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Date 3/17/95 <br />Applicalion For <br />PUBI�IG WORKS PER�Ah�OSTING <br />Print or Type Only <br />Oakcrest Homes In <br />Owner <br />3cott pforris <br />AppliWnt <br />Desc�ibe Proposed Work <br />Address <br />New house <br />Projecl Address �il known� � 742$ 3Td Dr SW <br />Attach lour (4) copies ol plans tor proposed work <br />Pu04c 1Yorxs Permlt � �J _ <br />9iep Dept+ 4777L <br />Tolai Fee �� $ <br />Less AVN. Fee Paie S-__ <br />� eaia�« o.� s 20 <br />� . --� <br />rhomisit 98290 337 1229 <br />Ciry ' �..ZIP <br />Pha <br />CiIY � Zip . . , . . <br />Pho <br />Basic 242 <br />Draw to scale antl note Uie lollowing as applicable: <br />• Pronerly Lines • Centerline ol street <br />• Outline and dimensions o� all existing antl <br />prOposed s!ruCtures On the lot � Indicate North <br />• Existmg and proposed utilities � ShOW a0Y Proposed grading changes <br />• Show measuremenis <br />20 McKeuzie lists <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance • phone 259•88�0. <br />2. All work shall be performetl in accordance wi�h ihis permi� and current Cily ol Everett Design and Consiruction <br />Standards and Specifications. <br />3. Call Loca!ion Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1•800-424•5555. <br />I. L15t111!'4Ck i011S411CfI0ll ^IlUe11cC behind d�ivrw�n� a� per cily �t�idard ��n� ai�� �_���:ion conlrel as dLreeted I <br />Pu6lic Woik; lnspector. <br />5. I:ccp cit}� strect> cl�an a� all timc�. <br />6. ('urb ��utler �tid cidcw:dk in the plat �re new and undam�eed. ;urv dmnace tLerero shall b� roplaced at !hc <br />Jisctefiou uf Ihe 1'uLlic 1l'mks Itupeclnt. <br />'. .1uy ch:mgc in the diic•en�;ry cu� ewst b� appro��ed b�• Ihc PW Lispector. <<ridih at prop W�c limitcd to existinr, <br />apron width. <br />S. CurL f.�ce �4 aiu, ur oWtr �toun drain ;tubs hati� ir:en pro�ided te each I,t :;, ih; pl;d for Ihe conuectiou of <br />rooNo�� do�vn�pont•. <br />� �� 3 z3 ys <br />Approved for Coostruction <br />U-le <br />y.. � <br />i <br />�G+n<< � '� - �'� <br />�iNAL INSPECTION <br />Approved as Construcled Date <br />� PUBLIC\VORKSDEPA,:TMENT <br />���3200 CetlarStreet <br />Everell, WA g9201 <br />Phone: 259-8810 <br />W <br />� <br />�w <br />_/ <br />� <br />O <br />i <br />v/ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees lo hold antl save harm- <br />less the Gly ol Everett irom any and all claims lor damages, cosls. <br />expenses, or causes ol action ihat may arise because of installation <br />and mainlenance of Ihe improvement or other right�ol-way use herelo <br />applied lor and further agrces to remove same �ipon notice Irom Ihe <br />City antl to replace public property damaged there'iy. <br />_ `'7`C __ ` <br />=- - 4�-/y-95- <br />Signature ol Applicant Dale <br />WOHK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />BE DIDLAGE �LY PURSUED1TOICOMPLET�ION.DTH SEPERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />, _. <br />