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l <br /> i <br />�� Date $-8-94 � �� �� �lJ � N,���„�.wo,ksr��,m��e .—���2� � <br />� oine on�i.. .—��71� ---- <br />� Applicatopn For <br />, .r <br /> PUBLIC WOF�KS PERMIT °°°°°W°��=F,------- <br /> Tainl�ee `S <br /> ULcss annl �e,.va�tl S�_ <br /> n p S �T— <br /> `� `-� " � N pOSTING <br /> T_ b O C� I!J O Iq . Q��Z/� , ,• <br /> Print or Type Only ;,. ,� o _ <br /> n mo- t�� � o3�m <br /> ��. Q- W +n M C'J �O Q <br /> ai a1 p'. <br /> .J M tli <br /> C- <br /> Ethel Rasmussen 2525 lOQth � SE Everett WA 98208 337-1643 <br /> �� ,.. °'"_'—�^—"�,-- — <br /> OwnP.r ^.. Wi 14R1res�s G_ 3 [.1 .f �.�Iy IiP Phnnc <br /> .'t OQG:i UU � Z W <br /> �. JJ W iCir- JS <br /> Century Homes 11308 Hwy�9 �"E&�f'e2t°�8'1f14" 745-5500 Richaru *tetcalfe <br /> -------- ---- ------- ----- ----------- <br /> .4PPlicant M.��h��q �ddr"ss ���. ��o Phon�c ..__ <br /> Describe Pron�srd vvo�k ._�odular_with _garage____. <br /> — __--------- --- -- <br /> --------- -_ -��.c-_ __------- - ----- W <br /> Projett AddressUl known! ��O I ���� �� `�E' � <br /> Altaeh four�4) copies of Plans foi uroposed wm�: � Dr;iv. t: ,e.��, � .�nn nc�c iha�o�lo:ving as ;im;hc.;bie. �� <br /> • Pmnerty LinP.: • Ce��crlinc rt sire!,f � <br /> • Oiiiline and dhnensions ol all exi5;mq and • L�.dicab: Na�th <br /> nrOPosed SVUCtures on the lor • Fhov:any r,roDosed yra�7inq r,har.ges <br /> • Esistiny and proposed utih�ies • Sh�:iw maasurements � <br /> DO NOT WRITE 6EI.OW THI;i LWE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shall be made 24 hrs.in advance-phone 259-8810. � <br /> 2.All work shall be performed in accordance with ihis permit and current City of Everett Design and Consh,ction <br /> Standards and Specitications. <br /> 3.Call Location Underground Servicr 48 hrs.before you dig.TC1LL FREE NUMBER 1-$00•424•5555. � <br /> a Reoftop drainage shell be dischnrged: <br /> 1) to lhe site's stomi drain cystem(private�r puSlir,l O <br /> 21 to a residentiel roof downspout systnm designeJ per aection 4•9.4 o[(}ie city stnnderda <br /> 3) ontusplashblocl:s <br /> The method sele¢ted uill be subjcct to Fublic Works Dep;�temenl approval. � <br /> � <br /> O <br /> a <br /> _� <br /> n' 'vCKIvOWLEDG[PAENf OF CONDITIOM. <br /> � 1�i���.n,�1,.r�.q �ed owneVapphcan�hereUy a9rees to hol.�ar.;�zve harm� <br /> — - -"" � --" ---�, k�s� ;h�- Cit� ot Evereu Irom any and all claims for aama9es, r,osts. <br /> � i-.pensr o raus�s ol action ihat m;iy anse bewuSN of installation <br /> ��7 � and nnintc.r�:nr,� of thn improvement or other right-o�-way use he�e�o <br /> � � �'�___� =� � � �p�d�n, br �m�f furthi�r ag�ees to remove same upon notice from the '. <br /> Approv Co ct� ' ��`���' i f�fv oi r tn r�nlac public pronerry�ama9ed thereby. <br /> / <br /> ' � .� <br /> � %i / � . y, b <br /> NAL INSP[CTI � D�tc i � ✓� �Q�i� � ���1 � � -� 7 � <br /> Approved as Consir�cted ignatwe o� A plicant Date <br /> SNORK AU"iHORIZGD BY THIS PERMIT MUST BE STARTED WITHIN <br /> �A��yl� PUBLICIYGRKSDEPARTMENT t90 DHYS OF DATE PERMIT IS ISSUED AND THEREAPTER IS TO <br /> 3200Ceda�Shcet I BE GILIGENTLI' PURSUED TO GOMPLETION. THIS PERMIT MAY BE <br /> Everetl,WA Jtl201 , CANCELLt� B'!THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:25�J�dB10 I PROJECT OVER 90 DAYS DURATION. <br />