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�'',y� Z'r7-8�� <br />Date—���-S�gs <br />Applicalion For � <br />ptlFiLIC WORKS PERN�T <br />n <br />^`1 �� y 19� <br />Print or'iype Only -^ :�1�(�INC ~u� ¢ <br />P <br />RALPH SCHUCK 20717 36TH AVE NW �: <br />�VJf1P.1 <br />qpplicant <br />Alilni; AC(]f0S5 <br />D�t�qir�:; <br />�o���� <br />or�ci�om <br />� ,u �u .» r.i m <br />�wa «*� <br />1NWOOD 98292 <br />—c�-^r— <br />�11Y G=� � C] <br />�l�i]U f�(_�1,�-t W <br />Gl 6J. E(n O GZJ <br />Gdv <br />Describe Pronosed Werk _ NEW HOUSE =BASIC 1122____ <br />I10_35_-�7�=E�_ ('I�ic�_`V <br />�� .. �..i. J�./// �. i/Ar/.IfLNNI/ <br />Publm YJo�Fs Prt�mil v ��7 /J--� / <br />cino oeo� < _49699 <br />P„�,�,���o,�sF�� 5 <br />TolalFee <br />1055 A�III Fn(� P:li'1 5 <br />S � _ <br />e.,r. „�.�, o,��, <br />652-1309 <br />IiP Phone <br />Zip ---�–_— Phone <br />Prolect Address lif knownl '�'�"!� 1—=+-�vi ��'-''.' '-��_"...�...f.`—'---- <br />Atlach four 14) coP�es ot plans fo� nropused wo�ti � Drav: Io ac.u�� ani no�e the lollu�.vm9 as aPUlicahle�. <br />` C �nl�rline ��� sireNt <br />• Property Lines <br />• Outline and dimensions ol ali existin9 and <br />proposed siructures on tlie bt <br />• Existing and Proposed u;ilities <br />• �. . <br />• indi!:ale Norih <br />• Snow any ,r.roposed c�rading r.hanges <br />• Sh�v+ measurements <br />PERMIT CONDITIONS <br />1. All ����Is for inspection shall be made 24 h�s. in advance - phone 259•SS10. <br />2. All work shall be performed in accordance with this permit and current Ciry of Everett Design and Construction <br />Standa�. s and Speci(ications. <br />3. Call Location Underground Service 4t hrs. before you dig. TOLL FREE NUMBER 1•800•424•5555. <br />ti. <br />s. <br />Keep citV streets clean at ail limes. <br />Curb cuttu mid sidewall; u� tl�e plat me u�w .uid widam^g�d, �i�}� rinma�e thzrzto shall b� replaceJ at the <br />discreUon of the PubSc ',Vorks Lispector. <br />,'ury chanPe in tlie d�ivewtry cut utttst U� approved Uy ihe PuUGc 1�:'orks Lispecror. widdi at prop line l'unitcd u <br />existuig apron w�d�l�. D�iveway ma; tap�r gradu�lly to mcet tm'age door �ntra�ice (for a�� approv�d 3 car <br />�,;ir:ike). <br />Adjust water boxes lo grade at eud of cons�uction. <br />Divisiou 2 Lots lot; 3,4,5 R � �h:ill discl�m'ge rnoftop drsu���;c to thc lots in(iltration trencl� as per !he <br />"llispersion'french Detail" mi sl�eet 5 ot'tl�e plats conshuctions pla�is. A��reconsuucumi meetint, must be. <br />��heduled with .Ua�i Locke (35S JGSS moU. or 259-S310 otlica) piior to uistz�lation of Ur. infiluatiou s}'steui. <br />;Ur,� chvigc in the uifiltration treucli nmst be �pproved by ihe Fnblic 4Uorlts L�spector. All other lots �n <br />1?i�7sion 2 sl�all disch�r[;e roottop drtina�e to tl�e stonu draui sttib provided ro the lot. <br />ACKNOWLEDGLPAENT'. � CONDITIONS <br />��''�- /e � -- ---- <br />I <br />�.� m � �,�/ r_ � <br />Approved for nstruction Date; � <br />,..� � � _ � I: <br />' �� `�6 � <br />i I <br />FINA I SPEC"i ION Date <br />Approved as Construcled <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Streei <br />Everetl. WA 98201 <br />Phone:259-8810 <br />The undersigned owner,�apphc2nt he�ebY ag�ees Io hold and save h��nn� <br />Iess the City ot Fverett from any and all claims for damages. costs. <br />expenses. or wuses o� action that may arise uecause of installatio� <br />ancf maintenance nf the improvement or nt�.ar right-o6way use hereto <br />appi,ec; for and further agrees to remo�.e same upon notice Irom Ihe <br />C;tv ai;d to replaca Uubhc proPerty �Jamaged ttareby. <br />/` i1- �- %� <br />Si9na�m f A Phcan! r Datc <br />INORK AU7HORIZED BY THIS PEF7MIT MUST BE STARTED WI'HIN <br />190 DHYS OF DATE PER(v11T IS ISSUED AND THEREAFTER IS TO <br />BE DILIGC-NTLI' PURSUED TO COMPLETION. THIS PEPtdIT IdAY BE <br />CANCELLrD BY THE CITY UPON AN'! STOPPAGE OF WORK ON THIS <br />PROJEGT OVER 90 DAYS DURATION. <br />