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Uate 6-27-95 <br />PUBLIC <br />Print or Type Only <br />u <br />u <br />� <br />.i% <br />"`''' f�M'S��i��i <br />Application For �1 - ' <br />� <br />WORKS�QFERMIT <br />O p p <br />S C�O VQiO <br />� �Y �G.t O <br />u� �tiw�'�«: <br />P , <br />Sel�ct Homes Inc 12811 8th <br />�er \^,a•uny : <br />Owner ^ <br />AppliCent PAa�li���c. Addr,�ss <br />Describe Proposed Work ___ new houSe _ <br />Projec� Address UI knowN 8902 West Mall Pr__ <br />O <br />n <br />s�" <br />PUU6f 1':orks �Prmil v _/V��L <br />8,�� ��o, , 48764 _ <br />�`ubhc Woeks Fce <br />To�nl Fcp S <br />p p Less A00� Fn�� P:uq $ �%�. <br />O � q � Balanr,e Dvc $ �-�/ <br />�ricir <br />M `pMa <br />M � u! <br />87,Q4„ 513-9006 <br />f5��.,zir. <br />Zip <br />Lot 20 ArSor Glen <br />A�taeh four ('1) coPiec of plans fui proP��ed wurh - L]rav: to s�:,ii�• .ina ncir Ih,�'o�lu�vinq as anUhr.ah�e�. <br />• Property Lines <br />• Outline and dimensions of all exishng �nd <br />proposed structures on the bt <br />• Eaistino and proposed �dilities <br />• Cente�linr. nt sireNt <br />• Icdir.aLa Nor�h <br />• �hov.� any r,roposed 9radinn changes <br />• Show mrasurement•. <br />Phnnc <br />Phone '— <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259•8810. <br />2. All work shall he peAormed in accordance k�ith this permit and current Ci1y of Everett Design and Consiruction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />4. Keep city streets cle.u� at �ill times. <br />5. Curb gutti_ ;u�d sidewalk in Ihe plat v�a new and undamage�J, a�ry dsmage therzto shali bc replaced at the <br />discretion of Ihc Fublic Works Inspector. <br />6. rltry ch;tnge in Ihe d�ivew;ry c�d musC bc approved by Il+e P1,t�' Inspec�or, widlli at prop linc limited to <br />e:dsling apron width. <br />7. Adjust water boxes to grade al end ol' constmction. <br />3. ll;iveways sliall be complctely cured Ucfore driving on tham. <br />9. Rooftop drainage sh�ill be discliarged to the stomi di��inage shiU provided at �hc �roid of the lol. NO'CI;; <br />lots 1?-27 shall iiot discharbe driveway :wJlor yard draina�,e to thc storcn dctinage stub, lLcse lots shall us <br />the stub for roof-top dr,imagc o�dy. <br />ok� <br />/��1�,�- 7�ys-� - <br />Approved for Con=truction //I� D,-J�� <br />+`' �,!�lc��—"� '--� <br />FINAL INSPECTION Date <br />Approved as Constructed <br />�Ar�*� PUBLIC WORKS DEPARTMENT <br />3200 Cedar Sireet <br />Everelt, WA 98201 <br />Phone: 259�8810 <br />ACKNOWLEDG[M11ENT OF CONDITIONS <br />W <br />�- <br />��w <br />_ I <br />11 <br />� <br />Z <br />0 <br />Thr� under�ioned o�vner/apphc2nt hereby agrees to hold and save harm- <br />less 1he Gty o� cverett Irom any antl all claims tor dama9es. costs. <br />e*penses. or causes of aciion that may anse because ol installa!ion <br />and mamtenanr.e o! the improvement or other nght-oFway use hereto <br />ap�i�ed tor and further a9rees to remove same upon notice irom the <br />C��!v ni,d in re I'`.yvY lblic ProPerry dama9ed therebY. <br />Y ����Z /�/��/� <br />SignaWre of APplican! Oate <br />IVORY. AUTHORIZFD BY THIS PERMIT MUST BE STARTED WITHIN <br />lA0 DFYS OF DATE PERIv11T IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLI' PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />GANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PRO.IECT OVER 90 DAYS DURATION. <br />