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Date— 3/24/95 � � � ZS-� PupLCWorksParmll.+ RS � / <br /> Application For�,. eio9.oeo�.• /�$� <br /> P�lBLIC WO�KS��C-��I��'�N� ��- �- �, _ PubhcWo�ksFee s - <br /> ( Total Fee <br /> i' <br /> .`j Less Appl Fee Paitl <br /> ri J�q�' <br /> p �� Q O Ci Q �'J p G� r� Balance Ouo ��a( � <br /> Pflflt Of Type Oflly r._ n r_.� �_7 r..� w u o r_-� r. in <br /> � ai r� o r .r� r� �-; o .._ ,,r , � �1 <br /> . � �.. rr ,. iic�, n ;. - nc- 1 <br /> ..�7 �fi �* u1 .:R � iR �] J� � ,�-� <br /> Select Homes Inc 12811 8t1i�Ave l� IlA 201 F.verett 98�204 513-9�05 � O ;' <br /> �--r <br /> Owner MaiVing Ad iess i`r i? _C�il� ,� o ., �7 „ Zip Phone <br /> � 1': C� C] C� -C L9 :L � �.] I�.1 b �.. Ci Li <br /> C� O f..`. ii r 1 r]y L' �"' O !-- C_i 3 Ui I�.' <br /> O � I li� ._t ir' ii ['i � r 1�1 '- : <br /> y- at ri� n. �[ i rn r� �... -� �.r ui in [_i <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work New�iou R ��1 �A.�d�s/�i �eve� � <br /> II <br /> ic'�80.4 ll�ti Aveu/ �j.�l <br /> ProjectAddress(ifknown) ���a-:�-�., — T^'" �ti �`o'"'";-,.,�-�wi r"oo � <br /> Attach lour(4) copies of plans lor propos��i work- Draw to scale and nole �ne following as applicable: �� <br /> O Property Lines • Centerline of sireet /^ <br /> � • Outline and dimensions of all exislmg and • Indicate North V� <br /> proposed slructures on ihe lot • Show any proposed grading changes <br /> • Exisling and proposed utilities • Show measuremenis � <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMITCONDITIONS <br /> 1.All calls tor inspection shall be made 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and Conslruction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-500•424•5555. �g <br /> ti. i;eap clly sl�eels clean al all �imes. G <br /> 5. Curb c�ulter anA sicfewalk in !he plal are new anc� undamac�ed, �ny doma�e Ihereto shall Ue o <br /> replaced al the c](scre!lon of ihe Public Works Inspeclor. <br /> o. Any change in the driveway cul musl be appiovecl by Ihe Public Works Inspeclor, widih al prop <br /> tinn lim!�ed lo rxlstin� apron wlAlh. DrWeway mny �aper grndually In meet c�arat7e door � <br /> e.nL•an�e (tor an approved� car gara�c). <br /> /. Adjusl wafer b�xes lo grade at end ot construction. �/� <br /> A. D�Wewoys shall be completely cured before drlving on Ihem. V, <br /> 9. Rooflop drainane shall be dischary�d to Ihe lols inilllration trench as per thr. "Residentiai Roof O <br /> Downspoul Syslei.Y' delnll (a3tached� and as per Ihe slzing and locailon Informalion on Ihe lol's <br /> sile plan. A precrnsiruclion meeting mutt be scheduled wllh Alan Locke (358-9655 mcb. or 259- � <br /> 8810 oflice) p�ior i� InsSailalion o! ihe Inliilrolion syslan. Any chuny� in Ihe inliiliatian �rench <br /> mus� be approve�l by Iha� Publir. 4Vorks Inspec�or. <br /> 10. The resldence on !his lol is required to inslall a Flre Sprinklcr Sysiem. ihe Sprinl:ler syslem shaq br. <br /> Insla!IeU in accordance wllh ihe items Ilsted In SatlyF/rst fire Svslems letter dateU 1 i/JO/94. <br /> S�>^xitically, a 1"minimum size walcr meter shall be installed� a 1 1/2"minlmum siz . i >-� 1,(o Ihe <br /> rieler to ihe house shull ba used; a�,a �u s�PPiy W�,i�� N����^I8�Sb�,4�iE�4F�lTi8���0'����Y.Nu�per <br /> �'il�E: lo fCdUCO FfIC�IUfI IOSS. SEC tT1Cmo lof defN➢IPSVndersigned owner/applicanl hereby agrees to hold and save harm� <br /> — less ihe Gty of Everett Irom any and all claim; for damages, costs. <br /> --��� '�'=" ' � expenses, or causes of action Ihat maY arise because of inslallation <br /> �//�/� and maintenance of the improvement or other righhohway use her�to <br /> U applied tor and furiher agrees to remove same upon notice Irom lhe <br /> Approved for Constructi ���e Cily and to replace public property damaged lhereby. <br /> / <br /> �/c .T s i -yr ^� �p y�3/�� <br /> FINAL INSPECTION �a�e ���� � yl� " —� �� S <br /> Approved as Construded Signature ot ApplicaM ��a�e <br /> PUBLICWORKSDEPARTNENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHI�J <br /> 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CedarStreet BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT IdAY BE <br /> Everett,WA 98201 CANCEI.LED BY THE CITY UPQN ANY'STOPPAGE OF WORK ON THIS <br /> Phone:259�8810 PROJECT OVER 90 DAYS DURATION. I <br /> I <br />