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>,. 5 APR 1 8 �°' ; � <br />:;. APPlication For � 0 r^ �� �� � � � �� - <br />�iw�� PUBLIC WORKS PERMIT Da�e 12-28-95 __ <br />`C PUQLIC WORKS DEPARTMENT Public Works Permit p_ � <br />ti 3200 Cedar Street <br />Ev`e(ett, WA 98201 259-8810 Building Permit #_50415 <br />`�p'' �noo o-u oon-o � — <br />a: rano�n ooa oc�n m <br />TYPE OR PRINT ONLY � ^ • • ' • • Public Works Fee $ � <br />� a to-- o.�« o r� [`o- o-u- rc'r'., c`o-- —' v'.,., <br />Gl +�P �i M �- +yi Ni �..J [':� �f' <br />�A C' I <br />Gene Francisco 2'34?,$ 19th Ave SE �A Both�ll WA 98021 402-4346 <br />Owner <br />Owner <br />Describe ?roposed Work <br />PROJECT ADDRESS (if known) <br />Nailin�tltlrps � 3 U �? v LL�Y <br />PI o� fJ ]' _� U W p� <br />T+ OLl Gl [jG.1 �'�3^ G3fDi <br />•� O_..I J W C:' CC I(7 W^. <br />fJ 3t 1 fi.. �(11 Cl 4. Y N �) i <br />Mailin ddress City <br />new house <br />9432 21st Dr SE <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the foltowing if applicable: <br />Phone <br />Phone <br />SP Ik1202-26-93 <br />•PropeAy Lines •Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br />•Centerline of street •Indicate North •Show any proposed grading changes •Show measurements <br />PEP.MIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Staiidards and Specifications. <br />3. Call Location Underground Service 48 hrs. bef�,re you dig. TOLL FREE NUMBER 1-800-424-5555. <br />All mm�lF fi orn rool a�.id �ootine drains tnust i�c collected and tiehNined wesl throueh the bscln�:ird ot <br />rosiJeuce at 2008lliuley Dm�e (wi:h a, prop�iate pcn��issiun) to iha slre:uu cunidor adjacent io thc <br />residencc. :�r, collected nmott'must be tigtdluied nortL tLroueh the uGlity easement ro Budev Drive. <br />5treet dr,tinaee improvements cotdd be necessary ro provide adequate conveyance of thc expected fl� <br />14e strca�n co�ridor located to the west. <br />0. P` M sh�l! • roved hirnaround �hall b^ rovided <br />W <br />� <br />� <br />V♦ <br />� <br />O <br />� <br />� <br />O <br />: . irc ar. , app � � p <br />o. Z�' F�re. d�Pz�r-��� ��c,� a�d -b�rn���d w�,�d- t�.e, <br />��cc l P�r a� �ti � l-t1�_ <br />�� (���; �� � a•f-�' s�tr-ce� �oa�-k-lNS sfi� lis . <br />(0/96 <br />1 j�%Q.�A�f,( �-01��.1�-'�j�����1J <br />FINAL I�JSPECTION Date <br />Approved as Conslructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to t�old and save harmless <br />ihe City of Everett from any and all claims for damages, costs, expenses, or <br />causes of aGion thal may arise because of insta!lation and maintenance of <br />�he improvemant or other right-of-way use hereto applied for and fuAher agrees <br />to remove same upon notice from the City and to replace public property <br />damagEd there6y. <br />��!%I/(/��/fi� 2—iZ—S[. <br />Signature of Appl ant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE S'fARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCcLLED Bl' THE CITY UPON ?.NY STOPPAG[ OF �NOP.K ON THIS PROJECT QVER 90 DAYS DURATION. <br />