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I <br /> �'3 � � <br /> � � x <br /> C H <br /> > HCn <br /> 4 <br /> H� � / <br /> � H� Is-, ' i �`�-�"`� �!? `j� <br /> ru�i�c wa�Ae Forma+ _�� <br /> y x � Date 7-17-92 T� �rS�1!'('� � 7 37 19 <br /> � -��1_Z- z eieg Deo��• <br /> � H � qpplication For _— <br /> PUEZUC WORKS PERMIT r�ee�wo�ksrea 5 <br /> � �g .o,w,F�a <br /> F"� [�1 I Lese AOG�.Fee Paie S �/n� <br /> �V � (� <br /> 7. H� 9incooue 5 <br /> �i N z PriM or Type Only <br /> HH <br /> gN Select Homes Inc 237 Elm St Everet[ WA 98203 258-1508 <br /> d� .�:w�rcxi�au�xa�Xw�xa�c���x � KXXxXX X XXXX Ka <br /> C.�Y Zi� Phone <br /> �� � Owner Mailing Atldress � <br /> H O Cn <br /> �}�}F�}'iYdCXXp.9U9tfS15������ Phone � '� <br /> Zi <br /> qpplicant Mailin9 Address City p /� <br /> f <br /> \ <br /> Describe Proposed Work new hoUse Coi15tTLCtio❑ <br /> —_�---�— <br /> W <br /> ,.at �6 Ssio Pn2, v -"� I� — �" <br /> Project Address(il knownl � <br /> Attach lour(A)copies ol plans for Proposed work� Draw to scale antl note.CQ°�;°Wine ot str�eet able: � <br /> • properiy Lines • Indicate North . <br /> • Outline and dimensons ol all ezistin9 and � Show any proposed gra^iny chan9es <br /> proPosed slructures on the iot � Show measuremenis M <br /> '�1 • Existing and proposed utilities W <br /> ' ' UO NOT WRITE BELOW iHIS LINE � <br /> � <br /> '�' PERMITCONDITIONS � <br /> 1.All calls br inspaclion shall be maaa 24 hrs.in advance•phor.e 259•8810. <br /> 2.All work shall 6e pedormed in ar.cordance with ihis permit and current City of Everett Design ond Consirudion <br /> 1�r Standards and Specifications. � <br /> 3.Call Localion Underground Service 48 hrs belore you dig.TOLL FREE NUMBER 1-500'424•5555. <br /> f�� 4 . Snstall rocV�. construction entrance betiind �riveway as per r_it;� O <br /> e;t�ndard #20E and erosi.on control a_, directed b�� Fublic Wor k�< <br /> 1 ' Inspector. <br /> � 5. Keep citv strects clean at all times <br /> � b. Curh qutter and sidewalF: in the plat. are new and undamaqed, � <br /> f� any damaUe thereto shall be replaced at the discretion of th�= � <br /> �' Fubl.ic Works Inspector. <br /> 7. An/ change in the driveway cut m�.��t be approved by the PW l:n' <br /> � spector. width at prop line limited to e::isttnq ��P��'�� '�'�'�t�� • O <br /> o i g. Connect all roof. /ard and drivewaY drains to storm dre•,.i, � <br /> � <br /> system provided to lot. <br /> 9. Fldi�_ist �a=�tF�r bo::es to qrade �t end ot construction . <br /> �w1 .tii. Driveways sh��ll be co�nplei:el" c-�ired before drivinn on thn=m. <br /> I�� � ACKNOWLE�GEMENT OF CONDITIONS <br /> n The undersigned avneUapPlicant hereby a9�ees to hold and save harm� <br /> 9 less the Ciry of Everetl Irom any and all claims lor Aamages, costs, <br /> / // expenses, or causes o� action lhat may arise because ol inslallation <br /> G `Lf ��Z and maintenance ol the improvemeM or other righl-oFwaY use hereto <br /> CG��� � �� � ' aPplied lor and �uriher a9rees to remove ssme upon noticc ��om the <br /> Date Ciry and P��eplace pubfic Property dama9ed thereby. <br /> App ved lor C�a^ ! , - _I <br /> / i <br /> 'f- f-93 �. � < � � , ��,/ C�;.,•� <br /> � �- �r <br /> Dale —.r-.� O�t� <br /> FINAL INSPEGTION 9gnalGre ol Apphcan� / <br /> npproved asConsiructed � WORK AU7HORIZED BY THI�PERMI7 MUST BE STAFT[D WITHIN <br /> � PUBLICWORKSOEPARTMENT �; 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> � 3200 Cedar Streel 8E DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett.WA 98201 CANCELLED BY THE CITY UPON ANV STOPPAGE Of\VORK ON THIS <br /> Phonc 259�8010 PROJECT OVF.R 90 DAYS DURATION. <br />