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Da:e 6-29-95 <br />TO POST�NG z-z3 <br />Applicatlon For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Oakcrest Homes Inc 13712 64th Dr SE Snohomish 98290 <br />O�vnei A�a�:iro: A.:dress , Cdy � <br />i <br />�. <br />Owner _ , , " <br />Apphcant Ma�hna nAdress citv <br />Describe ProposeA Work neW house <br />Prolecl Address Uf known! %422 3xd Di W <br />Pub6: WOqS Pafmtl � _�J.11'� <br />em� oect.. 48803 � _. <br />Pubpc Wo�wS Fee <br />TO�aliee `S <br />ll'Si <ppl fpa' PT�;I S <br />D.11.lnf�` �IrC 5 ��� <br />337-1229 <br />!�n <br />1.0[ 1% <br />Zip <br />Attach tour 141 coP�es of pl�ns toi proP��ed wo•K � Diav: ta .ral.•.u�i ncte Ihit'oiluwine� os .lpphcablir. <br />• PrppQf�y LipC'S • CY.IIICtIIfIC �`f S�rRti <br />• Outhne and dimensions of all exishng and • Intl�cab: Nnrih <br />proposftl 5;fucture5 On Ihe lol •&how 2ny r.renosed yradi�iq r.hrino<•s <br />• E*isting and proposed u�ili�ies • Show mrasuremen�s <br />f:l��Yf11:R�'L�I�1� <br />Phnnc <br />PERMIT�,ONDITIONS � <br />i. All calls for inspection shall be made 24 hrs. in advance • phone 259•A810. <br />2. All work shall 6e pertormed in accordance �vilh ihis permil and current Ciry of Everelt Design and Construction <br />StapnLdardys and Sdpe�cificat'ons. � L E µU�g pi gpp� <br />3,Ca11P�11��i4:�701�4�Y�Q�� Fitif�a?���'�r�fiSB'gin4clF�a1T�5��)CI�CII� SI�11i1,9E(1!??� 1I11(1,1C' OSOR lonU�e! as d'uecled b� <br />Fublic Works h�spector. <br />5. liccp cily strccts cic;m al all timcs. <br />6. Curb gutter and �idcwalk in Ihe plat ;uc new and undama!;ed, ;my d;unage �hercto sh�ill be replaca! nt U�� <br />discretion of tlic ['ublic Works Inspector. <br />'. ,Ury changc in thc dii��e�v:ry cuf must bc approved by the PW Inspeclor, widUi at prop line linutcd to existing <br />apron a•idth. <br />S. Ciub f;�cc Jrauis or otlicr slmni Ji:11I1 SIl1�5Il;IVC i1CZ11 �)10�71It(I (0 C8CI1 I01111 (I1C �)I8f IOf (IIC i0I1fICCIl0i1 OP <br />rooHop downspou�s. <br />��t�%l�L,�e� 9 �Z �j�- <br />Ap� oved lor Construciion ate <br />�%�� � � C <br />.,_ ._ � _ � _ .� � �y <br />FINAL INSI'ECTION Dale <br />Approved as Constructed <br />������ PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett WA 98201 <br />Phone:259�8870 <br />W■ <br />■ <br />� <br />� <br />O <br />i <br />Y/ <br />O <br />a <br />ACKNOWLE�GEPAENT OF �ONDITICNS <br />th�� u�,tlei:.iqneA owneVapplicant It[reby anrees to hold anA s�ee harnr <br />less Ihe GIy ol Evereli Irom any , nd all claims lor Aam,�ges. cosls <br />cxprnses. or causes of ar.tien that may anse because of instailation <br />anA maintenance o! the improvemen� or oiher nght-of�way uu heieto <br />applied lOr ,�nA luriher ag�ees to remove samr upon netir.e from Ihu <br />C�.!c a��.d to replaCo U��blic p�oneny dama9ed Ihere�y. <br />�_�1�. � <br />5iqnatwe of ApP�ican! Date <br />VJORK AUTHORI2ED BV THIS PERMIT A:UST BC STAHTED NITHIN <br />igp DAYS OF DATE PERMIT IS ISSUED AND 7HEREAFTEH IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PEFMIT R9AV BE <br />CANCELLE'v BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJEGT OVER 90 DAYS DURATION. <br />