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Date����95 <br />PUBLIC <br />Print or Type Only <br />RALPH SCHUCK <br />�V/OCI <br />Aoolicant <br />i4 <br />Appl:cation-For <br />CI <br />WOR�S <br />0 <br />0 <br />s <br />a <br />3 <br />20717 <br />\Aani <br />�� P�STING <br />PERMIT <br />��V�� 4 i �g`��p�mec�vorssPrrmnr! �� � <br />��ov�'io� <br />6� 3 6 �t O!`� <br />Nap.�7MCJ.t <br />�] eF eA W tl <br />VE NE STANWOOD 98292 <br />� � j V � > <br />p 6�] UW U�"� W <br />W C'�i. i:" f�17 0 V <br />rr.,��i���:, ndd�oss <br />DescribP Pr000seo work _ NEW_HOUSE =BASIC 1110_____ <br />uinn o�o� • — ef970"1 <br />pu1J¢ Waiws F:e 5 <br />To�al Fre <br />10554pU1 frtrV:u] 5 �/v�� <br />Lalnn�v �u� S Y— _ <br />652-1309 <br />Zip <br />" A� �� LOT 13, DIV 2 <br />10 31 I�kh P� - ---- --- - <br />ProiectAddressl�f known; �----- �— — - - <br />t lans fa ProPosed wo:� � Drar: ta •r.��,..�oa ncte tha loqc;nny as aPVlica7le: <br />Aitach (our 141 copies o P , <br />• Property Lines <br />• OuUine and dimensions of all existing .�nd <br />proposed strucWres on tiie lo� <br />• Existing and P�oposed ulililie5 <br />• Cantrrline ��t street <br />• IndiC3��: North <br />� e�����; ��ny r.roposed c,�ratliny r.hange> <br />• Show measurements <br />Nc <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance -�hone 259-8810. <br />2. All work 5hall be pedormed in accordance with Ihis permit and current Ciry of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800-424•55 . <br />ne <br />i. Ker.p city streels ciean af all times. <br />5. CwU {�,utter and side�vall: ui tlta plat are new �id imdamaged, any dmuaKe thereto shall Ue replaced at the <br />disnetion of th� PuUGc �b'orY.� Lispcctm'. <br />ti. Any ch�u�ge oi tbe driveway cnt must be approved by Q�c PuUlic Works Lupector, widU� nt prop line l�nitad tc <br />�xistu�g apron wid!}i. Diivc�vay ivay taper �'aduatly to meet garage door en�'�lce (For aii approved 3 cm' <br />;raravel. <br />'. Ad,iust waler boxes tu �,�ude at �ud of consuucUou. <br />S. Di��ision 2 Lots lots 3.4.� & 8�h;dl discti:u'ge rooliop drsinare to d�e lots infil[�'�Uon trench ss per �he <br />„Dispr,rsion'Crench Detaii" ou sheet 5 cd'tl�e piats cons[�uctions piatu. A preconst�uction meeluig nws� be <br />;cheduled witl� .Umi Locke (3SSAG55 u�ob. or 259-SSIO otlice) pdor to uist:illation of tl�e udilt�'ution syst�m. <br />:Ury chmice u� tl�e vifiltration h'ench must be npproved bV tl�e PuUGc ���ml:s Gispector. Ali other lots u� <br />Di�ision 2 shail discLmee roottop drL'uiaKe to die stonu drtin stuU provided to tl�e lot. <br />ACKNOWLEDG[M`NT OF CONDITIONS <br />C1�-17" ID'`q�/ ___._ ._ <br />—�---�—a <br />ApProved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Sireet <br />Everett. WA 98201 <br />Phone:�59-8810 <br />ihe under�iqned ovmedapP�icznt hereby agrees to hold and save harm� <br />Iess ;he Cdy of Everet� from any and all ciaims for tlama9es. costs. <br />c�.penses o� causes ot action ihat may aris=_ becaus= of installalion <br />and maintenance �! <<'P ��»provement or other nght-of-way use hereto <br />apnnFd for and �u�iher a9rers lo remove same upon notice Irom Ihe <br />C�tv �nn ;o replaca uut}�ic P��nerty dama�llhereby. <br />i <br />Siqna�ure � APPucan: <br />1g RpAYS OF DATED PEFMIT ISESSUED AND THEREAFTER ISHTO <br />BE UILIGENTLY PURSUED TO COMPLETION. THIS PERMIT �dAY 8E <br />GANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PRO.IEGT OVER 90 GAVS DURATION. <br />