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Date 11/22/94 <br />PUBLIC <br />Print or Type Only <br />Appllcatlon �or <br />WORI� <br />O <br />O <br />O <br />¢ <br />t <br />� <br />O� <br />�'�� � PUEIk Work� Farmlt • � • / <br />TO POSTING �!�- ��'—� I eiao oso� • 46281 <br />PERMIT <br />OG � ��O�J <br />0 <br />q O � G vt O <br />�w a��«i <br />W <br />Ga7 O C�i C'J <br />O O N .� <br />L� M P d <br />M yl [.f <br />puela worlu F�� <br />TotH Fet S <br />Lsw �PP� �ae V�iE f <br />8����ce Due i <br />--Owner --- MaiNn ddr�s �� o�o� w� Zip Pnone <br />o nr�cox���oo�o� �w <br />Cd p L] u] �-1 <br />c �3io �S�cne�aa�ai;iuix <br />Applicent Meiling Address City Zip Phone <br />Deacnbe Proposed work New house - basic 164 opYlon A <br />�('J� .�-���ti ��Kd pr Lot 2 Fettel S.P. <br />Proleol Address (if known) <br />Att h four (4) copfes of plans for proposed work • Drow to scale and note the following as applica6le: <br />ec <br />� � • Property Lines <br />� • Outline and dimensiona of all existinp and <br />- proposed stroctwea on the lot <br />• Ezistinq and proposed utilities <br />• Centedine ot street <br />• Indicate NOAh <br />• Show any proposed grading changes <br />• Show measurements <br />PERMIT CONDITIONS <br />t. All ulls tor inepsction shdl be made 24 hre. in advence - phone 25�8810. <br />2. All work ahsll bs psAormsd �� accadencs with thia permit and current City of Everett Deaiqn end Coratn�ction <br />8tendard� �nd Specifkationa <br />3. GII Location Underpround Service 48 hra before you dip. TOLL FREE NUMBEN 1-800�4�45�55. <br />4. Rooftop drainage shall be discharged: <br />• To tlie sitc's storm drain system (private or public) <br />. To a re�ideidial ruof Jownspout system designed per section 4- <br />9.4 of the citv star►ci�rcls <br />. i�nto splesh blocks <br />The method selected will be sn�bject to Pubiic Works Departement <br />approval. <br />�' �5i d�^f.� � -s,f'r�1� KCtf syq�� ��iY�d � 6fio✓�' <br />Zs.•�d�f.�'rs � <br />Approved as Gonstructetl <br />�PU@LICWORKSDEPARTMENT <br />3200 Ced�r Stnet <br />Everott, WA 98201 <br />Phone:259-8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and save harm• <br />less the City of Everelt irom any and all claims tor dameges, costs. <br />expenses, or causes ot action ihat may erlse becauae of installation <br />and maintenance of ihe improvement or other right•ol•way use hereto <br />appliad for and fuAher agrees to remove same upon notice irom the <br />City and to replace public property damaged thereby. <br />YYk....0 �:.���,s.a ia-.�o-qy <br />Signature ol Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DIUGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY E���E <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DUFATION. <br />