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iL / <br />j[ � <br />Date 6-z7_95 ii F� I"1�� t� � 100C; ��� <br />PQ�TING r�� P"uimwor�sr^-rmn> <br />App�ication For a oi�+:i oen� • 48773 _ <br />rn <br />PUBLIC WORKS�ERMIT PuLTotiFeeFee 5 <br />gp p p pp p p LP5540P�� FI!C P.1'.0 5 fy' <br />L � O O N O O r.� O C5 O [i.il�nce Oue S �/ <br />Print or Type Only �¢.. cv � o� o vi o vi o co <br />.�. NKM � M � � �jM U <br />�+ t'.''~ O��C� M�C <br />Select Homes Inc 12811 8th lyiQe�4�liA-201 ,�EyG�."�ett;�982Q4_. 513-9006 <br />Owner <br />licant <br />Describe Proposed Work <br />�tar... _„drµ'�ss S cn t� x <br />�� o o m c..i <br />o �niar <br />Ods�linq AddreSS <br />0 <br />m <br />City Zip Phone <br />Project Address Ii� knov:n! 9024 West Mall Dr ___ _ Lot 29 . <br />Attach four (4) copies of plans loi proposed work - Drar: to .r.ai�� and nole Ihe loilo�.ving as apU���able: <br />• Property Lines <br />• Outline and dimensions of all exisLng and <br />propased strudures on the lot <br />• Exisling and proposed utilities <br />7 <br />O Centerline ��I street <br />• Intlicate Nonh <br />• Shna• any r,roposed gradi��; chanye5 <br />• Show measureir.ents <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance • phone 259•889 0. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifica!ions. � <br />3. Call Location Underground Service 48 hrs. betore you dig. TQLL FREE NUMBER 1-800-424-5555. <br />4. Keep city streets clear� at ai times <br />5. Curb gutter ;uid sidewalk ui tha plat ara ne�v snd und;unaged, a�ry damage ihercto sh�ll be r�placed at iLe <br />discrction of the Fublic Works Inspcctor. <br />6. Airy cliau_�e ui Ihe drivew;ry cut must be approved Uy thz PW Inspecror, widlh at prop line Gnuted to <br />e;dstin6 apron w�dtl�. <br />7. Adjast w�ter boxes to grade at end nf consm�ction. <br />3. Drive�hays shall be completcly cured before driving on lhem. <br />9. Rooftop draina�e shell be disch;irged to the sto�m dr�inage shib provid�c! at We Gont of ihe lo�. N01'I;: <br />lots 17-37 shall not discharke drivew�y ;uuUor yard drainage to the storm drainage stub, lhese lots sh��l us <br />the stub for rool'-top drainate onh�. <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett. WA 98201 <br />Phone: 259-8810 <br />AGKNOWLEOGEIv1ENT OF CONDITIONS <br />W <br />� <br />_ / <br />� <br />O <br />The undrrsiqnetl uwner/appllc2nt hcreby ag�e�s to hold and save hann- <br />tess Ihe City ot Evnrett from any and all claims for damages. costs. <br />expenses. or causes of action ihat may aris= because of installation <br />and mauitenance of the improvement or ciher righl-ohway use herelo <br />apphed inr and further a9rees to remove same upon notice irom ihe <br />Ci;y ,�nd to replaC� blic property damaged thereby. <br />.C��czJ�i �}' lv'tI� /° z3 � <br />Signature of Applican! ate <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIG�NTLY PURSUED TO COMPL[TION. THIS PERMIT MAY BE <br />CAIJCELLED BY TIiE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />