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l <br /> i <br /> 3/2;./95 M � � `�—� PUGLCWorkaPermlta �J ��O / <br /> Date - ��$$ <br />� Applicatior�For em�.oeoi.+ <br />� PllBLIC V'�iOR�S PERMiT P°°��°W°"5Fe0 S _ <br /> P�J 5T I N G Total Fec <br /> �, �� �-z�_�`ts <br />, �_� �� Less APPI.Fee Pa�tl 5 <br /> Ci <br /> r l - �alnr¢e Due S � <br />( �� cioc.� nr.� cv o n �:� <br /> Print or l'ype Only �, �.� n �� u� � � �., a �-� �� <br /> ci ci� r- o c� .r �.i r� ci o n�. <br /> [] 4, r� .:l i,i "\ P� r�f: i�i v.j i'; <br /> nt n. " • <br /> Select i3omes Inc 12811 8tfi� DrnW''' �vere�t C� 982�04" 513-9006 <br /> Owner Mailing��Address c-� :: r:'�Cityc� � Zip Phone / � <br /> -r c:; .-cvo-_ r� r< w " � ��� <br /> ri Omc? [Z <p ��.. :> c� t,.� r� y� c� U � <br /> O CJ � (+.� U r 1 C..1 '-! G r �"J 3 O� W <br /> n i .iw � �: moao � .. �_ `�� ) <br /> ..� -s ni n_ r 'rn rn r-� se _x -r i in e.� <br /> qpGlicani Mailing Address City Zip Phone <br /> oes_ribe Proposed work New house - Basic 101 (Glder/4 level) <br /> i <br /> _— � <br /> Project Address�if known) 5710 lOth Dr [d _ Lot 14 hferrill Crk Gardens � <br /> Attach four(4)copies ol plans for proposed work- Draw to scale and note the following as app•icable: �� <br /> • Property Lines • Centerline of stree� ♦^ <br /> • Outline and dimensions of all existing and • Indiwte North �� <br />� proposed structures on the lot • Show any proposed c�rading chanyes <br /> • Existing and proposed utilities � Show measurements w/y <br /> W <br /> S DO NOT WRITE BELOW THIS LINE 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 pedormed in accordance with this permit and current City of Everep Design and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service�l8 hrs.6etore you dig.TOLL FREE NUMBER 1•S00•424-5555. � <br /> 4. F:eaji cily st�eats cic:nn at ail iinic:s. <br /> 5. Curb �utter and sidewaik In Ihe plal are new and undamaged, any damaqe Iherelo shall be � <br /> rr,pinced c:! 1he dlscrellon uf Ihe Public Works Inspector. <br /> 6. �1ny dian�e i+� ihe urivewuy cul musi be uppr�ved bV �he I'�.bllc Works InsFreclor, widlh ul proE <br /> I line limited lo exislinc� c:pron width. Driveway may taper c�radually to meei c�arage door � <br /> enirance ((or an appra�ed 3 c.ar goragej. <br />� /. Adjutt wa�er boxes fo grade al end oi conslructlan. '/� <br /> I 8. Driveways sholl be completely curetl before drivinq on them. V, <br />�� 9. Roofiop d�ainage sholi be dlscharge� to ihv lots inflllrallon irench iu per ihe "R�sldent(at Roof O <br /> Downspoul Sys�em" derali �aitached� and as per Ihe sizin{� and Iocoilon fnformollon on Ihe lot's <br /> sife plan. A preconsfructlen meefing must be scheduled with Alan Locke (388-9655 mob. or 25Y- � <br /> ri810 of(iceJ piio� IU inslallalion ol ihe infillratlon syslem. Any chanc�r, in �he Infilhalion Irench <br /> must be approvetl by ihe Public 'Norks Inspeciar. <br /> 10. lhc residenr.e on Ihis lot Is required to insta;l a Flre Sprinkler System. Thc Sprinkler s;slc;m shal! bc <br /> installen in accordarice with Ihe items lisied in Saf�First Fire�stems lelfer dalea � I/30/94. <br /> Spexltically, a 1" minimum slze walcr meler shall be Installr,d; a 1 1�7"mlNmum slrc plp e from Ihe <br /> meter I� Ihe house shail be used; anU all supply waler pI�1FI�NB�Y{-�rRGE��ITIfi���4hH�Iit�per <br /> plpe to reduce fridion loss. See mr.lno �Of dP.Tht!!4ndersigned owner/applicant hereby agrees to hold and save harm- <br /> less tlie G�y of Everett trom any and all claims (or damages, cosls. <br />; / � expenses, or c2uses oi aclion that may arise because o( installation <br /> v and maintenance ot the improvement or other right-oFway use hereto <br /> applied lor and further agrees lo remove same upon notice from the <br /> Appr ved for Construction Date City and to replace pu6lic property damaged ihereby. <br /> � .� (_ � -.z 3-5� r- S��r� 1��cQa/�c�.cr ��GCI, `��3/�s <br /> FINAL INSPECTION Date � <br /> Approved as Consiructed Signature of AppliCanl Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> J 3200CedarStreet BE DILIGENT�Y PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�D670 PROJECT OVER 90 DAYS DURATION. <br />� - --- - -- - - -- -- -- -- -- -_ - .� <br />