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�� <br />TYPE OR PRINT ONLY <br />Ralph Schuck <br />Owner <br />Same <br />Applicant <br />Describe Proposed Work <br />� <br />Applicalion For <br />PUBLIC WORK! <br />PROJECT ADDRESS (if known) <br />PU6LIC WORKS C <br />3200 Cedar <br />Fverett, WA 98201 <br />_'�DVl� 4� " 19� 2�18�95 — / <br />Public Works Permit q � S_5�j� <br />� Building Permit q_ �II330 <br />0 0 0 0 0 o n o 0 0 <br />�_ voou:o ��ninom <br />a �� o+ o vi PG��� �yo k� Fee 5�' <br />..� bi "' w"� «i �� �u w o.� o, <br />20717 36th Ave Ni�� "�' � � �' � <br />�t�anwood 98�92 652-1309 <br />.._:�:__..�.. —. <br />`, o City � _. o Zip <br />oc�c�si�oc�c _ <br />[] r] fi] r.] L] h+ r� r� ti�i <br />New house – Basic 1105 <br />11011 17t1i Pl [J <br />Ib <br />Lot F�, 112th Sr cta F�� <br />Attach fcur (4) copies of plans for p.oposed work - Draw to sca�e and note the following if applicable: <br />'Property Lines •Outline and dimensions of all existing and proposed slructures on the lot •Existing and proposed utilities <br />•Centerline of stree� •Indicate Norih •Show any proposed grading changes •Show measurements <br />Div II <br />PERMIT CONDITIONS: � � � """ ` """°° ' n1° ��Nt <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. Ali work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. T�LL FREE NUMBER 1-800-424-5555. <br />I. heeP ciry sirezts r.lean :u afl times. <br />5. Curb guller aud sidcwsill; u� ihc plal ;uc ucw and unda�naged. ;u�y, c��nagc ihcrcto �hall bc replacad ai tl�c <br />diacrr,tinn ofihc Pubiic Works .[n:pe�l�r. <br />t�• A�rv chaii�e in the dnvew;ry cut must bc approved by the Public Works hispector, µ�dth at prop i��e linv�ed <br />.,dsting apron a4Jth. Dr've�v:ry may faper graduatly to meet �arage door cnhance (for a�� a,�proved ? car <br />n9f:1PC). <br />'. AJju,l waicr Loxc;s lo g��do al eud of wnsliticlioti. <br />�• Di��sion 2 Lots lots 3,4,5 k 8 shall discharge rooflop drauiaSe to ihc lots inliltration trench as prr 1hr. <br />.,I �isp�rsion 'Crench Uetail" un sheet 5 of tl�e pi�ts con,tnic�ions plan;. A preconstniction mee�uie rnust be <br />=ch�JulcQ wi16 ,Ua�� Lockc (333-9G55 iuob. or 2S9•3310 oflicc) prior to uistallation o; thc inliltratiou .��s,ctii. <br />in}� chan_e,e in the iuhlhation tr;.nch mnst be approved b}� the Public 1'lorks Uupector. :1ll othcr lots u� <br />lii�isiou 2 sh:dl discharve rooRop drainaee to ihe stortn diain ;lub pro�i�icd r� Q�� lor. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned cwnedapplicant hereby agrees to hoid and save harmless <br />ihe City of Everett from any and all claims for dama�es, costs, expens=s, or <br />causes of aclion tt�at may arise because of �nstallation and maiNena��ce of <br />ihe improvement or other right-of-way use hereto applied for aM turihei agrees <br />to remove same upon notice from the City and to replace .��blic uroperty <br />damaged ihere6y. � <br />Signatureof pplicant-- - <br />WORK AUTHORIZED E Y THIS PEIiMIT MUST BE STARTED WITHIN 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TU BE DILIGENTLY PURSI� DaTO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WOtiK ON THIS PROJECT OVER 90 DAYS DURATION. <br />