i ncte �ha'oiluwing as applic.ahie: <br />• Pronerty Lines <br />• Outline and dimensions of all existing and <br />propGsed struclw 35 on (hc lot <br />• Exis�ing and pro0osed u�ilities <br />• CeNerline nf e;reet <br />• Irdicab� Nor�h <br />• Si�ov� any preposed yradinq r.hangas <br />• Show measurements <br />PERMIT CONDITIONS <br />1. 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. Kcep city s4etts cleu� al ull dmes. � <br />5. Curb gutter :uid sidew�lk in ihe plat a�c new ;u�il undaruaEed, a�� datnage thereto sh�ll Ue rapia�ed af tiie o <br />discrc6en of tl�c rubtic warks L�spector. <br />6. Auy change in th� cLivewa�y cut must be approved Uy Ihe PW Lispector, widlh at prop liur, luitiled lo L <br />exisling apron widlh. �— <br />7. Adjusl water hoxes to grade at end of consin�ction. � <br />8. Drivewcrys shall be cotnple�ciy cured bzfore drisine on Uiem. a <br />9. Fooftop drw�age shall be discharg,ed to the sfonn drainaoe slub pro�rided at the !i ont of the Ict. N^.'� i�.: �� <br />lots 17-27 shall nol dischar�c drivcway aneUor yard drainage to the slorm draiva�e slub, these lots sh:�t usr,� � <br />the stub ibr rool'-lop draivag� onl}�. 1 I..L� <br />L� <br />�/�f ----- <br />nppwveu aa a.���ouu�ivu <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everetl, WA 98201 <br />Phone:259-8810 <br />ACKNOWLEDGGtAENT OF CONDITIONS <br />Th�� �indarsianed ov:neuapn�icant hcreby agrees to hold and save hann- <br />less th� City ot Everett (rom 2ny and all c�aims for tlamages. costs. <br />eaP�'nses. or wuses ol action that may aris� because ot ins�allation <br />and mau�tenanr.e o! ihe improvement or other righbol-way use here�o <br />appi�ed fer and furtPi�r agrees to remove samn upon notice Irom Ihe <br />C:!y and to �eplaca Uuuhc property Jzmaged �hereby. <br />�ib(1 � �" lG' L � �� 7� <br />Signa�we ol AppliCan! Da�e <br />WORK AUTIiORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />1g0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLI' PU!�SUEC TO COMPLETION. THIS PERMIT t�tAY BE <br />CANCELLEU BY TNE CIT'� UPON ANY STOPPAGE OF WORK ON TfiIS <br />PROJECT OVER 90 DAVS DURATION, <br />