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Date <br />10/2/95 APVlicalion Far <br />pUg��C WORKS <br />Print or Type Only <br />RALPH SCHUCK <br />20717 36TH <br />�Im�; <br />DA�..iliri:; <br />;':,_a �, ���1�4f APR 09 <br />F�ERMIT <br />O <br />Ci <br />O p <br />� � � g N O a <br />� �r;o��� <br />;:' u7 .�A' .a � -a <br />r, w "' <br />98292 <br />STANWOOD <br />(,� � ��� <br />�fi�GiU �"� W <br />oJ]fJidN U�-� <br />NEW_ HOUSE =BASIC 1105 ___ _ <br />Describe Proposed Work --- — -- - <br />Pr.�i�r Ylmks Permn v C� �"--. <br />( Binp Oeoi ° ---�f9(T}Q— — <br />v,,,,imwo,wsvice 5-- <br />inlol Fer. <br />Less A001 Fec Pa�,� 5—�� �— <br />•) � <br />Ba�nn�e0uc 5 ��— <br />652-1309 _ <br />!iP Phonc <br />.Z p _—_ __ Phone —_ __- <br />1 03'3 11k1�_� lUc�__)v-----------i°T <br />Prolect Address Id knowN -�—�—�---- <br />Atlach four I�I eoP�es of Ulans loi PropuseJ wo:k � Drav: In ;�.al...u',:� n�.1e me'o�lcw�ng as appLcabi��. <br />• ProPerry Lines <br />• Outline and dimensions of all ezi5fing ancf <br />proposed structures on ihe lot <br />• Existinn and proposed ulilities <br />• Cienlorhne ni Slreel <br />• Ind�c.ale Nor�h <br />� ciip�y any rroPOsed �Ir�hing r.h.'���nos <br />� g{iow mPasurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259•88 <br />2. All work shall be Pedormed ic acwrdance wilh this permi! and currenl Ciry oi EvereC Design and Construction <br />utandards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800•424•555 . <br />I heep nR� slrte�s clean at ;�ll tim��. <br />�wb Euitzi an� ,idewall: in U�a pl�t :ua uaw ;md undamag�d, atry dsmaga th�rcto �I��ill L� r�pla�el at W� <br />discretim: oCthe Public U'orks Inspectur. <br />o. Any cha��ge u� iha diivewa}� cm mu�� Ua approved ba d�e FuUlic Works Lispector. widdi at prop litm Gmi[ed tc <br />,:v>tu�e, apron wi�U�. Driv�y� a}• may t�iper �t'�duall}' ro mect ga�age door enUmice (for au ,ipproved 3 car <br />��rsve). <br />.. ddjust waler buxes to gr�de al �ud of cousuuclion. <br />^, Ul��:.10112 LOIS 1015 3.1,5 X. S sI1�11 diSCh9(�:e reoftop �tin:i�;e to thc lots Wflllf7l101I 11:OCi7 :15, �1:I III� <br />,.Ui�penion french lletail" on shzet 5 of dle E�INS Cons[n�Clions j)1'yls. A Qftcous�iuCtlou uu'.el�ue uutsi be <br />�ehzduled with �U�u Locke (3SS JG55 mob. or 259-SSl�) oCiia) ;nior to u�stall:dimi of il�z uililiraliori sy=tcu�. <br />:17N CII'dI1nC Ill (I1C llll�[I'n6on trench nmst Ue approved bV �1�� public \VorLs Lispector. :111 otLer lets iu <br />UjbrySIGII � 5IIfl� f�61't181�Pz COOR0�1 (�1'HIll�vd [0 lI1C �[OI7[l ����1 S���L nCKNONLEDG[F.�1EN ( OF CONDITIONS <br />qpproved as c:onsuuc��� <br />`� <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Streel <br />Everel6 WA 98201 <br />Phone:259-8810 <br />W <br />� <br />s <br />� <br />� <br />N <br />O <br />a <br />The unAersiqned o�vneNapPhcant he�ebY �9�Qes �o hold and seve harnr <br />-i less the Gty ot Everett trom any and �li c�aims for dama9e:,. costs. <br />�, expenses or causes of action ihat may anse because o( �nsta�latio�� <br />�, and mainirnanr,e �! inr improvemeN or other riqht�obway use herelo <br />�;�.,pi,,,;; fer and further a9rees to remove :amn upon notice Irom Ihe <br />��. C,.; .�nrf to n�placa rc7lic Pronerry dama9ed iherebY. <br />� <br />i <br />I� '�N� � Date <br />I�IS�nnature APplican! � <br />�:Vpf�K �UiHGAl2[D B'f THIS PERP+11T MUST BE STARTED WITHIN <br />tA0 DAYS OF DATE PER�41T IS ISSUED AND THEREAFTER IS TO <br />�BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT PdAY BE <br />, C.A^JCELLED BY THE CITY UPON ANY STOPPAGE OF WONK ON THIS <br />I pRpJEGT OVER 90 DAYS DURATION. <br />