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3/21/95 Inn _ I _.�—t� Po011cWo�kSPcrmlta �s�/ <br /> Date ��� <br /> � oiav.oeo�., 47789 — <br /> Applicatio�,For <br /> PUBLIC WORr.,'`�/ ����� ��n "r{y Pu�l¢YrorksFee $ <br /> total Fee <br /> .� S3 <br /> ,J Less ApP��Fee Paid S � <br /> O <br /> ��' n c� '� o o e'� e� eaia�ceDue 5 <br /> � � n c,[� c.-� In O p O r.] .J <br /> Print or Type Only , , , , ., . . • <br /> r� i^' � o r_' �ff u c� rc;. � r��� <br /> in ;; ,r M *,. �,:� a+ -�i in <br /> �:'i � aa ' n J` " ei <br /> Select Yomes Inc 1281' St,}�, A� W Ev •r��t I•� 98204 `13-90J6 ` <br /> Owner Mailint�Rd5fess � =' � Ci � Zip Phon� <br /> r f<' 3 Q fc � '' I�J •• <br /> �:, rj (p [� S. �'� 1'. > O I�! O 4I O LJ � <br /> f] O l� ti:� O G1 C,7 �^ p h� G 3 (1l W �' <br /> \ � ._I J �1J [Yxnan4J - .T. <br /> 3. scui n_ � -^' cn fnxt3 a u� ulr> <br /> Applicant Mailing Address City Zip Phone <br /> Neco house - Basic 2u4 (Ponde:rosa ca/basement) <br /> Describe Proposed Work <br /> � <br /> Froiect Address(it known) 5711 lOth Dr [•I Lot 24 Merrill Crk Gardens � <br /> 4ttach tour(4) copies of plans for proposed wode- Draw to scale and note the follrnving as applicable: � <br /> • Property Lines • Centeriine ol street � <br /> • Outline and dimensions of all exis�ing and • Indica�e Nor�h <br /> proposed stnictures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measuremenis � <br /> S (�,h DO NOT WRITE eELOW THIS LINE � <br /> JI�• <br /> PERMIT CONDITIONS <br /> 7.All calls for inspeclion shall be made 24 hrs.in advance-phone 259•5810. � <br /> 2.All work shall be performed in accordance with this permil znd current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800•424-5555. � <br /> �;. RoolloF. dralnage shall be d{scharged lo ihe iois slorm drain stub Wcated at fhe froni of !he tot. <br /> 5. Keep clly sireels clean at all IUnes. � <br /> 6. Curb gutter and sidewalk in Ihe plai are new and undamaged, any damage Ihercto shall be <br /> replaced al Ihe discrelion al Ihe Pubilc Works Inspeclor. <br /> 7. Any chanc�e in the clriveway cut must be approved by the Public Works inspedo�.widlh nt pro� � <br /> Iine Ilmlled to exisling opron widlh. �rWcway may laper t�rotlually to mcel garac�c door <br /> enfrance (for an approved 3 car c�oroc�eJ. //� <br /> n. Atl�ust waler boxes lo gratle ol end of conslruction. �/ir <br /> 9. DrWewoys shall be compietety cured before driving on them. � <br /> 10. Ihe residence on this lol i_' reyulred lo Ins�all a Flre Sprinkler Syslem. Th�Sprinkler system shall be <br /> installed In accortlance wlth Ihc I�ems Iisted in SafIVFlrsl Fire�tems 1e11er dnted 1 U�0/94. � <br /> Spexifically, u 1"miiolmum sizc wuler rneler shull be instailed: a 1 1/2"minimum slze pipc Irom Ihe <br /> meter to the house shall be used; antl ali supply water pipinc� lo homes should be run In copper �. <br /> pipe lo reduce fricibn loss. See memo for defails. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the City of Everett from any and all claims for damages, costs, <br /> /, � / ,/ � 3�3d�9s ezpenses, or causes of aclion that may arise because ot installation <br /> ��� and maintenance of ihe improvement or other righro4way use hereto <br /> • i applied for and further agrees to remove same upon notice Irom the <br /> Appr ed for Construclion Date City and to n•���tace public properry damaged lhereby. <br /> ����7 <br /> � -�1 3- 5'I— �CL�Lef' {�brn?/J '��c l��'l�.��-L�a �'�/'7��5 <br /> FINAL INSPECTION Date � <br /> Approved as Consiructed Signature of Applicant <br /> � WORK AUTHORIZED BY THIS PGRMIT MUST BE STARTED �VITHIN <br /> PUBLIC WORKS DEFARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Cetlar Street BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Everett,WA9B207 CANCELLED BY THE CITY UPON ANY STOPP.4GE OF WORK ON THIS <br /> Phone:259-8870 PROJECT OVER 90 DAYS DURATION. <br />