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Date_11�=94 <br />ApplicationFo, TO POSTING �� �«- <br />PUBLIC WORKS PERM,IT <br />Print or Type Only <br />nuoi�c worw� pnrm�l . � �� � <br />emy oeot • 46113 __ <br />Pub�¢ WOO�fee s <br />TOtlll fef <br />�ev nooi �er vem S <br />9e�e�� Du� � S <br />Oakcreat Homes 137L2 64th Dr SE Snohomish WA 98290 337-1229' ' <br />Owner MadmgAtldress �... :• Cny -'.� .�, Slp,. � . _- Phone <br />i; �i,�; <br />. , � � � �-a i � i, i <br />Owner � � . ��' ' , � ,� , ��� . .� �'; , ,' <br />Appllr,ant <br />Descnbe Proposed Work <br />Prolect Address lif knownl <br />Mailing Addre55 <br />Zip Phone <br />Attach lour I41 copies ol plans lor proposed wo�k - Draw to scale antl notr tne loilowing as apphwble: <br />• Property Lmes • Cxnterhne ol stree� <br />• Outhne and dimensions ol all exishng ana • Indicate Norih <br />proposed structures on the lot • Show any proposed grading changes <br />• E•isting and proposed u�ih�ies • Show measwements <br />�1� <br />� <br />He <br />PERMITCONDITIONS <br />1. All calls for Inspectlon shall be made 24 hrs. in edvance • phone 259-8810. <br />2. All work shall be performed in accordance with this permit end current City ol Everett Design and Construction <br />Standards and Specilicetlons. <br />3. Celt Lotation Underground Service 4B hrs. belore you dig. TOLL FREE NUMBER 1•800-424•5555. <br />I lucl,dl �ocA cnnstiuclion e�Aiener brlund din•ewny ac �ier city �I.wda�d tt2u;t and eiosion con�rol as direcied by <br />N <br />W <br />F- <br />N <br />� <br />PuLGe �L'oik, �ispccloi. O <br />5. K.cep city shccts cican st �II titnec. <br />6. t'wb eunrr and s�dewalk in �he pint ,ut new aud undmnot�ed, xiry dmunge diere�o ,hall be re placed at �l�e � <br />disu�lioo of Ihc Public 1ti'uiks Inspcctot. <br />7 Airv ch�n�e in ihe dii��ew,rv cat nuis� be spprnved by thr I'�L' hicpeclm. widih �t prop line litnited tn exi:tin� � <br />apiun widlh O <br />3. .iclju�t watcr box:� le , radc �1 enA ul conshuclion. <br />y Itmcw:n•s shnll he completety cmtd be�me dm�nr an �bem. /� <br />lu. RooOop di�wia,e aI1:iII I/t �IniI181f;ell: Ii <br />. to thc sitc's stomi drain s���km (privalc or public) <br />• to a res�den�i�l root dovmspout system d�sie�ied per sectiou �1-y.•1 ot ihz cii� standaid; <br />• UIIIU ti�)I�CII �IOCi:� ACKNOWLEDGEMENT OF CONDITIONS <br />T'hc method selec�cd aill hc eubjc�l ta lhiblic \i'nrke �e�nraement �drroval <br />� The n ersigne wnei/applicanl hereby agrees to hold and s;ive h,-nm� <br />less ihe Gdy ol Eveiett Irom any and all claims lor damagus. rusL. <br />expenses. or causes ol action that may arise 6ecause ul installntion <br />� 1� �� //p� / // /� and maintenance ol Ihe improvement or ofher nghbol-way use herelo <br />L���—l�a� { (S aPPheA lor and lurtl�e� a9rees to remooe same uPon notice Irom Ihe <br />�or�ystruclion Date City a��tl to replace public property damaged Ihereby. <br />_ 2� – <br />FlNAI INSPEGTfON <br />Approvnd as Constructed <br />�� �,{�' PUBLIC WORKS DEPARTMENT <br />,�`/ 3200 Cedar S�reet <br />Evoretl, WA 98201 <br />Phone:259•8810 <br />�— ` '_/_ <br />SignaWre ol Appli Date <br />WORK AUTIiOR ED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 D4V5 OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLE110N. THIS PERMIT MAY BE <br />GANCE LLED BV THE CITY UPON ANV STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />