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Application For � <br /> � PUBLIC WORKS PERMIT �e�e 7/29/97 <br /> PUBLIC WORKS DEPARTMENT Public Works Permft tl �� I _ <br /> 3200 Cedar Street <br /> Everett,WA 98201 259-8810 � Building Pertnit k �().76 <br /> TO POSTING � 2 2 <br /> TYPE OR PRINT ONLY Public Nrorks Fee$L�r <br /> GAENZ HOMES INC 9004 44TH AVE W MUKILTEO 98275 347-6484 <br /> Owner Mailing Address City Zip Phone � <br /> CONTr.::T: DORLIN <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work NEW HOUSE BASIC 1242 ■ ■ ■ <br /> W <br /> _ �"� <br /> � <br /> PROJECT ADDRESS(if known) � S - �v� �� LIYf 3 SHORT5a07$' 46-96 � <br /> Attach four(4)copies ot pians for proposed work-Draw to scale and nota the tollowing if applicable: �,IJ1'�I�i �.00 � <br /> •Property Lines 'Outline and dimensions oi all existing and proposed structures on the lot •Fxisting��u1�a�0 O <br /> •Centedine of street �,•Indiwte NoAh •Show any proposed greding changes •Show measurer� 4.`.� � <br /> DO NOT WRITE BELOW THIS LINE p� �� gg,38 <br /> PERMIT CONDITIONS: p q490 Z <br /> 1. All calls for inspection sha!I be made 24 hours in advance- phone 259-88�Q� �p,pp O <br /> 2.All work shall be performf: in accordance with this permit and current Citp of Everett[�2 and <br /> Construction Standards and Specifications. �pt 70,pp <br /> 3. Call Location Undergrowid Service 48 hrs. before you dig. TOLL FREE I�f����800-424-5555. � <br /> 1296.00 � <br /> TOTAL 3147.63 <br /> � Inst±tll �ui iidilt:-:�tiou Irench built <�s per Secti�n 3-?.G' �uid ri;urr a��d 1'able 3-'.? oftl�?E1MEK <br /> �,torunv,u�r Rlam,ieement ��I:wual (copy's st�pi.d to this perniit). '1`l�e infilh•sAldlkl�2S(Ch shall be no � <br /> clu.�•r 16.m � leul lu :ury up .lo�:� pirope�ly liui� or fi�und:dion nur closer tl�:u� 10 (er.t lo ;ury do�r7�siu ea <br /> prop��rl� liu, or found<iliun. l'sill Public Works for :m inspoctiun prior lo co�.:ring Uruch..s. <br /> I �n��D <br /> h.�cm�ple� 7 bic ,Liicture ha, ;ipprnx. � ^^ Sq. r'I. o1'impreivious roofa�•ea. "1Lera1'orc <br /> d�a soil class oClau�ip smid is asseuuted a��d lhe i�diitration trench is conslucted <br /> ?ft. dc�rp aed 3/'t. wirle, 6 om t.ilile 3-2.2 d�e trench should be �� . Loi: . <br /> li'conriitions iu the iield v2ry from ihotie in the zxample - acljust stccordinRlp <br /> uxin¢ ihe abnve n�entioued iaUle �.� a Quide. <br /> , lust�ill in;li�idual pr:;surc r�duciqg valvc on watci scivicc to tLis re,idcucc. <br /> ACKNOWLEDGEMENT C�F^.ONDI710NS <br /> �p�� � /� The undersigned owner/applicant hereby abn�es to hold and save hartnless <br /> 'Y � j I � the Ciry of Everett from any and all claine;for ramages,costs,expenses,or <br /> ,, causes of action that may arise be..auso uf installation and maintenance of <br /> App�ovedforGonstrucf Date theimprovementorotherright-ot-wayuseheretoappliedtaandiurtheragrees <br /> /i�/ to remove same upon notice J�Om the Gily and to replace public property <br /> L `�� /� � 2 �/ - 77 ed t ereb��� <br /> FINAL INSPECTION Date 'n'4' /1 /' <br /> Appmved as Constructed � _/� �7//ci �� <br /> �LSw Cvn.� � CS%�.G O <br /> Signature of Appli Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CIlY UPON ANY STOPPAGE OF WORK ON THIS PR0.IECT OVER 90 DAYS DURATON. <br />