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� <br />! <br /> / <br />, T h y,� �s/���- <br /> 3/7/95 IO �UST�I`1�7 .�L�'��� PubllcWorksPermila �—�— <br /> _-_/a.7..� <br /> Date oiaa o�oi + -x--+----_- <br /> qpplicalion For _-------'--- <br /> WORKS PERI�t�iT PubhcWorksFec s__ <br /> PUBLIC T°"'F�P <br /> <1. Less Aoo��Fee Paia S--�n—�� <br /> [:i S ��v���� <br /> r� ��I�nSe;Due <br /> r'� p G U O O O f.' <br /> s: o o ci o in p r� ", `.', .'; <br /> Print or Type Only = �� �,-: o r, .,. � o o c� q• <br /> �;i r— n m , «,. �µ� < .� �o ui <br /> �n 7% u.. .�i , <br /> -oil �''Everett 98^�',14'� � ��Sk�-9006 <br /> Select Homes Inc 12811 8th Ave W A-2� �^ � Z� � phone <br /> Mailing Address p`� � City � 3 � z i,.i :r. <br /> `I Owner ,n oca � Y �o � -'' owni ir� u <br /> (l G� W Lt C1 [� H O h. �- 3 rP 1..1 <br /> I �. C? cT Ct I�I _. �:. <br /> � \ G �! 1 �.I � ifl fl 1F 3 .0 iJ� [fl U . <br /> . �„ m. o� �,_ i_. Phone ' ` <br /> . . Cdv Zip i h,) '1 <br /> '�+� �� � Mailing Address <br /> rY� , Applicanl <br /> "� New house - Sasic �84 (Ponderosa ca/basement) ��J.� <br /> 1 ,'."�. ,�' <br /> Describe Proposed Work <br /> F <br /> �,��.`�;';`,� - -- � <br />> > <br /> �,y' ( __ <br />' �� fr � <br /> —�— 5627 lOth Dr W Lot 21 rierrill Crk Gardens <br /> prolec� Address�if !cnown) � �� <br /> Attach (our(4)copies of plans ior proposed work- Draw to scale and nott.-�Ceo11e line �� �PQeii abie: I _ <br /> V/ <br /> • Property Lines • Indicale Nor�h <br /> • Outline and dimeneions of all ezistin9 and � Show any proposed grading changes � <br /> proposed structures on the lot � Show measurements <br /> • Exisling and proposed utilities <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS hone 259-8810. � <br /> i.All calls for insoection �hall br. made 2A hrs.in advance•p <br /> 2.All work shall be pedormed in accordance with this purmil and wrrent Ci!y ot Evereli Design and Construction � <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800-424•555 . <br /> d. Rc�uil��{� u�ui�i�lyt% �hull t�c ui�cliu�g��� lu ll�t: iois siui�i� ti���t�� iiuL iu�ui�ii ul iti�; liimi o <br /> of the lot. <br /> 5. Kce;{� �ily slre�is �lean c�t all limes. e thereto <br /> 6. c'��rb gutter nnd sidewalk in the plat are new and undamac�ed• any damag � <br /> st�uil Ve ieNiacCd a� ihr, discielion of �r�� �'���'�oved(by trf��Public �Nork.s Insperlor. � <br /> �. Any change in ihe driveway cut must be aPP <br /> wi%11h ut {,rup lin� limite�l lo existiny apron widih. Driva Qa�/�rru�y r��{��� yradually to O <br /> meet garr�9e door eniranc� (For an a�p�Qved "3 ca� 9 � ') <br /> 8. Adjusf wu{e� t�oxes lo ,yrade al tnct oi construclion. � <br /> y, Driveways shatl be completely cured before driving ���nklcr S Icm. The Sprinkler <br /> l0. the ��si�leriee on Ihi� lol is require� lo instull a Fire Sp YS <br /> sysiem shali bs in•:.talled in occordance with th� items listed in Saf�irst Fire S�tems <br /> le�ler �.fuled 71130/94. �f��`�t�l'PIYmE%tl%f YO,IIFI(%rf10U5 hall be usedl,a'nd all�s�pf�Y, c' <br /> 1 1/2" minimum size pip . <<nO <br /> waler �;ipii�y lu t�oines siioulcl b� run ii� co{�p�r P�P�a�5trf6��d���fE�lf�6d@45rro�fr'6T�� � <br /> fOf C�:'.t�7115. The undersigned owner/apP�icant hereby a9rees to hold and save harm� <br /> I,:ss the Gity of Everett Irom any and all claims tor damages, costa. <br /> expenses, or causes of adion that may arise because of inslallatior. <br /> '1 �� C and mainlenance o1 lhe improvemenl or other righl-of-way use hereto <br /> ----��2/�„ /Jj�C/ip�✓ '� �✓ �5 aPPlied (or and (urther a9rees to remove same uPon nolice from ihe <br /> _f,(�tit/ f-- ate City and to rep�ace public property damaged ihereby. <br /> Appr ved for Gort6trucj4n 3//(�/C'� <br /> ���% � � 9r S�.p gQA�- i. , i U <br /> Date "�� <br /> FINAL INSPECTIUN Signature ol APPlicanl <br /> A p p w v e d a s C o n s tructed y V O R K AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />� PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT I S I S S U E D A N D T H E RFAFTER IS TO <br />, 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett,WA 98291 PROJEGT OVER 90 DAYS �1RAT ON.STOPPAGE OF WORK ON THIS <br /> Phone:259�8810 <br />�I <br />