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i <br /> 1/24/90 <br /> Data Punl¢Wmks Permil a / �L Ll <br /> Application For em�.o�o� �—_ 90/23817 __ <br /> PUBLIC WORKS PERMIT "ut�Toa,IFceree $ - <br /> Le55 Ap(A.Fee Parzf S <br /> Print or Type Only BalanceDue s �-�% ,i <br /> Select Homes P.O. Box 708 Mukilteo, 98275 627-8196 <br /> Owner Mailing Address City Zip Phone <br /> Owner <br /> Appli�,:ant Mailing Address City Zip phone <br /> N�Z_ ' <br /> New single family residence, Lot 2 Glenhav�an Heights.�- i <br /> Describe Proposed Work <br /> - < WII <br /> Proj6ct Address lif known) ��� �9 � �'L��._E-_ �,� � <br /> Atlach four(4) cr,pies of plans lor proposed work- Drav:to scale and note the lollowing as applicac�e: � . <br /> • Proterty Lines • Centerline of slreet � <br /> • Out�ine and dimensions of all exisling and • Indicate North <br /> pre.posed structures on the lot • Show any proposed c�radinc7 changes <br /> • E:isting 2�id proposed utilities • Show measurements � <br /> ��r <br /> DO NOT WRITE BEIOIY THIS LINE <br /> PERMIT CONDITIOI�IS OS/02/90 12=54PH OOOpH1:35 �k�� <br /> 1.All calls for inspection shall be made 24 hrs.in advance-nhonz 259-8810. � � <br /> 2.All work shall bz peAormed in accordance with this permit and current Ciry of Everett Desi��.7fruction <br /> Standards and Spaci(ications. 'E,�' DG $576.50 <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•SOO•�5555.�60.00 � � <br /> MECH 490.00 <br /> 4.ANY CHANGS IN THE DRIVEWAY CUT MUST BE APPROVED B SRCH 44.50 O I <br /> BY THE PUBLIC WORKS INSPSCTCR. DRV,11' �20.00 <br /> 5 . CONNECT DOWNSPOUTS TO THRU CURB DRl1IFIS. WATEF. �60.00 <br /> 6 .KEEF CITY STREETS CLEl+N AT ALL TIME;S. a00027564 � '' <br /> 7 .ANY DAMAG6 TQ THE CURB AND SIDEWALR WILL BE REPAIB��i 430.00 'i <br /> TO THE SATISFACTION OE' TAE FUBLIC WORKS DEPT. BND I $110.00 N I <br /> 11'1-5 4650.00 ', <br /> a000z�er� O 'i <br /> ELDG �5B1.�0 � il <br /> FLSG �65.00 <br /> MECH 490.00 i <br /> DFT.�O �35.10 � <br /> B S�CH �4.50 . <br /> /,�I .. ACKNOWLED�EU�iIJT tOtF 1�4Q1�ItIONS <br /> v The undersigned owner/aGPIi�Qfe��ey�agrees to hold and save harm- <br /> less the Ciry of Everelt frort$�b��,nd aii��i1�for damages, cosls. <br /> ezpenses, or causes ot actic�(ratTnayy�r�.�cause ol installation . <br /> I/C. /I M G�/.,) � I Gyp and mainlenance of the im rp e� t or ���hDof-wa use hereto � <br /> �� �-�`K- � � � ��L� ��� appli for and furiher agre�Y�-�mov�� pon no Yce irom lhe <br /> Approved for Consiruction ate City d to replace public proj'7e amag by. <br /> � .�j�,� // / 1 o CHECI� $3^c46 0 <br /> � � <br /> FINAL IN C N Date a�/�� <br /> Approved as Cons�ructed ture of Applicant Dat <br /> everett PUBLICWORKSDEPAHTMENT WOHK AUTHORIZED BY THIS PERMIT MUS BE STARTED WITHIN <br /> � 5200CedarStreet 780 Df�YS OF GATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98207 BE DILIGGNTLY PURSUED TO COMPLETION. THIS PERMIT MAY 8C- i <br /> CANCEI_LED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259-8810 PROJ[GT OVER 90 DAYS DURATIOtJ. <br />