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[� c /� <br /> ��..�.� TO P4STING ,�.L�+� P�b���Wo�ksParmit• �- -� - <br /> Date_� / / � Bmo oeo� • <br /> Application For �.., <br /> PUBLIC WURKS P�=;�iMIT PubllaelFeeFee s <br /> •�j� Less RoO��Fee Pa�� s� <br /> Ci <br /> � Baiance o�e S <br /> r, �, r., o c'� r..i r' ri � �n <br /> Print or Type Only * `: ` `: �= "' � • , , <br /> o. in r c� o .i- o o �o oa <br /> n j .rw �:� .n m. r�i P� o� !z] <br /> Steve Cline S6IU Maplew�ad I_ane^= �c�monds, �ryLd� ;�I�26 <br /> Owner Mailing Atldress n- ��� �-F ���Y�� �� �; ;r i i ,?�p Phone <br /> �;1 P c9 tp +.. U ]. ' s O w �] t: <br /> r.. �-� r� n, i� o �i �--• r� .x in i,� <br /> t f l U' S 4l Ul l � !l t n i,i <br /> � � <br /> - Mailinc�Atldress Ci�y ZiP Phone <br /> Applicant �{O�15P <br /> Describe Proposed Work ---- <br /> lot 1 City o� Everett Short Plat #1202-30-94 � <br /> 5410 - Seahurst Avenue � <br /> Proiect Address�it known� <br /> � <br /> Attach four(4�copra of plans lor proposed work-Dr.,w to scale antl note ihe lollowinq as applicable: � <br /> • Property Lines • Centerline ol streel <br /> • Indicate North <br /> • Ou�line and dimensions ol all exisling�nd � Show any proposed grading changes <br /> prOposed slructures on the lot � Show measurements M <br /> • Existing and proposed utilities W <br /> DO NOT WRITE BELOW THIS LINE O . <br /> PERMIT CONDITIONS ^ <br /> 1.All calls for inspection shall be made 24 hrs.in advance•phone 259•8810. <br /> 2.All work shell be performed in accordence with this permit end current City of Everett Design and Construction � <br /> Standards and Specifications. � <br /> 3.Cell Location Underground Service 48 hrs.before You dig.TOLL FREE NUMBER 1•800-424•555 . <br /> d. FroviJ� �1 off straai parking spaces per uni1. �y <br /> ;,�. An individual pressure reducing valve must be installed on the V <br /> water service. � <br /> o. Rootlop drainayc� shali be discharye:d ro an in(illrafion irench rn <br /> per ihc 'Rcsidential Roof Downspout Systcm" detail and as per thc � <br /> sizin3 table III:i.2. A prec:onsiruction meeting m��st be scheduled O <br /> with Dennis Gableman (339-7403 mob. or 259-8810 ofiice) prior to <br /> installation ot ihe infiliration system � <br /> ACKNOWLEDGEtitENT OF CONDITIONS <br /> The undersignetl owner/applicant hereby ac�rees to hold and save harm� <br /> less the Ciry of Everetl Irom any and II claims for damages, costs, <br /> exprnses, or causes of aclion thal a arise because M installation <br /> � � // f�r and mainlenance ol the improv e t olher right•ohway use hereto <br /> .� applied lo� and further agre t em ve same upon notice Irom the <br /> p,pproved lor C.nnstruclion �a�e City and to rep ce Pu I� ope d%Maged thereby. <br /> / <br /> '!�'-�J"� / ' � <br /> � ,-� -�� ' • <br /> FINAL INSPECTIJN �afe Date <br /> Signat o�AUP�ca i <br /> Approved as Constructed , p UTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN . <br /> PUBLICWORKSDEPARTMENT ` 180 AYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> �� 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION. 7HIS PERMIT MAY 8E <br /> Everett WA 98207 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�80t0 PROJECT OVER 90 DAYS DURATION. <br />