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Date 1-4-95 z� p���J'ING _5—� °!� P�o��wo�ksPo.m,�. y5/"Y-� <br /> BI�q.Oept.R�}pb�j�--- <br /> Appl�caticn Fo��, . <br /> PUBLIC WURK� PERMIT '°°:��aFeeFeo 5 <br /> R Less ApPI.Fee Paitl S <br /> O <br /> � Oalancc D�c $ � <br /> Pfint or Typ� Only o 0 0 0 0 0 �n o 0 o u% <br /> o :r_ in000v� om o 00 2: <br /> « <br /> � m � p � � C�•I �N O � �O �` t <br /> �, � W iH lN M � W t�^.t� N a <br /> Precision Homes 2023 239th P1 SE�;, Bothell 98021 '3'i83�}„1065 "boa lange <br /> Owner <br /> Mailing A\ress+ � ��� � U �r W yZiP Phone � � ; <br /> ro oc� c� 2c� zy � W � wo � f. <br /> � O J J � � � � J O 2 O W � S <br /> Owner 61 �IL 41 ( � fi �» v � � 3 3CO7 �n U <br /> Applicant <br /> Mailing Address City Zip Phone <br /> Describe Proposed Work <br /> new house <br /> ` W <br />� 5g � ' 1�-� — (,V Lot 34 Merrill Crk Gardens � <br /> Prolect Address(if known) <br /> Attach four(4) copies ol plans for proposed H•ork- Draw to scale and note�ne following as applicabla: � <br /> � property Lines • Cenlerline ot sireet � <br /> • Outline and dimensions of all exisling and • Indicale Norih <br /> proposed structures on the lot • Show any proposed gradina changes <br /> • Existin9 and proposed utilities • Show measuremeNs � � <br /> DO NOT WRITE BEI.OW THIS LINE A <br /> `% <br /> PERMIT CONDITIONS � <br /> 1.All calls for inspection shali be made 24 hrs.in advance-phone 2@9•8810. <br /> 2.All work shall be performed in accordance with this permit and current Ciry of EvereU Design and Constructio�i <br /> S1anCards an�Specificatwns. � <br /> 3.Call Location Underground Se�vice 48,hrs.before you dig.TOLL FREE NUMBER 1•800•424•5555. <br /> 1. xeep ctty �hects ctean at all tnncs. <br /> i. �aub euimr and sidewal„ in�he pla[ are ncw and undmna�ed, ;ury Jaruage t6ereto shall Ue repiaccd at the O <br /> Ji;�rzlion of Uic Public �t'od;s Tnspcctor. <br /> (> A�rv chanvc.iu Ihe dnvew:rv cut musi bc npprovzd Ay the Public 4Vorks Inspeclor. width at prop linc <br /> I11111�G1I IV Gd1�IWP: J�11U11 WI�II�L I)111'CW:Iy 111:1)' ��NCf �.i�8(lUall}- io niai zarapx dooi :ul�auc� (for ;ui � <br /> ;1�7�)fOVC(�� CiIC e�(IlaC�. � <br /> t. Ad�ust �4�ater boxes to grade ,it znd o(conshuchon. <br /> G. llii�cw�y: slrall bc �amplcicly curcd bclorc �hivuig ou thcm. � <br /> 9. Rooftop d�-�ivage shall bc discL;uged to the lots intiltration trench a�p�r tl�� "R'�sidcnh:d Roof Downspout <br /> iyslem" detail lanact�cdl :u�d as per ihc si��v and locaiion u�tonnauon ou ihc IoCs sit� plui. A � <br /> precon5lniction m�eting must bc .;chcduled �cilh All:ui f_odu (33S-9G55 mob. or 259•3510 ofTicc) p�ior to <br /> inslolla�inn of the inliltratian scslem. :1rrv chanee in the infiltra�inn hench nmst 6e approved bp the Public <br /> \L�ml�, Iu,pedur. <br /> � ACKNOWLEUGEMENT OF CUKDITIONS <br /> ,�� The undersigned owner/applicant hereby agre�s to hold and save liann- <br /> _ __ I less �".� City of Everett from any and all claims tor dama9es. r.osts. <br /> C / �� ezpen Ps, or causes of action that may arise h�cause of installation <br /> and main�enance of Ihe improvemeni or other r9ht-of-way use hereto <br /> � applied for and further ac�rees to remove sama upon notice from the <br /> App oved lor Consir ction a�e City and to e Pubhc prop?rry damaged thereby. — <br /> I , <br /> ��, � T- 3 - �r .� <br /> FINAL INSPECTION Dale p��� <br /> qpp�oved as ConsVucted Signalu e of Applic� <br /> WORK A TH IZED BY THIS PERMIT MUST BE STARTED 1NITHIN <br /> �� PUBLICWORKSDEPARTMENT 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> �,�� 3200CedarSireet BE DILIGENTLI' PURSUED TO COMPLETION. THIS PERh11T A1AY BE <br /> Everett.WA 98201 CANCELLED Bti'THE CITY UPON ANY STOPPAuE GF WORIC ON THIS <br /> Phone:259�8810 PROJECT OVER 90 DAYS DL'RATION. <br />