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Date 1-12-95 -�'_ �- <br /> � . � Pobl¢WorFs Permil s J �_ <br /> � ��I�TINC � <br /> Application For � � S P ��— eiae oop� . _ 4671 <br /> PIJBL,IC Vi/ORKSP�PERMI� PublsWorksFee <br /> Y 7o1H1 Fee 5 <br /> �� <br /> n Less Appl.Fee Paitl 5�— <br /> Print of T e Onl c� o o a o 0 0 0 o O BalanceDue S�/ <br /> YP Y 4 in000ina o o `a' n <br /> r: r..ir� oo •ro vi r� ai � <br /> VJ C•�J v] N .-a �M CJ O [� :fl (J <br /> T u� b! ai bs N +�+W �' �w �—'i <br /> Select Homes Inc 12811 8th Ave (d; Everett 982�i �;i3-900'�i <br /> Owner N,ailing Add�ss. �u [��i1�oi p. 5 ,Lip Phone <br /> � rra � r�a � wx <br /> r�• omc? x �nx c� wowoc� <br /> 0 oor„ r� oU �ioro > cnw <br /> Owner O J J W J Cs: fx O Q O � � S <br /> C� SC 6� G_ � CS tn O 3C 3 SC V1 UJ L1 <br /> Applicant Ma�ling Address City Zip Phor�e <br /> Describe Proposed Work new house _ ��� <br /> -- _ ---- M� <br /> ProjectAddress(itknown) 5827 llth Ave W Lot 71 Merrill Crk Gardens � <br /> Attach four(4) copies of p':i�s for pruposed work- Draw to s:ale and note the following as applicable: o <br /> • Pmpe�ty Lines • Centerline of street � <br /> • Oulline and dimensions ot all existing and • Indicate Worth <br /> proposetl str�ctures on the lot • Show any proposed�rading changes <br /> • Existiny and proposed utilitie: • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERIAIT CONDITIONS O <br /> I.Aii calls for inspection shall be made 24 hrs.in advance-phone 259•8&10. � <br /> 2.All work shall be pedormed in accordznca with this permit and current City ot Everett Design and Construction <br /> Standards and Specifications. <br /> �Call Lo tion Upderpro�nd�Service 4A hrs.�efore you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> . `I�eep ci�� ca'ee c c ey� at aii nntes. <br /> i. Curb Kut�er and sidew�lk in U�z plat are new and�mda�na�ed, auV damage Uiereio shali be replaced at the <br /> discrclion of thc Public �i'orl:s Inspcctor. � <br /> (. Arry rh�n�e in t;ie drir•ewau cut must be :ipprnved by the Fublic Wnrks inspeclor, widlh at prop lu�e <br /> Gnuicd lo c�aiuig aprou wi�ltl�. 1)�ivcw;n way lapci �iadu,illy lo w�el i;ara,�r Joor cutraua (for:ui � <br /> approvcd 3 c;v g;u age). <br /> �. Adlust water box�s to t�rad�, at end nt cousiniction. � <br /> �. Diiv�wa}'s sl�all bc complctcty� curcd bcforc dri�v�g ou Ilicm. <br /> 9. Ruoftop drainage sh�ll be discharged to ihr lots iu)iitr�tion hcnch a; per thc "Re�idcnrial RoofPo�vnspout O <br /> System" deroil (atiached� �uid as per the si�ie and localion infomiation on tlie lo�'s site plau. A <br /> precuuslnicliou m;cliug mti;be schedul:,d tvilh ,War�Locl;e (3SS-9GS5 mob. or 259-8510 o(�ce) prior to � <br /> ins�allaiinn of the iulillydion system. Anp chan��e �n the inlillration trench must be approved bV Ihe PubGc <br /> '�t'oifcn Iu.pcclui. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save hann- <br /> - -- less the Cily of Everelt from an•. and all claims for damages, costs, <br /> ��C/� espenses, or causes of aclion thz. may arise because of installation <br /> � �/� �C/s and maintenance of the improvement oi other right-of-way use hereto <br /> �� k L�� applied lor a�d further agrees lo remove same upon notice from tne <br /> Approved for Corystruction � ���e City and to replace public prop=rty damaged thereby. <br /> (� � � , <br /> �C_'� �_.� __ -� s' y'l� / � �J, JJI� <br /> FINAL IN.,PECTION Date / �/ <br /> Approved as Constructed Sic�nature ol Applic Date <br /> PUBLICWORKSDEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTE� WITHIN <br /> 3200CedarStreet 180 D.4YS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> .� Everetl,WA98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phane:259�8810 CANCELLED BY'HE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br /> - -- � <br />