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` <br /> , _ .` <br /> , , , V �.L <br /> Date Z Z1 �5 ` T� P�JSTING -Z� -�'s �'uohcWorMSPormllv _ �/ O�IY_ <br /> ApplicationFot� 01tlg.Dopl.� r47na4 <br /> PUBLIC WORK� WERMIT PubhcvlorksFee � — <br />/ To�21Fee <br /> c[. <br /> �-� Less ApPI.Fee Pai� 5 <br /> Piinf G� Type Only fJ �=� o 0 o r_� o n o c� �� Balan:eDve S � <br /> 'sC r,� p �_� p IA 47 p fj O Itl <br /> (µ . . . . v �� <br />� f.l � L� OJtl 1? [��.J O � � P \ <br /> � �U M y3 a# � � bi v] lfl � <br /> Select 1lomes Inc 12811 Sth��Av�[1 11A-201 E��'eti°; °820$ 513-9006 <br /> Owner MailingAadresB- cD ^- 'y G > Zi Phone '� <br /> .+ W' � orr r: ,ri:.i � P <br /> .i cc� � i c� x -� o �.in Wn �� <br /> Gl O G f�, Li C] (� � G I— � � U) W <br /> \ O J I ��I _I C� Cc O CC O pJ �- S <br /> 1'? 7C uJ G. x G] US O 3C _S 3C (n fA !J <br />` Applicant Mailing Address City Zip Phone <br /> � � <br /> Describe Proposed Work New house — Basic 101 (Alder) ( (V <br /> i — <br /> � <br /> Projerl Address(if known) j124 lOth Dr W Lot 12 Pierrill Crk Gardens L <br /> r <br /> Attac'r, lour(4) copies of plans for proposed work- Draw lo scale and nole the followiny as applicable: � <br /> • Property Lines • Centerline af sirzet � <br /> • Outline and dimensions ol all existing and • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br />�� • Existinq and proposed utilities O Show measurements <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS O <br /> �.All calls for inspection shall be made 24 hrs.in advance-phone 25� ;di J. � <br /> 2.All work shall be periormed in accordance with this permit and cur�.i+:,,.:y ..;Everett Design and Construclion <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-500•424-5555. � <br /> 4. Keep city sireets clvan at an times. O <br /> 5. Curb y��tter and sicicwi�lk in thc plr�t are new and undamaged, any damaqe <br /> fhereio shall be replaced at fhe discretion of tYie; Nublic Works Inspector. <br /> 5. 1ny cliange in the driveway cut must be opprovcd by the Public Warks Inspector, � <br /> widih al prop line limited to exisfing apron wiuin. Uriveway may faper gradually i � <br /> meci c7arc.gc door entrance (for an approved 3 car garagej. <br /> /. Adjust water boxc;s fo grade at end of consiruction. O <br />' 3. Driveri�ays shall be comple�ely cured bcfore driving on �hcm. <br /> v. hooitap drainagc: shail t.�e clisehargcd tc� ihe lots infiltrafian irench c�s per �he: � <br /> "Residential Roof Downspout Systcm" detail (attached) and as per fhe sizing and <br /> locafion informalion on ihe IoYs sile plan. A preconstruction meeting must be � <br /> scheduled with �lan Locke (388 9655 mob. or 159-�810 of(ice) prior to installation o( <br /> the infiliration syslem. �ny chan,c in ihe inliliration hench must be approved by <br /> 111(: PULiIIC WOlkS If15pCCfOL ACKNOWLEDGEMENTOFCONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harnr <br /> less the Gity of Everett from any and all claims for damages, cos�s. <br />� I/ /' expenses, c. c2uees of action that may arise because of installation <br />, �/' � /�"/L{%'/J � Z �� and maintenance of ihe improvement or other righ�-ohway use hereto <br /> ��w f�" applied 'vr and further ac�rees to rerncve same upon notice trom ihe <br /> Approved lor Consiruct�on Date City and to replace public property damaged �hereby. <br /> � _ <br /> J' - l G - i I� ��LQ� L � �� /� <br /> FINAL INSPECTION Date �( �/7S <br /> Approved as ConsVucted Signature of Appl� nf Date <br /> ��. PUBLIC WORKS DEPARTMENT WORK AUTHOR U BY THIS PERMIT A9UST BE STARTED WITHItJ <br /> 3200CedarSlree� 180 DAYS OF DATE PERMIT IS ISSUED ANO THEREAFTER IS TO <br /> a' Everett,WA98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259•8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />� PROJECT OVFR 90 DAYS DURATION. <br /> il <br /> I <br />} <br /> t <br /> _i0 <br />