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Date 6-27-95 <br />qpplication For , <br />c rv z�s � <br />���TING �!� � d 19y6� P,,,�,��,�,a,�P�,m,,. �� <br />om� 000� + 48668 <br />PUBLIC WORKS ,PERMIT <br />O <br />- " ' 'i <br />..`i�.�;i7 . <br />Print or Type Only �; _; _, , , �., .,; <br />-:, rr� ',5 . . - ;n <br />•. • � tn <br />, u= r.� <br />Ralph Srhuck 20717 36th Ave <br />Owner <br />Applicant <br />dinc <br />PCs'�Iinr; Address <br />Descri6e Proposed Work new house <br />Project Address (if knowN 110�4 1� <br />pelil¢ \Yorks Fce <br />TolalFee S -� <br />Less 4ppl. Fae Pam S_ <br />f3alancc Oun $ _S�Y1 <br />anwood WA 98292 652-1309 <br />r� <br />c,t,lY'" lip Phonc <br />GO r�i : r,� �� C� <br />n � �. � S �—i „ i <br />_.i � i,l i ir: <br />rq i; s: �i.i i;i `:.; r_.i <br />Giiv ZiP Phunr <br />Attach four (4) coP�es Of Plans foi ProP���U vto���. � Drar I� _,:.�i�..in_t nnl�• tno �oi!oivinq as apPlicahle� <br />• Property Lines <br />• Outline and dimensions ol all er.ist�nG �nrl <br />proposed structurec. on the lo� <br />• Existing and proposed utilities <br />• Centerline of slreet <br />• ledicate Narih <br />• 5hov, ,�ny nroposed 9rnCinn r.h.-,n:7es <br />• Show measurements <br />LObV THIS LIN <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259•8810. <br />2. All work shall he performed in accordance with this permil and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800•424-5555. <br />A. Keep cih� stree[s ckan at �dl times. <br />5. Cmb �;uttrr m�d sidew.dl; in tlie plat me new ar�d imdmuaged, a�ry �a�uage thereto sli�(I Uz replaced at tl�e <br />discreUon ol'U�e Fublic ��'mks Lispecmr. <br />6. �ry change in �he driveway cut mus[ be floproved by Uie PuUlic Work; Lispector, widil� at prop lu�e Wnited to <br />exisUng apron widih. D�iveway may tap�r gradu;il"ry to nret ga� ane door enU'a�iee (fm :ui approvcd 3 car <br />;auage). <br />?. Adjusl waler boxes to �rude al end ot�cunstiuctimi. <br />3. Di�7sion ? Lots lots 3,4,5 R 8 sh�ll discha�'ge rooRop dr:w�ar� to ihc lots inftltrstion trench �s per tl�e <br />"Dispersiou Trench lleh�il" on sl�eet 5 oi [he plats cousUuctiuus plans. A pcacons�uction meeting wus! be. <br />�ch�duleil tvith Alan Locke (33SA655 mob. or 259-3SiU office) p�ior to uist�llaUoii of A�e inliltration systeni. <br />:uiy cl�m���c in thr aifilu,rtion irencli nm=t 6e approved by tl�e PubGc 1Vorks L�spector. ;UI other lots �� <br />�)itision ?�h�dl discharee ruotio�� drniunee to tl�e storm dr:tii smb provicled to tl�e lot. <br />qpprovetl as �onsuac�eo <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone:259�8810 <br />ACKNC1WlEDG[MENT OF CO�dDITIONS <br />1 he undersi�ned owneuappl�cant hereby agrees to hold and sade hann� <br />irss Ihe Ciry ot Eveiett Irom 2ny and all c�aims tor damapes. cosis. <br />expenses. or causes o� action ihat may aris� because of installation <br />and mzinlenance o! Ihn improvement or other right-obway use hereto <br />i;.�,hr.d for and turihe� aclrees to remove same upon notice Irom Ihe <br />G!v ard tn replaca p�iblic property damzged ihereUy. <br />�Signatu � of Ap�� DatE <br />S4'ORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATF PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTL\' PURSUED TO COMPLETION. THIS PERMIT Iv1AY BE <br />CA�JCELLED 8Y THE CITY 7PON ANY STOPPAGE OF WORK ON THIS <br />PRO.IEGT OVER 90 DAYS DURATION <br />