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D2te 6-27-95 <br />�'(���: POSTING '�� `'� <br />Application For '" <br />PUBLIC WORKS PER111�IT <br />. . � G) t? . t':i <br />Print or Type Only -'' ' � � � r � " `-� `� <br />�_I [�J l' C� . 1 In <br />�'_� . . r;i � i.�.l '..� <br />r ... i <br />Select Homes Znc 12811 8th Ave�W ll¢=201 Evereti 9 <br />' — —T�T <br />Owner A�admq ACdressn_` c�� ��� r� �: �I �� <br />�+ O� �], <br />` : _� �.I . I ��.I '�� ir: <br />r= .•, ��� �i. i_ in _> <br />Owner �� <br />4pplicant Dds�ImqAddress ��11' <br />Describe Proposed Work neW <br />Proiec� Aadress �if knownl 9112 West Mall Di _____ <br />ii`i <br />I— <br />ci <br />PuLLc VlaFs Prrmil v <br />OO��f��� <br />61tl9. Del�t r 40 / / % <br />Pu1dm WorYs Fee S <br />•o�ai crc <br />Le55 A�ul Fee Pa�i] S <br />'-.'� :� � �.� ,- 8a1. nce Duc <br />�.'l C�i Ct 1' <br />c� r'� c'� � <br />. i p", f.] <br />r ,u r r� <br />;.' �: <br />D4 513-9006 <br />ii 4i :_��� <br />t�i�ic���' <br />Ul ri7 ; � i �.i <br />Zip <br />Attach four (41 coUies of plans lo� nropu,ed wu:� � Dra�� to >cab� ar,n i�,nt�a ina tollowing as anplicab��e: <br />• PrOperty Lines <br />• Outline and dimensions of zll existing and <br />proposed slructures on ihe :ot <br />• Existing and proposed utilities <br />F'nonr, <br />Phone <br />Glen <br />• Centerllne nf siree� <br />• Intlir.ale Norih <br />• 5hov.� any prCposeA grading r.hanges <br />• Show measuremenis <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259-8810. <br />2. All work shell be peAormed in accorAance 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 />A. Keep city sheets cican af .dl times. <br />5. Cwb gutter :��J sidew�lk in tt�a pl�t are new and undamaged. mry �lamage iherelo s�uill be repisced ,�t ilie <br />discretion of the F'ublic Works L�spector. <br />G. rLry change u� Ihe cLiveway rut must bc approved by tLe P�tr Inspcctor, width at pmp line luiuted lo <br />existing apron widlh. <br />7. Adjust waler boxes to glade at cnd of constnution. <br />8. llrivewsrys shall bz completcly cured bcfore driviug on lhem. <br />9. Footlop dr801Ubz Sj10�I I1C (IISCI18f�C(I IO �Ylv' S10IIll (IfBI(7;1�'� Shl� �)I"OVI(ICd at the front of tl�e lot. NOTE: <br />lots 17-�7 sLall nol discharee cUivcw;ry ancllotyard dtain�ge to �he stomi drainage slub, tliesc lots sliall us <br />the sh�b for roo£-top drainage only. <br />Approved as Constructed I <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everet�. WA 98201 <br />Phone: 259-8810 <br />hCKNOWLEDGEMENT OF GONDITIONS <br />W <br />H <br />� <br />N <br />7 <br />O <br />♦�A <br />V♦ <br />O <br />a <br />the �indersiqned ov+ner/applic2nt hcreUy a9ree5 to hold and save harm- <br />tess ti�.e City of Everett irom any and all claims for damages. costs. <br />expense�. or causes of action thai may arise becai�se of installation <br />and maintenance of tne improvemem or other right-ob�.iay use hereto <br />ipplind tor antl f�riher agrees to remove Same upor notice from the <br />C�!e ond to re laca public properN damaged thereby. <br />�'�l ��"� ��%� <br />Si9nalure of Applicant ate <br />�VORY. AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGfNTLY PURSUED TO COMPLETION. ThiIS PERMIT MAY BE <br />CANCELLED Bl" THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PRO.IECT OVER 90 DAYS DURATION. <br />