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Date 12/9/94 �� Q�S1��G / /� <br /> PuoecWorFSPx,m��. _ _ _ <br /> AnP�ir,ation For m o�n� o�o�.• . 46426 _ _ <br /> L� <br /> PUBLIC WOR�(S PEF�IAIT �,,,^�<,���,�_�,., <br /> � ro�r��„�, s <br /> 0 <br /> � LC55�.�{tl Fnr�V:ii�1 S <br /> Print or Type Only � � � g g � g o k3 � �� . r,.,, s �?Y <br /> a� `0 L� O O �t O [� C�J O O <br /> t^ [� I`- vJ Ty M N [� I`� 1? N <br /> T � �R M M M � k � J <br /> Lakecrest Construction 4G41 Silvertip Ln �8203 259-(�OS � <br /> . Ownm �\Aa�nn.; 4r,U�es�T,ay-- C,t; �Y �'a � ' i�}w�--Phnnc <br /> . N � � U O U e�"� tl W N ~ W <br /> Craig Shepard � � n-i� d � 3� `J5 � $ � i�n � � <br /> ' AppliCan� M:��6n:lAddrC,S �----- Cibi �Zip —" Phonr ----� <br /> DescribeProposedYLbrk _____.__ ��_�OUSe-'�—BaSiC-�2-)-1------ -- -------_ <br /> _ '_--_—'_-- . . _.._'_'_ ' — _ — <br /> �o�i-'�3-- - - -- __- ---- ---------- W <br /> A�.,, G� Lot 3 SP12-94 � <br /> Pr0lect AAdress Id known! _ _ __3� T�K+_.J�+ _________________ __ .__________._ — <br /> Attach lour 141 copies ol pl.ins lo� piopose.f wu�K- Diav: io ��-,i��.-� .,:�.i n,�.t�� mo loilavinq as aoUhcahh- � <br /> • Pronerty Lines • Crnicrline��� Slre�•t � <br /> • Ou�line and dimensions ol au ex�shnq and • b•if�r.at•: Nnrth <br /> proposed siruc�ures on the iot • �npu. ;iny rrepoSeA 9ratlmp chanyrs <br /> • EsiS�ing and pfOpoSP.d u�ihfies • Sho.v measuremen�5 � <br /> DO NOT VJRIIE BELOW iH1S LINE <br /> PERM�T CONDITIONS O <br /> 1.All calls tor inspection shall be made 24 hrs.in advance-phone 2$9•88�0. � <br /> 2.All work shall be pertormed in accordance with ihis permit and curreM City of Everett Design and Consiruction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-B00•424•5555. � <br /> �1. Rooftop drainagc sh;ill be discliargccl: <br /> . 'Ib lhc �it'e's ,torm draiii systcm (privalc or public) O <br /> . T� a resiilenlicil roof dowiispoul systent desigiieil per seciio�i �3- <br /> 9.d oPlhc cil} sl.maards � <br /> • Onto spic�h blocks ♦A <br /> The mc�h��d selectecl will Ue subject Io Public Works Dep�u�tement O <br /> approval. <br /> S, �,�d�v�dva�� �i2v r�vir-cd �v► w�r�,' S�;cc _ �b.�c� n,�.�t a, <br /> bG SP�'6�kle:-� <br /> � � /o ACY,NOWLEDGEMENi OF CONDITIONS <br /> ''� ��-///�4 i!i�,�n,d�,rsiqnedo�+�ner,aPubcanlherebYagreestoholtlantlsaceharm� <br /> � ( � I�=s�: :h�� Cdy oi Evarell irom any and all claims lor damn9c�- costs <br /> //�� �, rxpenses o� causes of action ihat may anss because of ms���lation <br /> � / /� G ' nnd inaintenance M tn� improvement or o�her iighl�o�-way use heieto <br /> � ___ I �ppl�ed for and lurp�er nqreec to removo same upon notice Irom ihe <br /> A roved lor Con t clion �'^�" 'I Gty .v,A Io replaco U��Ulic pronei7y dama9etl there�y_ <br /> � � 7 <br /> -�G - , S ; � ,Z 2� y . <br /> FINAL S - T ON Date � <br /> Approeed Construcled i Si� �+ � A�phca� . Date <br /> PUBLICWORKSDEPARTMENT f �"�n �Y, l'THORIZF V THIS PERMIT MUST BE STARTED WITHIN <br /> t 7 l�1S OF DP PFRMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CedarStreet I Bt DII iG[NiLY PURSU[D TO COMPLETION. THIS PERMIT tdAY 8[ <br /> Evcrett,WA 98201 GA^JCELIEU B�'THE CITV UPON ANV STOPPAGE OF WORK ON THIS <br /> Phone:259�8810 j PRp,IEGT OVER 90 DAYS DUR�TIO�d. <br />