Laserfiche WebLink
3/21 95 {/� 7 4 '^/��'-�,� <br /> Date � - �, , I ^!��' 1 PuUhc Wark,Permu n _�/ ' <br /> Appl��cation For em�.o�a�.o C�77Q0 - <br /> PIUiBLIC WOR�S ��E J P°"��°�,�,k�F�� S - <br /> � �/�' � 9S Tolal Fee <br />/ <br /> U I Less ApPI.Fee Pai� S_ <br /> I� <br /> f:.l �� <br /> rh p C? C� r7 �J r [.� r> ._t Ba�ance Due 5 _ <br /> Print or Type Only x� c� o a r.� i�� r_i � � r.� r� «� <br /> �T. . „ .. . . � . <br /> J Ql L� O n �;�' f_t CI Cl CJ O� <br /> p C ha R4 ta ..� (.1 t'' :.�. � O^ ��J: <br /> ��i M , 'R �M1 .:i i /� <br /> Select_Hom��s Inc 128ll 8th�ve�I] Everett�- 98204 y� 513-9006 �� � <br /> O�aner MailincJ�A�ddtess �� ^- �D(�ily=2 . ., Zip Phone <br /> �i: 3 0 7r r• r' i.; :' <br /> �^: C� r� [p ]' c•� 1. O tii r_J i:i ._� LJ <br /> i <br /> G� O [? IJ� C� (-� � i [� �— O 3 [D Ill <br /> � u ..� � i�� _..i �: w c..� �c n i,i ,. �. <br /> ��� _.. r� n_. s o� (n r� -�: 't ::e rn 'u� F , <br /> Applican; Mailirg Address City Zip Phone <br /> Describe Proposed Work __ �ew house - Basic 101 (Alder / 4 level) <br /> W <br /> Project P.ddress(if known) 5719 10th Dr Sd Lot 25 Merrill Crk Gardens � <br /> Attach fnur 14) cupies of plans for proposed work- Draw to scale and noie Ihe following as applicable: �111 <br /> Y Property Lines • Centerline of stree� � <br /> • Outline and dimensions �1 all existing and • Indicate North <br /> proposed structures on the lot • Shov�any proposed yrading changes <br /> • Existing and proposed utilities t' Show measurements fM, , <br /> �� .��, i�i:�7 <br /> � DO NOT WRITE BELOV/THIS LINE � <br /> PERMIT CCNDITIONS <br /> t.All calls for inspection shall be made 24 hrs.in ac'vance-phone 259•8810. � <br /> 2.All work shall be performed in accordance with tFis permit and current City of Everetl Design and Construction <br /> S�andards and Specifications. <br /> 3.Call Location Undergrourid Service 48 hrs.before you dig.TOLL FREE YUMBER 1•800•424-5555. �i <br /> 4. l�i;l:ji G1��+ i�IFi:iS ciean ai all ifinc>.. `, <br /> 5. Curh qul�er and sld<:walk in Ihe pla� are new and undamaqed, any damaye Iherelo shall be � <br /> t�•placed al the discrellon of Ihe Publlc WorY.s Inspector. <br /> e. ilny choncJ� in ihe dilvr.w,uy cuI mual be opproved by ihe PubOc Works Inspecloi, widih al pr�p <br /> Ilne. lirrdted lo exlsiinc� opro� widih. �rive:cray may taper c�racfuolly io meet garage door � <br /> enirancc (tor an approvc<t 3 car garac�e�. <br /> i. Ad�usl wafer Uoxes to prade a; end ot r,ons�ruclion. � <br /> n. DrWeways shall be completely curetl betore driving on ihem. <br /> 9. Ruottop dralnage shail be dis�harged �0 1he lots in(iltratior, trench as per the"ResfUe�lial Roof � <br /> Downspout Syslem" delall �atlachecl) and as per Ihe sizinsj and locatlon inlorma�ion on ihe lol's <br /> �;ile pian. A prec;onsiructlon meetlnc� must be schedul^d wilh Alan LocY,e ��88-9655 mob. or 259- <br /> 8810 ol(ic;ej piio� lo inslall�llott o! �hc; Intillrallon syslerti. Any ciwnye in Ihe infllirulion i�ench � <br /> musl be a(>proved by the Public Workti Inspeclor. <br /> 10. Thc resldencc on �his loi Is requlred to Inslall a Flre SprlN;ier Syslem. lhc Sprinl:lcr syslcro shall bc <br /> instalied i < <�a. orctance wilt Ihe ilems Ilsted in SalWfirs!1 ire SYsl�ms lel ler ualecl I I/30/Y4. <br /> Spexifically, a 1" minimum size water meter shall be Instalied� a t t/2"minimum slze I e Irom Ih� <br /> meter 10 ihe house shall bc used; and all supply waler pIG���H��i��E��Ic4���n��iT�Q.�`ppc:r <br /> nl�)C 10 �CdUCe IlICIiOfI IoSs. See (ilertio fOf dCRdlit`kndersigned owner/applicant hereby agrees lo hold and save harm� <br /> — — less the Cily ot E�erett trom any and all claims for damages, cesis. <br /> /�� �./' ezpenses, or causes of action that may arise because of installation <br /> {�Y (.Y.,n �/2�//J� and mainlenance of �ha improvement or other right�ohway use hereto <br /> � f y�_. ����� � apPlied I�r and turther agrees to remove same upon notice trom the <br /> Approved for Ccjnstr cti n^ Date City and to replace public property damaged ihereby. <br /> / <br /> 2/� � 3i 5 �' ��Le� l-�cn-t,k, '�xc ��r tL�.�] `��3�%S <br /> �.=1WAL INSPECTIOW Datc <br /> ApGroved as Constructed Signature ol Applicant 0 Dale <br /> � PUBLICWORKSDEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 180 DAYS OF DATE PERMIT IS ISSUED PND THEREAFTER IS TO <br /> ,v�� 3200Cedar3ireet �E DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> E-verett,WA 98207 G.4NCELLED BY THE CITY UPON ANY STOPPAGE Or 6:0^f;vN THIS <br /> Phone:259•8810 r.NOJE�T OVER�JO DAYS DURATION. <br /> -- - -s� <br />