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10/7/94 /' <br /> Date � <br /> T CT `ry'/1.� 73 r �- ,..� ,•: ..,�,.,,. , �I/, <br /> AOPhc:ILi��� (nr -1 O �Od 1 �1\V �� - ! , � �,...,� fi�.�.� : ___ � �17/8 <br /> PUBLIC WORKS PERMIT � ��� ��4n,.��., <br /> , r��..�.,_ s ----- — - <br /> ,. ,..,_.���,� �.,. , , • s —�/-�� <br /> , • <br /> G� C.i C�i f:i r'� O r:� q il� C� ��reP�,�. $ J/� <br /> i r'S r� n ,-� n�. . [.r r_i r� i� <br /> Print or Type Only `�' - ' `�T— ---____ <br /> 1` C �'� i 3 f.J D u� O (J G V! <br /> h7 q '� f.I M f.l �`- [� �w1 I�_ <br /> • , M !f 1'� 1'� <br /> rr 4� � .i ��� � y� �� Y� fl <br /> Nenry Pugsley 10521 3rd .lve SE ,,Ev�ett 98208 � � �� <br /> --�,r+----rr--.. <br /> Ownri \' �•, 1.:�r���. ,n ., �'� �I!� �' iJ o�t4y L'� Phnnn <br /> 1 U �� ;� 1 � � / � <br /> G� �b� ;� i i i r'i L� �. f.1 K' O -t [A f� 41 <br /> Roger Olin 337-7622 , <br /> Y! i i�� �i� u� LS t4[.� O� �Yc �� �t i�i iit iii S�� <br /> APPL[ant _'__—___ �. .�i,. � 1���U.�'. . . . . -- ,. .'it' . _ _. �:��,.,r.�,. -__ . ._ _ <br /> � <br /> DescribeProposrdlVorF __.__.__._._ NC'W f10U60 <br /> _ - izoi - 48=—i --- W <br /> /� /-� I/f- �--- <br /> Pro�ect Address ld knnwn� __SQV( � I O�T!"1 QI �i Lot 5, Flamp ooda � <br /> Attach 1ou1141 [oP�rs ol PI:In�; lo� n�.�P���.� ,. .. � I� �: � .. . . � . ,. . . , .c. .u.;��.�� d:�.��. � <br /> • Propurly Lines • t... ..� . .� .,.n � � <br /> • Oulhne nnA dnnvnsions M all e..��..,q ,i",i • �.. ..•.ii.�r�.vlh <br /> proPoSed 5lruciures on ihe I�v • ���� .. ;m� n•:.00.:rq qrn,•�n,i ch��n.1�•e <br /> • E*�slma alnd proPoSed utdit�rs • Sh��.•. ���:,.�;u������...n1S � <br /> DU NU� WFllk Fl ; f)V; IIIIS LIN�. <br /> PERMIT CONDITIONS C <br /> 1.All cells lor inspection shall be made 24 hrs.in advance•phone 259•8810. �� <br /> 2.A�I work shall bc perlormed in eccordanre wifh this permil and cur�ent Ciry of Everett Design pnd Consiruction <br /> Standards end Specificalions. <br /> 3.Call locatlon UndergrounA Service 4B hrs.belore you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> 1. Inslall rock consnuchon rntrnncr bnhmd �iveww us per c�ty slmidmd q208 e�id erosion conlrol as drcected bv <br /> FubGc W�ik,lu�pc�tor. O <br /> S. Kcep city shcets clenn nt nil times. <br /> ti. t'wb �nter ond sidewnik in the plet me new r��d imda�uaQed, mry demae.,r ihereto shnll be replaced at the � <br /> Jisncuon ofUie Public R'orks Inspcctor. <br /> � Am chanee in the driveway rut muct he npprovrd by the PW Inspector. widlh at prop line limited ro eristin�, 'w <br /> apimi wiJW. V, <br /> 8. Adj�ist u�atcr 6oxcs to E;radc �t end o(conshuctiou. O <br /> Y I)rrvewm�s slmll be complelety cured belote dnwie on Ihrm. <br /> IO. [�VO�IUN lll�lWlJkC SII'JII Il� di�charged: � <br /> . to the sitc's stom� clrein �}�stem (pm�nte or pubGc) <br /> . io e�esidennel roof dowuspout rysiem dzsi�irA per section 4-9 d of'the city srendnrds <br /> . onto splasli blucl�s <br /> The method sdected will be suhje�t ro Pnblit Wnrk� �epartement�rmNLeu�[rn[Nr ru cuNoinoNs <br /> _ �. � �L <br /> � � �� _______ .. . Ih�.�i.,y..i_-�.�nndnc.nrr�aGPurNnthc�ehyd<Pr•n5loholdands.iv�hunn <br /> b^,�, ;h�. �,it�. .�r [=y„iott Irnn'� lny dntl all clainis lor ddinnq� �, ,�S'I> <br /> /� �..��i�r,.yp�� n' cAu5P5 OI i1Cb00 Ihd� 111;1`J BlIS� bP'.IUSC O� in5!l�lpbr.r <br /> � /(/ n/� nn,l rv�uqnninr.�+ n1 Ihn improvemr,nt rn o�her nt��bobWAY us�. h�•��yn <br /> ��•�� <br /> ,i:'p-���1 I,rt and Itirlhrr a�pCrS lo inmovP. samr ��pon nulii:.• boin �ha� <br /> APProv lor .onst uction --._.—__ . . - . _. .' 11., .__ .. <br /> � �� i .! tr� n,pl,�i.•priblie pronnity dnmd9P IherCby <br /> / - , -=Q' '--P6 - Jf�fi/���/� <br /> f NAL INSPFCTI Dat� "/_ _C!/'_ <br /> APProvnd as Construr.ted , ���.i��,i �� nl�l�car� D:�ti� <br /> j !';•� � . !THORIIFD B'/ TH . PER IT MU51� BE STARTED WITHIP: <br /> � PUBLICWOPKSDEPARTMENT i iy-t (1qV; OF DAT[ P[FMIi IS ISSU[D AND THEREAFTEH IS TO <br /> � 3200CedarStreet � pE DILIG[NiL1' PUHSU[D TO CD�+PLCiION THIS PFRMIT 1.1AV E�(�. <br /> Everetl,WA 98201 �_4yCELLtD BY iHE GITY UPtiN l.NY sTt�PPAGC OF WOf7K i)N ��115 <br /> Pnone 259�8810 f'�7i7if CT OVFR a0 CIAV; pUHPTION <br />