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s I o_ <br /> / <br /> �j��i�c�° <br /> �.,,,.�v.�...�...m��. — — <br /> Date 3-13=92 Tp p��TI�aG �-`�j- <br /> n�.�o oeo�. ...�59.61 <br /> qpplicatian For _ <br /> PUBLIC WORKS PERMIT `�°'r�.�F.a"` S <br /> lesf Aoo� Fee Fn�e S /�� - <br /> HaiancoDue S <br /> ��,.�"�� Print or Type Oniy <br /> �1 y <br /> Select Homes 237 Glm St Evere[t WA 98203 Randy Clark 258-1503 or <br /> 9�1U� <br /> Mallnq nadress � C��v zip Fnonc 348-1320 <br /> Hx�� Owncr � <br /> a <br /> yz� <br /> Owner <br /> p xp Mailin9�dtlress Ci1y Zip Phone �� __, <br /> � H� qPPlicant � <br /> [A H ` <br /> � �� oes:nbePropnsedwark new construction Lot 19 Maple 11107 �dCPwoo� - <br /> r3 <br /> n"�g � � 9 _ W <br /> � Proiect Address lif hnownl ��I — � S� �� SC � <br /> t9' H y -- � <br /> y Atlach lou�1�)copies of plans for Proposed work- Dnw to sr.a'�e anA no�e ihe lollowing as applicable� I <br /> �'"� • Cenlerline ol street � <br /> O C7� • ProO�rtyLines <br /> � �t. • Outline and dimensions o1 all existing antl • Indicate North <br /> [!1 proposed siruC�uies o��hr,lo� • Show any pronased 9ratlin9 changes <br /> • Existin9 and p�oposed utilities • Sh�w measuremenis M <br /> H O t�/� W <br /> �O NO7 WRITE 8[LOW THIS LINE O <br /> PERMIT CONDITIONS ^ <br /> 1.All c�lls br inspection shall be made 24 hrs.in advance-phone 259•8810. <br /> 2.All work shali be pedormed in accordance with this permit and current City ol Everetl Design and Construction ♦ <br /> Standards end Specifications. � <br /> 3.Call Lucation Underground Service 4R hrs.belore you tllo.TOLL FREE NUMBER 1•800•424•5555. <br /> ,,,� q. j��;-,i.:,; l .•r,rk cnn9truct.ion ent,rance hPhind drivewav as F�r city <br /> � � :;t,�in);,rri f320!i �nd emaion rontro7. as direrterl hv Public Work: O <br /> Tns�rr,or- <br /> �. KBPp ci.ty �tre�ts clean at all times <br /> 1T ��� f. Curb eutter %+nd AideWalk in the pl.at �rP neW and undama�ed. ` <br /> � '�' any damaee t.heretn sh�ll be reFl��ed at t.he disr_retion of th�• � <br /> p�ihlir, Wnrlcs insper.tor. ��� <br /> 7. Any change in the driveway r,�t, must be :fF�pr�ved by the Pr7 in- O <br /> ..... ,,,�, q�:r.tor, widCh at. pmF IinP limi.ted to existinp apron widt,h. <br /> 8, Connect, all roof, yard and drivF•w�y draios to storm dr-+in � <br /> nystem Pruviderl t." lot.. <br /> � ( ' 9. AQlU9�. N7t.P.I` il�):iB, r� @r�de �t. end nf conate•uction. <br /> �� �' 10. DriveNays ahall !-�r� nnmp7c�Hlv r,ured hefnre drivin� nn t.h��m- <br /> �i. 5c�ar2-l-e I��b1;c. Wo:ks �c�,�m �t �e.g,�����d -(-�� ✓'o��:< :J <br /> " � ACKNOWLEDG[b1ENT OF CONDITIONS <br /> 1 O I W�.r � ' +311 _ <br /> The undersignetl o�vneriapplicart hereby�grees Io hold antl save harm� <br /> I less ihe Cdy ol Eaeretl Irom :,ny and all daims lor uama9e�s. costs. <br /> ` expenses, or causns of act�on ihat may arise because o� installaiion <br /> � 1= "� and maintenance ol Ihe impmvemeni or other ri9h4of-way ure nereto <br /> f C �'k�:.. �- �`��`��- <br /> � , app��etl lor antl furthe� agrees !o icmovo same upon not�ce ��am Ihe <br /> Approved loi C�nstruc i � ���� Ciry and w replace public propeity dama9ed Ihereby. <br /> . •- . .C' � /G- J- f'L . '—�� � <br /> � ,,,� /, -s-�z <br /> fINAL INSP[CTION Dale - Dale <br /> ;,ignatur�� 1.Plicant <br /> Apuroved as Consirucled <br /> 6VORK H � iF.IZED BY THIS PERMIT AtUST BE S'ARTED W� <br /> �//��ii//FF� PUBLICWORKSDEPARTMENT 180 DA` � DATE PERM1UT IS ISSUED AND THEREAFTER IS TO <br /> 3200Cedar5lrect BE DILI ' f FURSUED TO COMPLETION.THIS PERh11T MAY 6[ <br /> � Everelt WA 98201 :;ANCL � �Y THE CITV UPON ANV SiOPPAGE OF WORK ON 1H15 <br /> Phone:26fl-B810 PHOJ[ � .67 9u DAYS DURATION <br />