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Date 4-10-95 <br />PUBLIC <br />Print or Type Only <br />Norkri Corp <br />OWOP.t <br />Owner <br />Applicam <br />ApPIic�Gon For <br />WORFC� <br />? <br />�:i <br />q: <br />r; <br />N: <br />O <br />-, <br />7114 212thns <br />\ladinq .CU <br />K-- 3 i -z�s- <br />�Q� POSTING �-�.� <br />PERMIT <br />�..ic�onr�o <br />�T [� O p t O <br />o�d ro�o <br />i' fLl (T �i bl C'�l <br />.Y W M M- � <br />N <br />M�ad�n:; Aridi.. ;s <br />[-'l [:� � GJ <br />b O.i U O <br />_I I lil ._ <br />r„ n_ n:. ��: <br />� r�i o 0 <br />Y 1 O � �f? <br />H eM CJ +� <br />M �1 M C•1 <br />PuU��c V�orls Parm��ilp� ��/� v� / <br />Uiaq Dent • _s.V�71 _— <br />�„��,�Wo.�,<<.� S <br />Totel Fee <br />Less Aon� Fne Pain $ � <br />¢,�,Fy'F o�� 5 __ <br />� m <br />CJ <br />.n <br />�� r-: � i�� .y� lirh ., <br />W C] W Ll f> L1 tl f t f_t <br />I- O 3 tn O li� o!il W <br />ii G Ibl - n J f.1 J S <br />z a u� e'n 7e f� ne i.� c.� <br />Gi;, ''P <br />DeSCribe Proposed Work neW hOUSO _ .._.. ____. <br />Proiect Address Ut hnown! �w_GTagd_AVe ______ <br />A�tath tour (4) COP�es of PIaa5loi PrnU����l worh - C7rav: I;i •,-oi�� .�na nnte Ihe foqo�ving as aDUlicat�ie <br />• Prpperty Lines • Cenlerlinr a� sireet <br />• Outline and dimensions ol all existing and • h•.dicale North <br />proposed structures on the �ol • S��ow anY r.roposed yratlinp chanyes <br />• Existing and proposed utilities • Show mrasurements <br />Pi,�;�,�� <br />Phomp <br />PERMIT CONDITIONS <br />1. All calls for inspection shail 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 Localion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800•424•5555. <br />4. RooBop drainage sh�ll be discharg: d: <br />• 1'o the site's storm drain system (private or public) <br />• Tu a resiJential roof downspoul system desipa�ed p�r section 4-9.4 of We <br />city standards <br />• Unto eplash blocks <br />'!he method selected will be sub,ject to Public Wo�ics Departement a��proval. <br />FIN'ALINSPE <br />Approved asi <br />/A� <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Streel <br />Everett. WA 98201 <br />Phone:259�BB10 <br />�1���ys <br />L'atrt <br />F,�j-9/ <br />o,i� <br />W <br />H <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />ACKNOVJLEDGCPAEN�i OF CONDITIONS <br />The u�der�iqnetl owner/aPPlicant herehy agrees to hold �nd sace harnr <br />� less Ihe Qry o� Everetl irom any and ai� claims ter Aama9e:.. �.osts <br />; eepenses. o� causes ol action that may anse �ecause ol msta�lcdinn <br />. and maintenance n! it�e imProvement or other righl-obway use hmeto <br />I a,^.p��ed lor and lu�iher agrees to remove sa�nn upon notice �rom ihe <br />'. C�!y .ird to replace uubhc ronerty dama9ed ihereby. <br />IIDate <br />Si a we ol APpGCan: <br />WOR �1lliliORIZFD ERMIT MUST BE STARTED WITHIN <br />lA0 DAYS OF DATE PERAAIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLI' PURSUED TO COMPIETION. THIS PERMIT MAV BE <br />GANCELLtU 8Y THE CITY UPON ANV STOPPAGE OF WORK ON 7�" <br />PROJEGT OVER 90 DAVS DURATION. <br />