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Date_�'26-95 <br />Application For <br />PUBLIC WORKS <br />Print or "i �pe Only <br />,,;'^� �QSTING <br />P�;RMIT <br />U. <br />U <br />!;! <br />..i 1 J i�� ��� <br />!.'J !:l f'� <br />m r- � ; <br />� > l;i <br />an :• <br />Select Homes Inc 12811 Sth Ave W <br />Owner <br />Describe Proposed bVork <br />Project Aadress Id known! <br />� =1 <br />r; <br />.-a <br />�J <br />4".e�hnr; M1r,�re55 � T <br />G) C] m [� <br />�i � [l ) <br />O _.I J <br />r.� or. �:c, n.. <br />n <br />^2sdinq 4ddress <br />new house ___________ <br />9120 West Mall Dr <br />1-1�� V �/ �b [.VlorksPrrmil+ �J�� � <br />�Bi�9 Dept+ 48%%8 — <br />--� C: C] C� <br />i ; _i r, n <br />^ C� ti � U <br />l;i :..1 '] r- <br />�i aa <br />r' `� .. <br />�„� ,�,. �vo,�� F,.� S <br />total Fee <br />l ess ApUI Fen Pa� S //JJ <br />(�j �: ��1. ,PCuI. ''J � ^ <br />�:i n t- <br />.ir: n <br />.:� ��'� r�. <br />,..� ;. r.�� <br />.�. , <br />;z ri r.: i•; o-: GZi(` <br />>op.iot.t.. <br />�C.�F fJ�. L] L <br />ir: C.�� ff' GJ I� 1'.. - <br />n Yr. :'z ae o� ;ri �; <br />— zip <br />i r;� <br />I U.I <br />I 1:i <br />Lot 35 Arbor Glen <br />Attach fow 14) copies ol plans foi P�oposed wurk � Drae•. tn >�-.�I.r .3nn ncle the follo�:nnc� as applicahle: <br />• Property Lines <br />• Outline and dimensions o� all existing and <br />proposed structures on the lo� <br />• E*�s�ii�g and proposed utilitie5 <br />• Cen�erlinr ot Street <br />• Indicate tiorih <br />• 8hov: any r.ioposerf c�rading changes <br />• Show measurements <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 be peAormed in accordance with ihis 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•800-424-5555. <br />E. Keep city streets cic:m at �il lirees. <br />5. Ciub �,nnter and sidewa;k in f1n� plat a�'e new and �uida�naged, arry damagz th�refo sh�li bz replaced at the <br />discretion nt'ihe Fubfic Wurks Lispector. <br />6. ,iny ci;a�.oe in tt�z drivew�ry cut must be approveJ by Ihr FW L�speclor, width at prop Gne limiled to <br />enst'vig, apron width. <br />7. Adjust water lioxes to p,�ade �t end of consltuct�on. <br />3. Driveways shali be comple�ety curod before driving on tl�em. <br />9. RooRop dr:�inage shall be scharbed to llie sto�m drainagc stub provided at the t'roiit of tLc lol. NO'IT: <br />lots 17-37 shall not disch �c �Liveway a��d'or yard ilrauiage to thc stonu drainage sh�b. tLesc lots sh�ll us <br />lhe smb fm'rooGlop dra�agc otil�'. <br />u� <br />C <br />qppr— ve� d f -- nstruCtion ` � Date <br />� ,�-- � P�%'/ <br />FINA SPECTI N� Date <br />Approved as Constructed <br />������ PUBLIC WORKS DEPARTMENT <br />3200 CeCar Streel <br />r� Everett,WA98201 <br />Phone: 259-8810 <br />,9GKNOWLEDGEPdENT OF CONDITIONS <br />� <br />O <br />'i^ <br />V♦ <br />� <br />a <br />The undersiqned owner;aPP�icant hereby agrees to hold and save harm- <br />less Ihe Gty of Everett from any and zll claims lor dama9es. costs. <br />Rwpenses. or �auSeS O� ac�ion Ihat may ariSB ��OCaUse o� mstallatien <br />.-ind mamtenance o! the improvement or olher righbof-way use here�o <br />a,^.pi�ed !or and further a9rees to remove same upon notice irom the <br />C�!y ard to replaca wblic property damagedA thereby. <br />/ `-/ �-�^�1 /�/;� <br />Siqnatme of Applican! ��e <br />INORK AUTfiORIZED BY THIS PERMIT MUST BE STARTED WI��HIN <br />180 DAYS OF UATE PEFMIT IS ISSUED AND T1IEREAFTER IS TO <br />BE DILIGENTLY PURSU[D TO COMPLETION. THIS PERMIT M�aY BE <br />GANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />