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1. <br />Date 6-9-95 TO POSTING JUN <br />Application For <br />PUBLIC WORKS PERMIT <br />l� <br />Print or Type Only <br />Ralph Schuck <br />Owner <br />20717 36th Ave NW s <br />Address <br />r �i88�lT'oir" <br />M r- 00 ON <br />�r M <br />-n <br />d WA,98292 652-1309 <br />Pupl�c Worha Parme • / J � �!r <br />Bldg. geld. " 48556 <br />Pebhc Wo,"" Fee <br />TolAI Fee S_ <br />Le55 APer Fee Paid S <br />Bel.rce Due S <br />r� r� —•V rnunu <br />rl 00 Fat D=,.IOU 2 W <br />Owner o �s fir `UyS o 2 <br />Applicant Mailing Address City Zip Phone <br />Describe Proposed Work _new house _Lot 1 112th SC Estates Div 2 <br />Project Address (it known) 1714 Hollow Dale Pl <br />Attach four <br />(4) copies of plans for proposed work - Draw to scale and note the following as applicable: <br />• Property Lines • Centerline of street <br />• Outline and dimensions of all existing and • Indicate North <br />proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />DO NOT WRITE <br />BELOW THIS LINE <br />PERMIT CONDITIONS <br />1. <br />O <br />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 1.800.424.5555. <br />z <br />4. Keep city streets clean at all trines. <br />5. CIA gutter and sidewalk in the plat are new and undamaged, any drtnage thereto shall be replaced at the <br />O <br />discretion of the Public Works Inspector. <br />6. Atry change in die driveway cut must be approved by the Public Works Inspector, width at prop fine United to <br />,.risting <br />apron width. Driveway may taper gradually to nnect garage door entrance (for an approved 3 car <br />7. Adjust water boxes to grade at end of consfnichon. <br />S. Division 2 Lots lots 3,4,5 & S shall discharge rooftop drainage to the lots infiltration trench as per the <br />"Dispersion <br />O <br />Trench Detail" on sheet 5 Of the plats constructions plans. A preconstnrction Inectung must be <br />A <br />scheduled with Man Locke (388-9655 mob. or 259-SSIO office) prior to installation of die hnrdti'atiou system. <br />Iti <br />Any change in die uitilttation trench must be approved by die Public Works Inspector. All other lots in <br />Division 2 shall diseharge rooftop drainage to die storm drab mb :A d d <br />1 s pro vt a to ne lot. <br />0K*l <br />Appfovea for,nstruction G ate <br />FIN EC N 'D. to <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259-8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the City of Everett from any and all claims for damages. costs, <br />expenses. or causes of action that may arise because of installation <br />and maintenance of the improvement or other right-ohway use hereto <br />applied for and further agrees to remove ame upon notice from the <br />City and to replace pubAproperty damay� thereby. <br />Si4halure of pplicadhJ �— Date <br />WORK AU ORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />