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Dafe 5-22-95 �f� (� s s�, <br /> �� �'4STlNG � '`� �„�,,�,�,�,�sP�,�,,a ��z_�f_ <br /> Ap�!ica�ion For e,i,i� o�pi , _ 48406 _____ <br /> � <br /> PUBLIC WOf�KS NERM11' �;�°"�,�,�,�=F„� ----- <br /> ; <br /> ,��,�F�e s_ <br /> � , �„s::�.�„� F�,.P:,.� S — - <br /> r'i /. <br /> i:� O r'� r. r.i �] ' i": c'i i:i ..f:�n S ��` <br /> Print or Type Only �: �, r, �, c, �:, ,-� �, �r� � , ---- <br /> � wr- ci � = c; in �� u ., <br /> t'] r.J p- 5l .. �.�i. r.� Li . p P. <br /> �d t:. <�. .. „ i. .-0 l::l <br /> p�� ,'il �rt. M � <br /> --� ..J f�l C] . <br /> Select Homes Inc �],281`1' 8th Ave W E`verett 98204 513-9006_ <br /> --"'�—cr—��—.. . --- <br /> O.vnei •J� � u7 �ir,Ur�s� t _a i u� � � [���I�i " ._„ Phnnr <br /> + C'i '� [a S t9 � > r� I I �� W c'� Li <br /> t i .7 Gl I.il GJ C [.J �� b I o 3 U) LLI <br /> \ � J I lil J G_' fi' l� ¢: O li.l '- S <br /> O�aner � YC 4l fi_ T [1l [/1 fY yl: .; YC bJ U� S.5 /'1 <br /> Applicant ,A1 ���In-,:;Address City Zip Fhone ( .'� I <br /> 1�J <br /> Describe Pron�sed Work _new l!OUS2 _.,,______ <br /> --._—___._—. _. _ _____—.__--___._.__ <br /> --____ .-____ . —__—__..__._—.._ � <br /> Pro�ect Address p� knownl 5733 lOth_Dr_W ___________Lot__27 Merrill__Crk Gardens _I _ � �I <br /> ' At�ach fow 14� coPies of Plnne foi ProP�>5W w�orv - Drav: t:�_�:,�I.. .u�a nele Iha to�lowing y;apGlicab�a�. �� � <br /> • Property Lines • Cenh!rline ol ,irpel � <br /> • Outline and dimensions o(all exis'rnq and • Intlir.atc Narih �r <br />� proposed slructures on the loi f Shew any propos�d grahing chanm�y <br /> • Exlsting and proposed uiilities ! Show measuremen�s J <br /> Y� <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS � <br /> 1.All calls lor inspection shall be made 24 hrs.in a�vance-phone 259•8810. � <br /> 2.All work shall be performed in accordance with this permit and current City of Evereti Design and Construction <br /> Standards and Speciticatioos. <br /> 3.Call Location Underground Service 48 hrs.belore you dig.TOLL FREE NUMBER 1•800•4�4•5555. � <br /> 4. �:aep city atreeis etean at all times. <br /> 5. Curb gutter and side�valtc in the ptet are netv and undamaged, ar.y damnge thereto � <br /> ehali L•e replacad at tl►e diacretion oP the Pubiie Wurke Inepector. <br /> fi. Any change in the driveway cut mvst be approved by the Public Works Inepector, <br /> width at prop line limitad to existing apron �rridth. Drive�vay may taper p,radually i <br /> raeet garage door entrance (for an a�proved 3 car garege�. � <br /> 7. Adjust water Unxes Yo grade at end oC conatruction. � <br /> 8. Drive�vays ehall be cornp[etely cured before drivIng on them. � <br /> 9. Roa}'tnp drainaqe ahall be discharged 'co the lots infiltration trench as per the � <br /> "Residential �nr£ Aownapout System" detail (attnched� and as per the siztng and /� <br /> locatinn in�'ormation on the lot's site plan. A prer,onatruction meeting must be fi <br /> schedulod witn Dennir� Gabelman (339-7403 n:ob. or 259-R810 oftice� prlor to <br /> inata(Istion of the ir.�ltration system. Any ch�nge in �he infiltration trench muet <br /> he approved by the Public Works Inepec4or. <br /> I� ACKNOWLEDGEI�IEN7 OF CONDITIONS <br /> �i V <br /> 1 h�•imder�inned owner/applicant hereby agrees to hold and save hnnn� <br /> ///��� � I�,s the Cdy ol Evarett Irom any and ail claims fm dama9es. r,osls. <br /> ,//��C� �/�� � ; ewpenses nr causes of .ction that may anse hecause ol installa�ion <br /> j/ nn:: m,imtenance nt the improvement o� o�her nqhboi-way use herato <br /> � ( —� .... ; ip�d�.et! lor and further a9rees to remove samn upon notice Irom ihe <br /> ApProved for ConsVuction / Dr,i��. ', ��,�y ,u:,: to repl:�co puULc procery damaged ihereby. <br /> Y.�� n <br /> ✓'�' 4.`-'.---�'�' /= '-z/� %/' � 1�/��,/j 7j�� ���i/9f <br /> FINh� INSPECTION Datc <br /> Ap,vo�ied as Constructed i Signati�re of Apnhcan! Date <br /> � PUBLICWORKSDEPARTMENT :'.'ORY. AUTNORI2ED BY THIS PERPlIT MUST BE STARTED WITHIN <br /> '��� 3200CedarStreet i tA0 Dl�YS OF DATE PfRMIT IS ISSUED AND THEREAFTEq IS TO <br /> Everett,WA98201 BE DILIGE�TLI' PURSUED TO C6MPL[TION. THIS PERMIT IdAY BE <br /> Phone:259-8870 i CA^JCELLtD B'!THE CITY UPUN ANV STOPPAGE OF'NORK ON 7HIS <br /> i PROJEC7 OVER 90 DAYS GURATION <br />