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Date 6-2f1-95 <br />PUBLIC <br />Print or Type Only <br />Select Homes Inc <br />Q;mar <br />Owner <br />ApPliCant <br />u <br />iul. <br />Appliwtiq�mFor�� <br />�°�SiING M�`� 3 0 190� <br />WOR�(S PERMIT <br />O <br />O <br />S <br />� <br />c;i � <br />12811 8 Av�£ <br />��a����i �� ��T.ti� <br />� <br />new house <br />Describe Proposed Work ____ <br />I170 tl�0 <br />�u�a�� <br />� Evere[ <br />S O O o ( � <br />O C- <br />O � aN' + <br />i* ryi,�-�i�N <br />IC2l3k 513-9006 <br />6�1 UU� 01,j0�3�a,IfA0 W <br />dr�0 � �S�Y. U] fn(�il U <br />ZiP <br />U,,�/ <br />PUU�i[ \'/o�Ms Pnrmil v —� �� ' <br />e��i�, oeo� • 48745 _ <br />v�n,er.wmk;v� 5 <br />Total ere <br />Less / ppl. Fec Pa0 5 <br />eaio„n. nuc S �•� <br />9101 West Mall Dr ____. __lot 1 Arbor Glen <br />Prolecl Addres5 Ut known! - _. ._— — --"— <br />Attach tour (4) coPies r�f Plans to� nroposed wo,K � Draa� t� ._c,ib. ,in:7 noi.� nie'otlo;�mg as aoVhc�h�e�. <br />,.,� � �,, •�eF•� <br />• Property Lines <br />• OuUine and dimensions of all exis?mg anA <br />proposed structures on ;!�e In� <br />• ExiS�ir�g and Proposed utilitie5 <br />• c�:�t... ��. s, . <br />• InUicate North <br />• Snoe: anY r.reposed 9radinp r.hange5 <br />• Shovr measurements <br />nne <br />�hone <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 Ciry 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 />q. Kcep city sti'ects clean at all times. <br />S. Curb �tUter :md side�ealk in U�e plat a�'e ncw vid undamaoed, :ury d;�maga �herzto shall be rzpl,�ced at Ihz <br />discretiou oFtl�e Public Works Inspector. <br />6. Arry clemge in dte drivewaV cut must bc �pproveJ bV the PW Inspec�or, µidih :+I prop lina Gmitad to <br />e;cistin� apron aidth. <br />7. Adjust water boxes lo g,�de at end of cons�n�ction. <br />8. llrivew:ry, sh��l be completety cured before diiving on them. �, <br />9, Roofiop dra¢ia�e sliall be dischavged to thc sto�m drainag� slub pro��ded :!r i,.� nont of Uic IoL NOTE: <br />lots 17-27 shall not disc;�aree cLiveway ar�JJor yaud drainagc to thc storn� drainaee shib, t6ese lots sh�ill u� <br />ihe shib for rooP-top drautage on}y. <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone:259�8870 <br />ACKNOWLEDG[MENT OF CONDITIONS <br />W <br />� <br />N <br />� <br />0 <br />1he unde�slaned o�v��er/applicant hereUy aa�ees ro hold and save harm� <br />-"� lass ;hc Cdy ot Everett irom any and all daims for dama9es. cosis. <br />, A�p�ns:� o� causes of action that may ans� Ur.cause of installation <br />i and maritcnance n! the improvement o� olher ri9ht-of�way use hereto <br />ia,^,pnrd for and further a9rees to remove samn upon notice irom the <br />'. C�!y ar.0 tn replaca p�blic pronerty damaged thereby. <br />� � tP � J'(.l,t- /� -/�'9� <br />� ��« <br />ISi9natu�e of Applican! <br />�A'OP.K AUTHORIZED BY THIS PERMIT MUST BE °�TARTED WITHIN <br />I 180 DAYS OF DATE PEFMIT IS ISSUED AND TH[REAFTER IS TO <br />�BE DILIGCNTLY PURSU[D TO COMPLETION. THIS PERMIT tdAY BE <br />� GANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />I PROJECT OVER 90 DAYS DURATION. <br />