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��.te?-16-95 .:: C�SCX� - <br /> ('�C /���/� Publ¢YJorks Permn+ <br /> Application�For ��� �4�+�I�� � S eia9.o�o�.• 47032 . <br /> PUBLIC VI/ORF�S PERMIT PuGiatrFaeF^� S <br /> Q. <br /> � Less ApCL Fee Paid 5 <br /> Print or Type Only � � o � o i� � � o 0 o e�ia�o�o�� S rt�9� <br /> `t .;t r^ o o � ci vi o ni a �..1 <br /> � lG ei N� � � t1 p � .mt M ^i <br /> O�. .� �N M .-+ �C <br /> Select Homes Inc 12811 Sth A�'' W Everett +�20� 513 9006 ^- <br /> Owner Mai4in tldr�ss c� `- ai ilyo � Zip phone <br /> m oc� mr_ rc+ �Sr'-. � owo �W cWii� <br /> C•1 O O Cu [� L` CJ �-+ O H O � til W <br /> �WT1eT �j � f�il P.. = d tGf1 O a 3 a UWl U) C�? <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new houce ��_� i <br /> — � <br /> Projec�Address�i( known� 5732 lOth Dr L] __ Lot 11 hSerrill Crk Gardens � <br /> Attach four(4) copies of plans for proposed work- praw!o scale and note the following as applicable: � <br /> • Property Lines • Centerline of street /� <br /> • Outline and dimensions of all exisling and • Indica;e North V, <br /> proposed sirucWres on Ihe lot • Show any p�oposed grading changes <br /> • Existing and proposed utilities • Show measuremenis � <br /> DO NOT WRITE 9ELOW 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•Nork shall be oe�tormed in accordance with this permit and current Ciry of Everett Design and Cons.4uction <br /> Stardards and Sper.itications. <br /> 3.Call Locatiun Underground Service 48 hrs.be(ore you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> �I. Kee�� citV slreets cican et .ill titnes. � <br /> _. C'iub rvtter a�id sideu;il}: ui U�e pla[ uc new and u�tdvna�cd, atry da�nakc ihcrcto sti�ii b„ rcplaccd at U�� <br /> diseretion ofthe Fnb6c Works Inspectm. � <br /> o. Arry chanee iu thc driveway cut must be approved bV the Public Works Gispector, widfl� at prop line <br /> limiled to e�istin;apron «�idth. D�i�ce��ay m;ry taper gradua(ly to meel �aragz door cntr;uice (for an //� <br /> approved 3 car�araee). V♦ <br /> '. A�jusl water bux�a lo �adc a� eud of cunsinic�ion. � <br /> R. Dri�•eways sh:ill be compleNty cured before driving on 1h:rn. <br /> l. Rooltop drauwge shall Ue cGschar��zd lo tli� lor infilUaiion irencii as per the "R�sidruti;� Roof Uowu.pnut a <br /> S}°stcm" dctail (attachcd) ;v�J as per thc si:�ig a�td location infom�alion on ll�c loCs sitc pl;ut A <br /> precoustnictiot! merting must be scheefulcd wiN�.�11;m Locke (38fi-9C55 mob. or?59-RS10 ottice) pnor to <br /> inst�llatiou of U�e u�liliralion system. My change in Uie uifiltratiun U:nch must be approvad by ihz Public <br /> »�D(I:S HISPPCIOG ACKNOWLEOGEMENT OF CONDI710N5 <br /> The undersigned owner/applicant hereby ac�rees to hold and save harm- <br /> less the City of Everell Irom any and all ciaims for damages, costs. <br /> �n // eaienses, or causes of action ihat may arise because of installation <br /> � /i vs�ri�� (�/�2f�l ano maintenance of the improvement or other right-oFway use hereto <br /> l�k'�l/ ✓ J applied ior and lurther agrees to remove same upon nolice Irom the <br /> Approved lor Construdion /Date City and to replace public properiy damaged ihereby. <br /> j�l/��_� - } �.Z�c:� � 1 � ` J <br /> FINAL INSPECTION Date �t- . /�S �` <br /> Approved as Consiructed Signature ol ApPlic� Date <br /> Y'�� / �� PUBLIC WORKS DE?ARTMENT WORK AUTHOR17F_ BY THIS PERMIT US? BE STARTED WITHIN <br /> 3200CedarStreet 780 DAYS OF DATE PERMIT IS ISSUED AND iifEREArTER IS TO <br /> ��-`�T Everett,WA<.)8201 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 OVER 90 DAYS DURPTION. <br />