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Da!e. 6-27-95 <br />Application For <br />PUBLI� WORKS <br />Print or Type C�nly <br />�� ��15�'ING AUG b 9 1996 <br />.i <br />�E�MIT <br />d <br />� ^ O G O � � <br />x= ui o o in c� <br />� w-�d���� o <br />� � � � � <br />'+ M . <br />Select Homes Inc 12811 8th Ave <br />�.,..o� A9�tiii��j 1CJrE <br />Owner <br />Appllcant <br />Rl.,�bn:; Address <br />P„�,�,�.,:o„sP�,m�, ��30� <br />a;,,� pep,., 48747 _ <br />Publ¢ lYorks Fee S <br />Total Fee <br />Less <pnl Gn�� P;nO S <br />�e'� o � o e.,�.,��,_o�,,. <br />o�o� <br />eh4 C� 1^.� d <br />ti +A C.: <br />?w us <br />�C�=�� `-+O� G W NO W� <br />J LLI W� f'r CJ c2 O W� z 2 <br />p.� 6. �[n I� sc 3 St Vl Tll dl V <br />___--_ „itV —_--�iP <br />Describe Proposed Work ___ neW hOII50__ ____ _ <br />c.oject nddress li� known� _ 9025 West Mall_ Dr___ ________ _ Lot 3_erc <br />Attach four 1�) copies ol plans lu� P��p��ed work � Dra�c to ec.u�, •��'.a n�:ie tha !oilowing as anUhoabie- <br />• Pronerry Lines <br />• Outline and Aimensions of e II exisho9 �nd <br />proposetl slructures on Ihe loi <br />• Existing and Proposed utilitie5 <br />• Centerllne nf sireet <br />• In<]icaL: Nar�h <br />• c����•; Tny r,roposed 9rad�ng r.hanges <br />• Show measurements <br />.�i (JC/` <br />Phnnc <br />Phone <br />PERMITCONDITIONS <br />1. All calls for inspeclion shall 6e made 24 hrs. in advance- phone 259-8810. <br />2 All work shall 6e performed in accordance with this permi[ and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424-5555. <br />4. Keep city strer,ts cican at ai times. <br />5. Curb gutter and sidetvalk in the plat are ne�v and und�unaged, a�ry damagz thereto sh;�l be :epla�ed at tt:z <br />discretion of Ihe Fublic Works Tnspector. <br />6. My change ui U�e drivcway cut must be :�pproved by ihe PW Lispector, wiJlh at prop Gnz limitad to <br />e:dsting apron widUi. <br />7. Adjust water boxes to grede at cnd of constniction. <br />3. Driveways shall be completety cured before c4iving on them. <br />9. Rooftop drainage shall be discharged to Ihe stonn drain,ige siub providcd at ihe Gont of the IoL NOT}'s: <br />lots 17-27 shall not. discharge drivew:ry an�Uor yard Jruuiagc to ihe stonu drainaee stub, thesc lots sh;ill us <br />tlie stub for roof-top driinage o�il}•. <br />qpproved as Constructed <br />PUBUC WOR!<S DEPARTMENT <br />3200 Cedar °Areet <br />Everelt, WA f 8207 <br />Phone: 259•t1810 <br />ACKNOWLEDCiLMENT OF CONDITIONS <br />� <br />O <br />The underslqned owneVanplicant hereUy agrees to hnld and Save harm� <br />less ;he Gity o� Everelt Irorc� any and atl claims lor dama9es, costs. <br />expenses_ or causes of action that may aris� because of installalion <br />and maintenanr.e n! thn improvement or other ri9ht-obway use hereto <br />3pphr,d for and �urther agrees to remove same upon notice from the <br />C�!v �nd to replaca public pronerty damaned thereby. <br />Y.J� ��`�`` /-3 -S �o <br />Siqnature ot APPlican! Date <br />INOFK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />�80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT tdAY B[ <br />CANCELLEU BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJEGT OVER 90 DAYS DURATIGN. <br />