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- ���� ���STING �;- �s ��-� - <br /> DatC 1-4-95 :� I P�oi o wo,k:v��mn. <br /> eieg.oePts_ �6F�4R <br /> ApplicatiRn For _ <br /> PLIBLIC WOF�KS PERMIT Pubi�cWorksFee <br /> io•aifee S <br /> ¢ Less AP���Fee Paa S — ` <br /> pBalanro Ovc $�%— _I � <br /> Print of Type Only s v�i o 0 o u o `�' o `� o 0 0 � <br /> °i vir- oo � o � ui 'j' � � a <br /> N Q) P O .-+ M C•J O O -� <br /> '+ M 1A� b1 f1V fA � rl M � M ri <br /> Preci�ion Homes 2023 239th r�l SE Bothel M980�1 �� 3• 10�5 Don Lan� � <br /> Ma �� ress � ^- ai City rn � „ Zip Phone � �,. <br /> Owner ?� s 3 o rG o-' �•i � w <br /> N ouc� xcox � aww � ownc:� � <br /> r3 oc� mr� o � � o33roau� w �� <br /> O J —� �v J k G_' O W W a 0 W = _ <br /> Oc�ner � YC G] G.. � (il [n C] St tn U] 3 3L fn U) U ----\ <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new house <br /> W I <br /> ProieclAddress(ilknown) �� ( �� '�— Lot 35 Merrill Crk Gardens � <br /> Attach four(4)copies ol plans for proposed work- Draw to scale and note the following as applicable: �� <br /> • Property Lines • ��enterline ol sireel .,� <br /> • Outline and dimensions ot all existing and • Indica�e North �� <br /> proposed struclures onthel�t • Show any proposed grading ch2nges <br /> • Exis�ing and preposed utilities • Show measuremenis M <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shall 6e made 24 hrs.in advance-phone 259-8810. i\ <br /> 2.All work shall be performed in accordance with Ihis permit and current City of Everelt Design anc Construction ♦ <br /> Standards and Specitications. <br /> 3 Call Lo�ation U�derground$ervice 4 hrs.before you dig.TOLL FREE NUMBER 1-800•424•5555. � <br /> �T. 1�.Cf�1 CIIV �IfCCf: �I"ffi1 8I 0�IIIRCG. <br /> i. i'urb em�er .md sidewalk in the pla� are new and und�unaved, airy dama,e,e Wereto shall bc replaced ai iiie � <br /> discrztion of 1!ie Public \uorks U�spccror. <br /> 6 Anq chan!;e in die dnveway cW must be approved by the Pnblic Wnrks �nspecror, width at prop lii�e <br /> liniilcd tv exi�liupt:�piou wi�Ui. Drive�cay may laper E�Jadu;dfy to wect g:uage door culr:wee (for;ui � <br /> �pprne:d 3 csr�,;ara�e). � <br /> Adjust woler boxes to Yrede at end of conslnic[ion. <br /> �. ll�ivc�cays ;hall Le wnipicicly curc� bcl�ro chirvio m� Q�cm. O <br /> 9. ?,00flop dr,;ina;c �hail be disclr,uged to the lots infiltration hcnch as per the "Rrsidenti:il Roof Downspout <br /> Systcui' detail l�itachedl and as per ihc si�v��and locaiion infoitna[ion on tLe lot's site pla�i. A � <br /> pr�conatnictiou mr�tir,g umsl be scl�eduled �.��th Nla� �cl:e (3SS•9G55 mob. or 259•SS10 office) prior to <br /> inst�llation of the inlilhatinn s��slcm A�rv ch,m�c in , udilhation Irench must be approved by Ihe FubGc <br /> ��%uiks lua�rceiui. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> ��9 The undersigned owner/applicant hereby agrees lo hold and save harm- <br /> 7"� <br /> _— -- less the Ciry of Everett irom any and all claims for damages, cns s. <br /> < � � � �� expenses, or causes of action that may arise because oi install�tion <br /> �j � and maintenance of ihe improvement or olher right-ol-way use hereto <br /> applied for and furtYer agrees lo remove same upon notice from the <br /> Approved for Co�udion Date City an eplace public property damaged thereby. <br /> � �z. - :� �- 9r , z <br /> FINAL INSPECTION � Date ' , ale <br /> Approved as Constructed Sign� ure of ant <br /> WOR UTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � PUBLICWORKSDEPARTMENT �gp DAYS OF DATE PERPAIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CedarStreet BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY 8E <br /> Everet�,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone::"9-8810 PROJECT OVER 90 DAYS DURATION. <br /> --. ---_.�- ._._.. ._.__._ __.�..—ne�er� <br />