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8/9/95 /+ <br />Date + �,/i�T�N1� <br />�pplir.ation For � <br />PUBL.IC WORKS PERMIT <br />Print or T��pe Only <br />Ralph Schuck <br />,tP.l <br />Applicant <br />Describe Proposed Work <br />20717 36th Ave NW <br />\1;;��m,: .1�:dres5 <br />D��.��Ln.l drldn�55 <br />APt� 0 9 199IUP��U� c VJorks Pn�mil a �1 S/4z� / <br />aina oeoi.. —l�-17-0 <br />Stanwood 98292 <br />Cib; <br />New house_ Old Basic_279 <br />P,���,<<vo,�sF„�• s <br />To1n1 Fee <br />1es540�lipPGtnf S �J/� <br />C�I.In!�' �uC S .. �V •f <br />652-1309 <br />Lp Phone <br />ZiG _—_--_ PhonF:---.� _ <br />-R-__ �-/��-�,yI-"�--- -- -- <br />Prolect Address (il knownl � O I v--�� 1--`"=--���� � — -.—�'4't�— <br />ic - <br />Auach four 141 cooies oi Plans fo� proposed worK � U�ar: to >cal�� .u•�a ncle �he to�lowinq �s apGlir.abie:.-�.: �. .�.. <br />• Properry lines <br />• Outiine and dimensions of all existiny antl <br />proposed strudures on the loi <br />• Existing and proposed utilities <br />'_ - _.: �� ". J:'. . . . <br />• Genterline ��� Streut <br />• In�icale Nnrih ':t�!`�--,.�- <br />• c����:, �ny pioposed 9ra7ine_r,hanges . . _. <br />• Show mrasurements -- o'�. <br />IS LIN <br />PERMITCONDITIONS ___ -� <br />1. All calis tor inspeclion shall be made 24 hrs. in advance- phone 259-8810. -� .. <br />2. All work shall be performed in accordance wilh this permit 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-SOO•424-5555; __ <br />4. <br />$. <br />fa <br />Keep c�tq slreet, cleau �! all titues. `" -'-' � <br />Curb guttzr and sidewall: in Uie plai are nzw mid undamagzd, :ury d�nage d�eretu sllAll Uz TdP1qC�a �f Ui� <br />�iscrelion of Uie PubGc 1,Vorks ]nspectm. � � % - � <br />A�;>> chan�;e in U�e d�iveway cut must t�e approved by d�a PuUlic \t�orks L�specto� �vidtl� at prop lute linu[ed io � <br />r;cistiitg apron tvidtli. Diivc�vay n:ay taper �'adually to mcet vm'age door en[rause l�or �u� ap�iia���A 3 c;u' V♦ <br />s�iiPe). - -:, <br />Ad�ust �vater boxes to h.ide at cud oCca��s�uclimi. -,- _, '' O <br />Dtt�sion 2 Lots lols 3;1,5 R; 8 sh;ill discharge rootlop cLainage to thc lot; uililirahoh�trcnch is pu�the � <br />llispersiun 1'rench lletml" Otl SIlC�I S OI (I10 �):�IS consliuctions plans. A pie�umuucuutuueehiig uwst b� <br />�chedulzd witl� �lla�i Locke (33S-9G55 moU. ur 259-S31U ofTca) p�ior to uulallsliou.of tLr. u�filL a:ion s}'stem. <br />�L�y chmn,e. iu thr 'v�filUatien Vench must be approved bV �i� Public Works Lispector. ;111 otlizr ]ots ut <br />Uivision 2 shall ciischaroe rooftop draivake to dte stonn dtniti stub provided to tlu+ lot. <br />//`' ACKNOWLEDGEhdENT OF CONQITIONS <br />f'�}� 7h undr-rsiqned oivner!apphc nth�reby agrees to hold and save harm- <br />_!�� ____ _ _____ less ;hv Ctly o� Everelt from 3ny and iU claims for dama9es. cosis. <br />6+-6t e of in5i'�Ihtion <br />qpproved a> Constructed <br />; c„penses or causes of action ihal may ans� -)e�aus << <br />� and maintenance o! the improvemeM or other nghl-of-way usr hereto <br />I ar,pl�n;: for and �uriher a9rees to iemove same upon notice from Ihe <br />'('.�.: :u•,.^, to tePlacv P bLr, proneiq� damayed Ihereby. <br />i � <br />� Signatw ol AnPlir Date <br />WORK AI�TIiORIZED BY THIS PERMIT MUST BE STANTED WITHIN <br />PUBLICWORKSDEPARTMENT ! 1gp DAYS OF DATE PER�41T IS ISSUED AND ThIEREAFTER IS TO <br />3200CedarSlreet � gE DILIGENTLY PURSUED TO COPdPLETiON. THIS PERId1T MAY BE <br />Everetl, WA 98201 I', GA"10ELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />Phone:259�8810 ��� PROJEGT OVER 90 DAYS DURATION. <br />