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� <br />TYPE OR PRINT ONLY <br />Appkatbn Fa <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett. WA 98201 259-BB1Q�,T '� 6 �'%�� <br />Tn POSTING" <br />/ <br />Da�e 11-6-98 <br />Publk Works PertnR N �CJI /[� <br />emidtrq aermn e 60161 <br />Publb Worke Fea f � <br />PDR Enterprieee PO Box 13192 Mill Creek WA 96062 425-239-7726 <br />Ownar Malllrp Addross Clty Lp Phone <br />Owner <br />Applicant Malling Addreas City ZIP .. , Phope �� <br />� ... , . <br />Describe Proposed Work new houee - Baeic 2020 <br />�:: <br />PFOJECT ADDRESS (if known) �q08 �� 2� .�- � Lot 3 SF 0��8-95 <br />Atlach lour (4) coples ol plena fw pmposed xro/k - Oraw to ecale entl note Ihe lollowing d eppNcaWe: ' � -��-� <br />•Property Lines �OWline end dimenslons ol all existir.p end propoeed alruclures on iha lot •Exiating end propcsed utHltles - <br />'Centerllno ol etreet •Indicale NoAh �Show eny� pmposed p�eding changee �Show measuremenb '. , <br />PERMIT CONDITIONS: . ; , i „ •� <br />1. All calls for Inspectlon shall be made 24 hours in advance - phone 259-8810. O <br />2. All work shall be performed In accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800-424•6866. � <br />� hi�t;dl ;ut intiltr:dion nriich buill a. p�r Section t-?.G.: �id Ficurc nnd "1'able i-2 2 of the cily Vi <br />`;�onn�vsder hlim�qement �t�mu;d (cupy'.:t��>le.c! to Ihin pennil). '(he inlillralion trench shell L O <br />nc� clo�er Ihan i{eel to run� up slope property line or loundalion nor closer thnn 10 teet to atiy <br />do�Hislope propciiy line or fomidfdion i'nll Puhlic Wo�ice tor �ui inNpection prior to coverinq � <br />tn•nchc�. <br />�M � <br />(.x,im�,��� il�iy strncture has aPProx. I%w Sq. FI. of impren�imi. � oaf nren. "(hercfarc <br />d's� ,oii clasa oflnumr arui�i is nn�;wwned end Uic infilh�Nion hrnch ie conehicicd <br />.Pjl. drrn �md dR, wida, fi�om table 3-2.21he french should be 'Z . Lwi . <br />II i ilie el �� � loprrs respnneibililv lo identify the aoil clavs in tl�e field and if cnnditione in the field <br />��u� li om Ibose in tl�c exwn�,le - adjuet xccordinRly ueinR the t�hove mentionrd tiible NA A�UIcIC <br />�� .'.dncn� Ir� II�; cih''" �ni:ill psnrcl hc��t mmie¢em:ut pracliccs av slNcd in acction 2-2.2 ofd�e citv <br />����L Uc,iqn ;md t'oustn�ctian S�Al1fIFV(IF i0I(I S�)CCIi1CflhOfIF f0t UCYPIOp menl (AIIACIIP(I . <br />/ ACKNOWLEDOEMENT OF �ONDITIONS <br />Ap��, // NA �'Ye� ///�( J/�— The underolpned owner/aqMlcant he�eby epreea lo Irold and eave harmbas <br />14ii `� ��` � a� the Clly o� Everatt from any end ell clalme tor dame{p�, coetn, expeneea, a <br />ruved for Const ctlonr �e cauees ol ecllon thal may erlse beceuse of InataNatbn end malntenence o1 <br />tha Impovement or olher rlpht-ol-wey use he�Mo applbd for erW hMher agreay <br />lo remove same upon notice hom tM Cfly end Ir, roplace pudb p�operty <br />�-3/�f , <br />FINAL INSPECTION Dete .. <br />Approved es Conswcted // <br />( <br />nelure ol Appllcent D a <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STA4TED WfTF11N 1B0 OAVS OF DATE PERMR IS IS4UED AND THEREAFiEA IS TO BE aV�ENfLY PURSUED TO <br />COMPLETION. THIS PERN.R MAY BE CANCELLEU 9V ?HE CITY UPON ANY STOPPAOf. OF WORK ON THIS PpOJECT OVER BO DAYS DUMTION. <br />