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/ <br /> �� /�` ' <br /> Date 1-12-95 �4 F p� ,Ct(`j PubLc Worka Permlt a _ I✓ O <br /> Applicalion For � ��: ��j C;!�f`F n7 . I (---------- eia9 oeo� • 467�� <br /> PUBLIC WORKS ��RMIT PubToiHOFres��ee 5 = <br /> � Less AOP�Fee Paitl $� <br /> O <br /> O � <br /> O alan�e Duc $ <br /> oonoo �� o <br /> Print or Type Only � v c� o r� in o � o �' \ <br />� � rit� riri � o vi onic•i �'J <br /> .-� o r �u .�. w r,i o t� m r•? � <br />� �, � M b� eR eA tiN � M y <br /> Peter Reincke 12414 40th Ave S� E�'erett 98208 J�d2-•F�08 � � <br /> Owner Mailing Addre.ss a��— Cit�_ 0 7_�y Phone <br /> m � oa: rnr� <br /> � oca � x �ai _ oi:iowo ;� <br /> r+ dOGJ V 0 �-? �'� OI- 03 '.i W <br /> Owner CI M � tir � N � a3Y�CG U7 <br />� Applicant Mailing Address City Zip Phone <br />� I� <br /> Describe Preposed 1Vork new house \ � <br /> � I <br /> .��.� <br /> W <br /> Prolect Address(it known) _5822 llth Ave W Lot 69 Merrill Crk Gardens � <br /> Attach four�4)ccpies ol plans tor proposed work- Draw to scale and note ehe following as applicable: � <br /> � • Property Lines • Centerline of sireet /^ <br /> . • Outline and dimensions of all existing and • Indicale North V� <br /> proposed structures on the lot • Show zny proposed grading changes <br /> � • Existiny and proposed ulilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 7.All calls for inspe::tion shall be made 24 r.rs.in advance-phone 25$•8810. � <br /> 2.All work shali be perforrtied in accordanca with this permit and current Cit��of Everett Gesign and Consiruction <br /> Standards and Specifications. <br /> 3.Call Lo^ation Underground Service 48 hrs.before you dig.TOLL FREE NUNIBER 1-800•424-5555. � <br /> q. Keep city streets clean ai ill times. � <br /> 5. Curb gutter ard sitiewalk m d�e plat are new arid tmdamagr,d, airy damaxe thereto sirall be replaced at U�e <br /> discrefion of the Public�uodcs Inspector. <br /> C. Arrv change iii the drivew:rv cut mu;t be approved by the Fublic Works Inspzctor,widtli at prop line � <br /> Wuil�d tu cxisliug aprou widlh. Dm��way w;ry taper gradu;illy to meet g:aa�e dour enhmica (for;w <br /> approved 3 ru e,uaae}. � <br /> 7. Adjust water boxes to h'ade at enet of cmtstniclion. � <br /> �. D�ivcw:rys sli:ill bc complcicly curcd before d�i�vig on them. <br /> 9. RooHop drauiaee shall be discharged ro ihe lots intiltr�fion trench as per the "2esidential Roof Downspout � <br /> iystem" detail (utt.�ctied) and as per ttie si�ug a��d location infonnation on ttie lot's site plan. A <br /> prcconshudion meetint;miist Ue scheduled�vith Alan Loche (3SS J655 mob. or 259-5810 ofPice) prior fo <br /> in�tallation oFlhe infiltratimi .rystern. Arry change in ihe intiltration trench must be approved by the Fabfic <br /> V✓OIIiS L15NCC�')C. ACKNOWLEDGEMENT CF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the City of EvereU from any anu all claims for damages, costs. <br /> �—�Gt/��C�� �/�/�� expenses, or causes ot action that may arise because of inslallation <br /> �� and mainlenance ol the improvement or other right-obway use hereto <br /> � � applied for and further agrees to remove same upon notice from Ihe <br /> Approved for Con clion Date i y, id to ep�e�n�ilic pr—�maged thereby. <br /> ' �l .,�— =,.2 _� r . $�// \X( ) <br /> FINAL INSPECTION Date 'r <br /> Approved as Constructed Signature of Applicant Date <br /> PUBLIC WORKSDEPARTMENT WORK AUTfiORIZED BY THIS PERMIT D�UST BE STAR'tD WITHIN <br /> ����;� 32o0CedarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS 70 <br /> � Everett,WA98201 I BE DILIGENTLI' 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 DURATIOIJ. <br /> I <br />