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y p Tp� �� _ � q� Pubi¢WarMs Permti Y �� <br /> Date 3/15/96 � EQ €QSII9'1G --L--�--"—_ _ <br /> BI06.Oeot M/.�7 Sy <br /> Application For <br /> �"• PuOI¢Worksico <br /> QUB�I� WORKS uPERM , - To,��Faa $ <br /> ct LessAOPI.FeePa�e $.— — <br /> f] <br /> i':� �-:, r', �_ r. ��alance Due �:� <br /> p :� C i G Ct C! O — <br /> Frint or Type Only _ in �� o �� v� �� r.� r':i r� i_, r. . _ <br /> "y- �_ �Y CJ CI .:= O In �.; [+' C� C: `�J <br /> .� �_. � in �.`, ...� <br /> r, a� a ,�� .� ��,i �� .;. <br /> , n �e ..; .�: ..:. �. �� ;: :;,-: <br /> .� �n <br /> Tennyson Homes Inc 815 6th St S i�irkland 98033 `'', 827-9060`' , <br /> MailingAddcess. + c��t� r' . . .7�� Phone <br /> Owner . �-: n cr. r�; � ,- ��� � '�- <br /> 9j O L'} iD 1: ¢� ]' ---a f.:i t�l Ci iiJ ii.l i�i O U <br /> O F— f� {:. h u� W <br /> p.J OOCL (} C:� LI � . <br /> � F:� [� L il [��1i1S1GSt 'I�F -s 3 (i u� Li � <br /> r: - <br /> Mailing Addr=ss City Zip Phone l� � <br /> qpplicant I '� <br /> Describe Proposed Work New house Basic 297 (Rainier) �� � <br />�I � <br /> Proiect Address(if known) 5813 12th Ave W _ Lot 63 Merrill Crk Gardens � � <br /> �� <br /> � Attach four(4) copies ol plans for proposed work• Drew to scale and note the lollowing as applicable: � <br /> • ProperlY Lines • Centerline of siree� <br /> • Ou�'�ne and dimensions of all existing snd • Indicate Norih <br />�� proposed structures on the Ie! • Show any proposed grading changes <br /> • Show measuiements /� <br />� • Exisling and proposed utilitie:�� W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS � <br /> 1.All calls for inspecl�on shall be made 24 hrs.in advance-phone 259•8810. <br /> 2.All work shall be pedormed in accordance with this permit and current Ciry ot Everelt Design and Construction <br /> Standards and Specifications. S <br /> � 3.Call Location Underground Servi;e 48 hrs.beiore you dig.TOLL FREE NUMBER 1•80Q•424-5555. f <br /> ;. i:tcj; ut'y ,traeis claan at ;ill Wuas. � <br /> S. Ctub nUtt�[�d sidewalk in tite plat art new and�utdamaged, ar�y damage Uieteto sir�ll bz replaced at tl�c <br /> �iscretiou of die Fuhlic Works Insnec�m. <br /> �;, :�try cli��ge in U�e d�iveway cut uw�t oc approvcd bV thc Public 1�Vorks Lispector, c4�idd� at prop lu�e � <br /> limited to e;risting^�..on wirith. Drivewsry mav taper v,radualh�to meet earaKe door entrance !for an � <br /> appruved 3 �m �':11'BKC�. <br /> ' A�jiut water boses to gr�dc at end of conswction. � <br /> �. I)nvew�rys shall be completety c�red betore �iv�ng mi ILeu:. <br /> 9. RouRop c�,w�age sh;ill Ue dischm{;ed to the lots intitt�alion treucli as pzr tl�e 'Residen�al Foof Downspout � <br /> System" dettil (nttaclied) s�id ns per!he sizin�and location infvmaUo� on the l�t's �ite plmt A <br /> precousUuction roae[in�nwst be scheduled wid�Alau Locke (3S8-9ti5� mob. oc 259-3810 office) prior to <br /> ui<tailatimi oP11re u�Cdualion sys,em. �ip cha��ge n�tl�e infilt�a6m�trtnch niust be approved by dic Public <br /> WOI�F:S IR5(18Cf0�. qCKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the Giry of Everett irom any and all claims for damages, costs, <br /> expenses, er causes of action that may arise because of installation <br /> � / �/�� and maintenance ol the improvement or olher right-of-way use hereto <br /> ap �� , �=yn -f�tt�e� agrees to remove same upon nolice from the <br /> A p o lor structi Date �� d to repla pubh roperry damaged thereby. <br /> � �/ `/ <br /> FINAL INSPEC Date � Date <br /> Appro•�ed as Constructed <br /> Signature ol APP i t <br /> WORK AUTHORIZED BY 1HIS PERMIT MUST BE STARTED WIT <br /> PUBLICWORKSDEPARTMENT 7B0 DAYS OF DATE PERMIT IS ISSUED AND THERE.IFTGR IS TO <br /> 3200CedarStreet BE DILIGENTLY PURSUED TO COMPLE710N. THIS PER���i MAY BE <br /> Everett,WA 98207 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259-BB70 PROJEGT OVER 90 DAYS DUHATION. <br />