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Date 5-30-95 <br />Application For ai <br />PUBLIC WORKS PERMII'� <br />f' <br />Print or Type Only TO POSTING � 2 8� �i <br />Tom Jonee <br />f•l <br />2513 Taylor Dr Evere� <br />Ma�hnq �rdress � <br />Michael George, Arch. 568-1331 <br />AppGcant N�aainn Address <br />DesCribe Proposed Work new house <br />Project Adtlre551i1 knownl 2513 <br />0 <br />Puobc Worts oermX • _ <br />eiao o�m • 48463 . <br />vubbcwo.k.fee s <br />iot111 Fpe <br />p Ll�S �ppl FPP Gqi�J � <br />r� Cj �� j� �cp Due S <br />pl K� M O�� � Oh <br />NI af M M y�. �-� <br />CI <br />,:-, «� <br />] c: "s raip-. <br />�i `i:� Lj U S:y U� j L,' <br />iuc����[`h�n5� ��ili <br />GtV LP <br />Attach� ur 14� copies of pla�s lo� p�opOSCd wU�k � Dr.iv: IO .r„d•• a;�(1 nOlr tI1C f dlowmg as apphcabie, <br />• Property Lines • Ci�nterhne ot streel <br />• OuUine and dimensiens oi all exiytin9 and • Indir.ale No��h <br />proposed slructures on Ihe lot • Show any proposed gradmg changes <br />• Ezisting and proposed utilities • Show measuremenis <br />� <br />rnone <br />PERMIT CONDITIONS <br />1. All celis lor inapection shell be matle 24 hrs. in edvance • phone 259-881 O. <br />2. All work shell be peAormed in accordance with this permit and current Clty ol Everett Design and Construction <br />Stendards and SDecifications. <br />3. Cell Locetion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800�4j455bS. <br />4. Owner responeible to obtain nny necesaary easemente far diecharge of thie <br />eites etc'� drainage onto adjacent property. <br />5. The northern boundary of thia aite ie claeeified ae an environmentally <br />seneitive area inaccordance with Chapter 37 of the zoning code governed <br />accordingly. <br />W <br />� <br />� <br />� <br />� <br />� <br />O <br />a <br />ACKNOWLEOGEMENT OF CONDITIONS <br />__ _ 7hr undersiqnr.d owner/apphcant hereby agrees to hold and save harm� <br />� less ihe Ciry o1 Everett Irom any and all clalms for damages, costs. <br />i/ ' i e>penses. o, causes ol action Ihat may arise be�a�se of installation <br />j,/� , and rnnintenanr,e nl the impiovement or other nghl-ohwey use herelo <br />�� ��+nn���d io� and lurther agrees to remove same upon notice Irom Ihe <br />Date � C�!y ,inA� rpplaCe pubhc propfjry damageA �hereby. <br />Approved as Constructed Si ure of Applica �e <br />�PUBLIC WORKS DEPARTMENT O< AUTHORI2 H,IS PERMIT MUST BE ST TED 17NIN <br />3200Ce0arStraet 18 DAYS OF DA E IT IS ISSUED AN� THEREAFTER IS TO <br />EveretC WA9B20� DILIGENTLY P SUED TO COMPLETION. ?HIS PERMIT MAV BE <br />Phone: 259•8870 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAVS DURATION. <br />