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Date <br />10/2/95 <br />PUBLIC <br />Print or Type Only <br />RALPH SCHUCK <br />Applicant <br />Si <br />ApPlicalio�or � 1��� ��STING <br />W���S <br />UO <br />O <br />PERMIT <br />�� � q i�s� <br />� GOI�IOp� <br />u'irao•*oai <br />.-+ ,o -o w� r,i o <br />� w .» +n � <br />,VE NW STANWOOD 98292 <br />pf:,il�r„� Q�j�fCSS <br />2 � � C] l;iiy <br />�UU �"! W <br />_I W fc fc � <br />fiStA 0 L.1 <br />Descrine Proposed work NEW_HOUSE =BASIC 1105_________ <br />Project Add�ess �if knownl I� 11. �-`%- <br />FuOec Works Pnrmil a �}� ��W / <br />einn ocpi., ��7 7�0 __ <br />Publ¢ WorFs Fcc <br />To�al Fre 5 — <br />LessApp� FneP:�i� S /� <br />B.IIdnCC �ue .S y� <br />652-1309 <br />��n <br />Zip PhonF <br />Attach four (4) copies of pians foi G�oP�sed wo�K - Drac: t� .r,�i�r .�:ct nGe �ha follo�ving as applir.able. <br />• Propzrry Lines <br />• Outline and dimensions ol all exishn9 and <br />proposed structures on the lol <br />• Existing and proposed utilities <br />• Centerline of stree� <br />• indicalc Nor�h <br />• Shpv+ any r.�oDosed c�ratlinq chanqes <br />• Show measurement; <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance- phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construclion <br />Stanc'ards and Specifications. <br />3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1•800-424-5555. <br />!. Keep crtv sheetc c1e;u� at all tunes. <br />i. �;i�b gutter and sidewall: in U�e plat :ua nzw and widamagzd, :m� dvtia�z ilier�to �1�211 be replace�l at tl�e <br />discreuon of il�e Fublic \Uorks L�spector. <br />ri. Any chw��e in the dtivew:ry cut must Ue aHproved Uy d�e Fublic Works L�spector. widtli :it prop i�ie Wnited i <br />r.�ist�ig aprou widtl�. Driveway ntay taper gadualty to meet gmage door en�;mce (for a�� approvc� 3 car <br />pai:�flcl. <br />.;ldjus( w,�ter Uox�s to �;�de at end uCcmisuuclion. <br />3. Divisiou 2 Lots lots 3;1,5 � S shall discha�ge rooftop clrtinage to the lots u�tiltration trench ss per U�e <br />"Dispersiou '1'rruch Defail" on SIICCI 5 OI fI1C �ll�[S COIISIlUCh0113 OIJIIS. f1 �fPCOlISUlICI100 111CCi�1L IlltlSf Ilt <br />�cl�edulzd with �Ua�� Locke (3SS-9G55 mob. or 25J-SS10 otlicz) p�ior to uistallatiou of tLe u�fii� ation systciu. <br />:Lrv ch•t•iae in tl�e i:6iltration ir�ncfi nwst be spproved bv tl�z Public Works L�spector. AIl otL�r lots ui <br />Uirision Z shail di�diarec rooftop cir;ilnage to Q�c stom� ri�:vn stub provided to tt�e lot. <br />ACKNCWLEDGEMENT OF CONDITIONS <br />J <br />� � 19I �L 41 <br />Approvetl as Gonsiructed <br />PUBLIC WORKS DEPAqTMENT <br />3e00 Cedar Sireet <br />Everett, WA 98201 <br />Phone:259�8810 <br />W <br />� <br />_ / <br />1� <br />� <br />Z <br />� <br />� <br />V♦ <br />� <br />a <br />The undersignetl owner/applicant hereby agrees to hold anC saee harm� <br />less the Gty o� Evere�t from any �nd �II claims tor clamnges, cosls. <br />expenses. or causes of action that may arise because of install�tion <br />nnd :naintenance n! the improvement or olher riGhbol�way use hereto <br />a,^,N��d fo. and funher agrees �o remove same upon notice irom the <br />C�.!y and ;o replaca U��bhc property damaged thnreby. <br />SignaturP I A an! Date <br />INORK AUTHORIZEJ BY TFIIS PERMIT MUST BE STARTED WITHIN <br />1A0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLV PURSUED TO COMPLETION. THIS PERMIT MAY 8[ <br />C�NCELLED BY THE CITY UPON ANY STOPPAGF` OF WORK ON THIS <br />PRO.IECT OVER 90 DAYS DURATION. <br />