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� 1 <br /> ir <br />� <br /> I 3/7/95 i <br /> Date Cc Z <br /> ' Puol¢WorFg Permil� '`--' <br /> Application For eie9 oeoi.._ 47673 <br /> PUBLIC WQRK� PERMIT P�b���W�«=Fea — <br /> Total Fce $_ <br /> � <br /> T(� wOSTING �—Z3"``S �essAool Feean�� S <br /> ;,,_ <br /> Print or T 2 �fl� [; �� r.: �'i r: ga�ancePyer S_�-' <br /> YP Y �., -� �� _ — <br /> �� � - ��: c; � <br /> ��� , ... -. �- <br /> Dally Homes 3316 Puhrman Ave G i1100 Seattle �-.98102 328-,377,0, �� ,, <br /> [- �.. <br /> Owner MailinyAtldress �City � '- >- ZipiS `c;� ��: Phone <br /> � v . r.� r � ii� � - <br /> ���� r : �:l Lt� O ( 1 f t i��. <br /> John Graves 328-3770 e�t 206 �, _; ` ; - c, � r � s u, , <br /> ..� O c�. r� t,.i � J- <br /> I l� .I; (i ii: LS i�t �i. ..e 3 Jc r�l fP, Lj <br /> Applicant Mailir.•,qddress City Zip Phone <br /> De,�ribe Proposed Work _ _�J�� �,�„G„ <br /> � <br /> Projecl Address(if known) _���Toi���_ . � <br /> A�tach lour�4) copies �' ,�ans for proposed work- Draw (o scale antl note the following as applicable: � <br /> • Proper�y � -�:s • Centerline of s�reet �� <br /> • Outline and dimensions of all existing and • Indiwte North <br /> proposed slrur,twes on the lot • Show any proposed yradiny changes <br /> • Exis�ing and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONUITIONS � <br /> 1.All calls for inspection shall be maJe 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shall be perlormed in accordance with this permit and current Ciry of Evere;t Des�3n 2nd Construction <br /> Standards and Specifications. <br /> 3.Gall Locatiun Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-F300-424•5555. � <br /> + Keep city streets clem� a[ all Ume�. � <br /> Cwb gutter a��d sidewalli u�q�e plai ;u� �ie�v :m�l undaumt��ii. ;wy dai�ia�;o ilizmto sl»II Lc icE;l,�cc�i al tl�c <br /> discrefion oFihc Public Works Inspcctor. <br /> �� Arrv chaurc in Ihe driveway cut must be approved by Ihe FW Lispcctor, width at prop line lunited to � <br /> c�stin� aprott widlh. <br /> '. Adjuc( water boxes to gade at end of constnic�an. �^ <br /> �. Dm�eways shall be completety cured before driving on them. �r� <br /> 9. hooftop drainage sh�ll bz �ischar�ed: � ' <br /> • to the site's stonn cirain system (private or p�ablic) � <br /> • lo a rosidenlial rooFdownspout sysicm desi��ed per secliou d•9.d of Ih� city slaudrud: ' <br /> • onto splash blocks <br /> 7'he mell�od selected will be subject to Public Works Deparlement approval. <br /> ('L . ACKNOWLEDGEMENTOFCONDITIONS <br /> `���_, The undersigned owner/applicant hereby agrees to hold and save harm� '� <br /> ///1 less ihe City of Everetl from any and all claims for damages, costs. <br /> ----iS,��j1.CR-Gc� ��// �(i�—, eKPenses. or causes of action that may arise bece�se of installation I, <br /> and maintenance of ihe improvement or other rignt-nhway use hereto <br /> � �d applied for and further agrees to remove same upon notice from Ihe <br /> Apnroved for Co . clion Date City and to replace pub6c property dama9ed ihereby. <br /> ` �.�—� �. � / - `/ % <br /> FINAL INSPECTION Date � .- � Yr/i(/—�y 3- zz-y� <br /> Approved as Constructed Sipnaiure ol Apolicant Date <br /> PUBLICWORKSDEPARTMEtvT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet k80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTE�' IS TO , <br /> � Everett,WA98201 BE DILIGENTLY PURSUED TO COMPLETInN. THIS PERMIT MAY BE <br /> x Phone:259-8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br /> . .. � � ' ----- . . . . <br /> _ _ <br /> ..�-- . _ . . . . <br /> y� ,„]�. ,_ <br /> .k,�eid'��C3a".u^.�_•� �. :._tt ._ G'�.:.. .. - �._"'_.] . .s�_�.'�..��.' ___ ""f ��°�4� <br />