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12/9/94 �� �Q��TING �'LSs1( �„���<<•�o,��Pa,m� ���I - , <br /> Date.—_— <br /> ein9 0�0� • 46425� _ <br /> Application For � _ _ _ <br /> - PUBLIC WORKS PERMI� �.,°'"'"°""�° <br /> ,��:,���., s <br /> 8 �vss anoi Fo�.�a:i 5� <br /> L Q O O O v) O �����1 5 <br /> Prinl or Type Only ,� ,a N o 0 3 0 o r.i o o- <br /> M If! f- �l .-� eR CJ L� I`� M P <br /> � M N M M M M O� t n O <br /> Iil ~ � � <br /> N P <br /> Lakecre�t Co tnn LF[ � cti tip Ln —��py���� � y � � pn,,,,�, <br /> Ownei Alanin,} qr:dress � ` 2 � ��.. c� <br /> N � � O,. r 4� V I 0 � N f n � U <br /> Craig Shepard `" , P�.,,,, --- <br /> --- --- --- - <br /> APPIiCant PA.niiqqilddre.s —'��� f;dc _��_ ._iP . . <br /> New house _ Basic 27_2 __—--- <br /> DescribePioposedWork _.__ - . . ----� ---� -----------�----. . <br /> -- ----- _------ ---- W <br /> Proleci Atldress Id knownl �D"T_�J_��=�.���✓�__.___--____�.�L2_ SP 19—Q!}___ � <br /> •,'1 ne.ir ���e!ol�w 1 � <br /> Altach lour 1�1 copies ot plans tni pioiwsal�.vo:� � D�a�' t� .�:.n',n' . !� inc as aoPlicah�e � <br /> � Propefty Lines • C�`^tcihn9 nt sireet <br /> • Outline and dimensions of all�xis,mq :�nd • I�`tli5a�o Noi�h <br /> proposeA slructu�e5 on Ihe�oi • 5��ci+' any r.rOoosed pratlmn chany��i <br /> • E%�51ing and proposed ulililies • Shn:v �reasuremen�s M <br /> W <br /> DO NOT WRITE 6LLOW THIS LWE O <br /> PERMIT CONDITIONS � <br /> 1.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 ol Everett Design and Construction <br /> Standards and Specifications. � <br /> 3.Call location Underground Service 4B hrs.before you di9.TOLL FREE NUMBER 1•800-424-5555. <br /> �. Rooflo�� drainagc shall bc dischargcci: O <br /> . Tu lh� site's �torni drai�t system (private or public) <br /> . To �resiaenti€il rui,f dowii;������ ;v�ce„� a�s��,��a ,,er ���c�o�� a- � <br /> �.� �,r�i,� ���v 5<<�,a:��, <br /> . Onto spl:��h blocks � <br /> 'fhe method selected will Ue subject to Vnblic Works Departemenl O <br /> approval. a <br /> S. ���c;�;�•�t Pn✓, a� �r�►-�-�� c��J►� <br /> ACKNOIh"._EDG[MENi OF CONDITIONS <br /> ihe undersianeA owneVaPPlicant hereby a9�ees to hold and sace harm- <br /> --- — '-- �� - -"-- I�ss the CdY a� r�erel� Irom 2ny ,nA a�� UaimS �Or Aama9ea costs <br /> � �, �,pens�+s or causes of action that m;�y anse because ol installation <br /> and mamtenanre o! th�' improvement or other nght�o4way use hereto <br /> � —��� _ _. ', ar,f,l.ed for ;and huthrr aqrees to iemove 5ame uPon notice Irom Ihe <br /> Approved or ns�ruction L`rd�� �� ��!v �r,d In r„piaca GUUIic P�oni'i�Y ��maged Iherrtb . <br /> � � �- 2 Z -'�f'j�, C__i�� / L �� <br /> FINAL INSPECTION Date � , D e <br /> i 5; ie ot ApPlicaa. <br /> Approved as Constructed <br /> I 140RK AUTHORIZ[D BY THIS PERMIT MUST BE STARTE <br /> �A�l�� PUBLICWORKSDEPARTMENT iH0 DNYS OF DATE PERIdIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CedarStreet I BE DILIG[NTU' PURSUED 70 COMP�2i10N. iH15 PERMIT tdAY BE <br /> Everell.WA 98201 CANCELLED BY THL CITY UPON ANY STOPPP.GE OP WORK ON THIS <br /> � Phone:259�8810 � PROJEGT OVEF7 90 DA�S DURATION. <br /> � <br />