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Date 6-27-95 <br />P��4BLIC <br />Print or Type Only <br />Select Homes Inc <br />Owner <br />Owner <br />Appiicant <br />Describe Proposed Work _ <br />�� f;'? e��iINC ��. � 0- 91.,�� <br />Application��For <br />•i <br />WOR�ES <br />� <br />n <br />c, <br />b <br />r. <br />a <br />r° <br />� ( <br />12811 <br />PERMIT <br />b C� G 4 O b O c� <br />���oQing '"c5 oonC'� <br />�ir-o,y'�o vi ci�otioa <br />�r•o«+ai O F�o�P: Mi <br />�� ei t+1 tP .�. V. ('_1 �� ( l <br />o- r :�* w <br />e W IFA-2�1 �ve�'�ett 9820� <br />\^a�;�k;; n`oiiFess �� a o r.� i�;�Vr' i�i •-� ,� <br />�,� OC'3[72 )-' �O W G W O�+C:1 <br />`..l CJOli�f.l U�"'!OF-U=aU)O4J <br />Ci _I J 41 � fr C� r." O � i 2 <br />�y` :c 4l 6_ i_ GI Gi 'S 3 YC [�l tJ� � Ci <br />� --- -- <br />mi:,�i�•,n ndd�ess cnv <br />house ------------ <br />qo1� <br />Prcject Address Of kncwn; _� West Mall <br />PUGM1f lYorMs Pnrm�t s ���� <br />c,ingoeo�.= 48772 .--- <br />' Idm worYs Fve 5 — . . <br />Tota� Fee — <br />Le55 Apu� F?e Paia 5 <br />eaUno�• nue . �� <br />513-9006 <br />Lp Fhane <br />LiP Phonr.. ____. <br />Attach fow (4) coP�es of plans foi propused wu:k � Drav: to .r.ei�r ..c�d n�,L� tha'otic.ving as anUlir.abie: <br />• Propr.rt9 Lines <br />• OuUin� :nu dimensions ol all existing and <br />;roposed slructures on ihe lot <br />• Ex�sting ar.d proposed utilities <br />• C��nlcilln9 ��1 StrCul <br />• Icdica�e Norih <br />• Show'rny r,roDosed g•ad�ng changes <br />• Show maa: urements <br />P'.:RMIT CONDITIONS <br />1..411 calls for inspeclion shall be made 24 hrs. in advancr,- phone 259-R810. <br />2. All work shall be performed in accordance with this permit and curre�� �ity of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 iirs. before you dig. TOLL FR�c NUMBER 1•8�0•424-5555. <br />4. Keep city streets clean at all times. <br />5. Curb gut?zr nnd sidewall: u� thz plat ar,: new a�id undamaged, a�ry dama6e thereto sh�ll Ue c;�laced at :he <br />discretion of Ihe Pablic Works Inspector. <br />6. My cLange in the driveway cut mus! be approved by the FW Uispector, wiJth at prop line Wnited to <br />e.�tisting apron widlh. <br />7. Adjust watcr boxes to gade at end of construction. <br />3. Driveways str�il be completety cured before drivinp, on t6em. <br />9. Rooflop tirainage shall be discharged to the sro�m drainage stub pro��ded at thc &ont of the lot N01'E: <br />lots 17•27 shall not discharge driveway arid/or yazd drair ige to ihe storm drainage stub, ti�ese lots sh:dl us <br />Uie sh�b Cor roof•top drainage oniy. <br />Approved as Consiructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar S!reet <br />Everett. WA 9820t <br />Phone: 259-8810 <br />_.I <br />� <br />ACKNOWL�DG[PAENT OF CONDITIONS <br />W <br />� <br />� <br />N <br />� <br />O <br />The unAor�ianed owneVapphc2nt hereby sgrees to hold and save harm� <br />less Ihr Gty cf Everelt from any and atl claims for tlama9es. costs. <br />e*P�nses. o� wuses of action Ihat may aris� because of installation <br />and mamtenance n! ihe improvement or c!her right�o(-way use hereto <br />,�p�,i�.ec; for and furiher aprees to remove same upon notice Irom ihe <br />C�'v a�;d tn replaca Gublic pwnerty damaged thereby. <br />� n� 2��a3 <br />Sionatwe of Applican� Date <br />lti'ORK AU7H0(iIZED BY TFIIS PERMIT MUST BE STARTED WITHIN <br />�90 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIG[NTLY PURSUcD TO COMPLETION. THIS PERMIT MAV BE <br />GANCELLrD BY THE CITY UPON ANY STOPPAGE OF WORK ON ?HIS <br />PROJ�GT OVER 90 DAYS DURATION. <br />