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Date 6-2�-95 �� p�pSTING A�'�_J221996 <br />Application For <br />PU6L�� V190�KS <br />Print or Type Only <br />Publ¢ WO�ks Pgrmi� • � <br />Bie�. oeo�� r 48775 <br />R E R�M I T P„o��� Wo,�= F�� — <br />Talil Fpe g <br />G. <br />�=�� Less Appl. Fer Pai� S_ <br />f' <br />C') <br />Select Homes Inc 12811 Sth Ave W <br />Owner <br />Applicant <br />Describe Proposeo Work <br />Prolect Address lif knownl <br />i\4aiiing Address <br />�As�linn �ddress <br />new house <br />9102 West Mall Dr <br />= <br />ui <br />m <br />0 o a vi ci �i o c��j�e o�e S 7r1l� <br />p� [� O� O 4l G M O[`� <br />G[�- 0� ia CJ o :� + r•? o <br />�G M M y+. ...t iP J f0 Cn <br />� +rv � tx m � M- [N..1 <br />� Everett 9�04 �:�513-9006 <br />�— 1���'4 3 CJ o� Ni [��Di ��i y Phnn(! <br />o c� co ��r n �:i o �.i ci r�� c i <br />O(_1�il J�j -��+oF- CJ 3 ViGlii� <br />7t G] (1. T'� tlt C] 3_S Y[f1 fJ? fi:i L <br />Zip Phone <br />Lot 32 arbor Glen <br />Attach four (4) eopies of plans lor proUosed worv: � Draw to sr.ale antl note tha lollowing as applicable. <br />• Pronerty Lines <br />• Outline and dimensions ol all existing znc <br />proposetl slructures on ihe lot <br />• Existing and proposed utilities <br />• Gente�linr nf sireet <br />• Indica�a North <br />• Show any r.ropOSed c,�ratli�� change5 <br />• Show measurements <br />PERMIT COND�TIONS <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 City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-500•424-5555. <br />4. Kecp city strcets clean at all tin�cs. <br />5. Cwb guttcr and sidewall: in �he plst are new and undan�sged, srry datnage thereto sliall be replacad at tt�c <br />discrction of thc PubGc \uorks Inspector. <br />G. �,ry change in dir, driveway cut must be approved by Ihz FW Lisp�clor, widlh at prop Gne limited to <br />e:dsting apron widlL. <br />7. Adjt�st water boxes to grade at end of constnictim�. <br />8. Drivewa��s shall be completely cured before driviug on U�em. <br />9. Rootiop �ainage shali br. disclr�uged to tl�e stomi draivage shab provided at tlie frout of ihe lot. NOTti: <br />lots 17-27 sl�all nol �ischarge �Liveway an�Uor yard dr:wiage to the stom� dr:�utage stub, tl�ese lots sh.ill us <br />the stub tor roof-top dr;w�age ori, . <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everetl, WA 98201 <br />Phone: 259�8810 <br />ACKNOWLEDG[MENT OF CONDITIONS <br />W <br />f <br />— / <br />�� <br />� <br />The unAersi9ned owner/applicant hcreby agrees to hold and save harm� <br />Iess the City of Everett Irom any and all claims for damages, costs. <br />expcnses. or causes of action Ihat may arise .�ecause ol installation <br />and maintenanr.e o! the improvemeni or o�her ric�ht�of�way use hereto <br />applin,d for anA further a9rees to remove same upon notice Irom Ihe <br />G;y ,�nA to replace Uubhc properry damaged tnereuy. <br />—�r� � '�"�x�G� <br />Signatwe of Ap cant Date � <br />WORK AUTHO� ED BY THIS PERMIT MUST BE STARTED WITH�N <br />1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY 6F. <br />CANGELLED BY THE CITY UPON ANY STOPPAGE:IF WORK ON THIS <br />PROJECi OVER 90 DAYS DURATION. <br />