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Date 5-z2-95 ,�/n �f�./Z�ct-.� <br /> � V� P,ihnc lVorFg Pnrmtl e <br /> A[iplin�ionPor �� .. ������� � �• �� -� <br /> n,:q oeo� . �$!LQ$_----�� -- <br /> PUBLIC VVGRKS PERMIT ��� � �.:���SF�.� <br /> ���.,���,. s __ <br /> ;� � <br /> ..,,a:,�,� ...,.P:�.� s -- <br /> , �:. � � �, r. <br /> Print or TyPe Only t �`� � � �n . � - � �.._, � ,,.c: s�—_-- <br /> 3' C.II� OC:� -_- Ci Ifi i_': r.irii <br /> O P P� fiJ .:. i,�. � f-r ". '. ('. <br /> p�J 'P .. :11 r. r: 1 bl <br /> �, .�. . .. : ; � <br /> Select Homee Iuc �281Z�Sth Ave W Et�ereE[ 98204 51�-9006 <br /> � ---r1'-r—.r—;'�— ---- -- <br /> O�vnei ..,A4;�y(1y 1r,�_ress' ,a; . . r� v' Ni r:,ly�.,r ._. Phnnc <br /> O c0 r i '. r't ]. '� r I�.I Ca i,] r_�. [.] <br /> �; pCi �� :1LiC1 �' CJI... p _ :�� li: <br /> Owner ,=' _� _.� S�.I _ i ci_ .:� b cT O i�i "- J: <br /> t(J Yp i_ � . 'l: r.l bl .� 2C t �C U> [4 f.i <br /> O <br /> APPIiCant Pd.,d�n,:lddre;s CitY -'�o-�-�� - — Fhnn�, ; �,) ' <br /> DeScribe Proposed Work I_BW }101152 __________________ .— �`� <br /> __--'___"--_ '. _ ___'__"_'__--.___ __—___'—_—__ <br /> _" <br /> _ —_'_'___ . _. . . ' '. '—_.__'_.__'_'—. .____ � <br /> . . _ . . _- _.'__——__—__—___--_ <br /> Pro�ect Address Id known; _,_��S lOth Dr W Lot 26 Merrill Crk Gardens I L <br /> . .____—._ _________.___________._.___.________.___ <br /> Atlach lour 141 coPies oi plaas irn proposed•a�o•v.- D�av. to _;�.,ib• .,:,.i r;.t�� Uie 'oilc�ving as aPUhcob�e� ������ � <br /> e Property Llnes • Cent�arline ��f sireai � <br /> • Outline and dimen5ions o(ail existi�q ard O Icdiaab; Nnrth <br /> proposed sfrucW rec on ihe la • �ho�v any r.renosed��r,icPng chan;irs <br /> • Exlsfing and proposed utilltirs • Shnvi mnasurements � <br /> DO NOT NlRITE 6ELOW Ti�11S LINE � <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 Everett Design and Construction <br /> Standards and Specifica�ions. <br /> 3.Call�ocation Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-500•424-5555. � <br /> 4. S.ea� ,:ity atraats alean at all times. <br /> 5. Curb gutter and sidewalk in the plat are netiv and undamaged, any damage thereto � <br /> ehall be replaced at the diecretiou of tl�e Public Works Inspector. <br /> 6. Any change in the driveway cut muet be approved by the Pub;lc Works Inspector, � <br /> width at prop line limited to exiating apron width. Drivewa,y may tap�r gradually t <br /> meet garage door entrance (for an approved 3 cer garago). � <br /> "l. AdJust �vnter boxea to grnde xt end of conatruction. <br /> 8. Drive�mys shall be completely cured befbre driving on them. � <br /> 9. Roof'top drainage shnll be diecharged to the lote infiltrntion trench ae per the <br /> "Ra�cideutlal Roof Downspout 3yetem" detail (attached) and as per the sizing end �y <br /> Inentlon ln�'orm!etion on the loYs site plan. A preconRtnletion meeting mi�st he V� <br /> Rr,hudulc,d with Dennie t�a�elman (339-7403 mob. or 259-8810 ofiicei prlor to <br /> instailation of the inGltration s}�stem. My cha�ge in the inrltration trench must <br /> I'i8 H�l(IfOVBfI by tI18 PIlbIiC WOlIC6 II18p8CtOi'. qCKNOWLEDGEPAENT OF CONDITIONS ! <br /> n <br /> �� 1;,. ,ndnrs�;inea owneUapplic2nt hereby agrpes to holtl and sace haim- <br /> � � �, les:, :h� Crty ot Evere�� from any and all daims for dam.,qe�, ;.os'ts <br /> .,�A ���� �, rxpense;. or causes of action that may ans^ because of in,iollatinn <br /> Y�� �C' nnd maintenanr.e ol lhe improvement or other nqht-of-way use hi�re�o <br /> J a,��rre: lor ar�d �urther aqrees to remove same upon nuhr.e I�r,m ihe <br /> APProved for on ruct- � I`at.� . ,- � �:n t- �placo �;ub6c ,ropery damao..�! ihereby. <br /> � �i��--� �-/-Ji � (/ ���,.�� ��� �31 9� <br /> FINAL INSPECTION pato I _ �f <br /> ApProved as Constructed I ;ignaturr of Pppacan! ate <br /> �A� PUBLICWORKS�EPARTMEIJT I SNORY AUTHORIZED BY TFIIS PERMIT MUST BE STARTED WITHIN <br /> � 1gp DFYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> �� 320CCedarStraet � BE DILIG[NTU' PURSUED TO COMPLETION. THIS PEFMIT F;qY BE <br /> Everett,WA 98201 ; CANCELLED BY THE CITY UPON i�NY STOPPAGE OF VJORK ON TriIS <br /> Phone:259-8810 i PqOJ[Ci OVER 90 DAYS DURATION <br />