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11-3-94 <br />Date �O POSTI NG �� / P"Oi�c Worw�Pnrmn • �� <br />AppliCetlon For � �S Biav Deo� • - <br />PUBLIC �fVORKS';PERMIT PueTalnlFen`e^ : <br />�- � I Le�f ApO� �ee Pa�d a <br />Print or Type Only ,_ :' `rl ;��• ;' ;�,', ;=, �� ee�a��e o�� s��— <br />r rc� r� i <br />t'. ��'- , — . - ' <br />.. Ii � N i. �, � <br />'p <br />Oakcrest Homes 13712 64th Dr SE°�Snohomish WA 98�90�',337-1729 <br />Owner Mailing Addr�3s �- r.��Ci4y��-� .�, i-�ip Phone <br />�:i �� �n -�. �a'� � I ; i..i �� f, <br />� n i �i c ' � � '� ,. u) lu <br />n I �lii � .�r L'�L� ..1. <br />Owner � � „ , �� ' „ w m ;� �., <br />Applicanl <br />Describe Proposed Work <br />Prolecl Address (il kno�Hn) <br />Mailing Atldress <br />new house <br />City <br />Phone � „�„�. <br />�� <br />Lot 13 McKenzie He <br />A��nch lour �4) copies ol plans lor proposed woik • Draw lo stale and note ine �ollowing as applicable: <br />• Properry Lines <br />• Outline and dimensions ol all existing and <br />proposed stiuCtures on the lot <br />• Exisling and proposed utilities <br />�� <br />• Centerline ol street <br />• Indicale North <br />• Show any proposed gratling changr,s <br />• Show measuremenls <br />PERMIT CONDITIONS <br />1. All calls lor inspection shell be made 24 hrs. in advance - phone 259•8810. <br />2. All work shall bo pertormed in eccordence wilh this permit and current City ol Everett Design and Consiructlon <br />Standerds and Specifications. <br />3. Cell Localion Underground Service 48 hra. belore you dig. TOLL FREE NUMBER 1•800•424•5555. <br />4. Install inrl; constnichon cnt�nnce behmd dnveww as per city sinndard H2u8 eud erosion coutrol es dirocted E <br />FubGc \�'mks L�spcdm. <br />5. Kcep ciN ��hects ckan al nll limes. <br />6. i'urb e�i�ier mid sldewalk w �he plm are new mid undaioaQed, any dnmaee diereto shell be replaccd ut �he <br />disctcliou uf�hc Pub6c 1l'orks It�spcetor. <br />� Atrv chanoc in Ihz drivewny rnt must be �pproved by the PR' Inspcctor. widlh T� pmp line limiled to ezisfing <br />api ou ��idth. <br />S. Adjusl watci boxcs to {��adc at cnd of conslnulion. <br />9 I�nveways sbnll be cotupietelV currd belore Anwnr on Ihew. <br />l0. huoltop �Lninagt simll Lt disch:u{;eJ <br />. to the site's sto�m Jrain .rysten (pm�ate or public) <br />. io a residential rool' doamspom system desi�ied per section 4-Y.�1 0l' ihe city stnndmds <br />I I bi k <br />W <br />H <br />� <br />� <br />LJ <br />• Ot1l0.,j1 �41 OC 5 ACKNOW EDGEMENT OF CONDITIONS <br />The method selecled will bc ciinjeci tn Pnhlic Works pe�artcmenl a�rov�� <br />� ih ndersi ne ncr/apphcanUiere6yagreestoholdand5aveharm� <br />���I:'�—�/ i / CF�" �--- // /lU <br />A proved lor Conslruction ��e <br />��'`�_ s/ 1r -vr <br />FINAL INSPECTION Date <br />A�P�oved as Constructed <br />PUBLIC WORKSDEPARTMENT <br />3200 Ceder Street <br />Everetl. WA 9B201 <br />Phone:259�8810 <br />e g . <br />less th� Cdy ol Everett Irom any and all claims lor damagcs. cosls. <br />uapenses. or causes ol aclion �hat mny aiise because ol ins�alla�lon <br />and maintenance ol Ihe improvemenl or other righl�ol�way use heieto <br />appLed lor and lurlher agrees to remove same upon notice from ihe <br />C�ty an 1 o r�placo pubhc p�operty damaged Ihereby. <br />`� .- <br />�__ / - /s �' <br />Signatwe ol Ap. uca Date <br />WORK AUTH��RIZLO BV THIS PERMIT MUST BE STARTED WITHIN <br />�80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED Tp COMPLETION, THIS PERMIT MAY BE <br />CANCELLED BY THE GITV UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAVS DURAiION. <br />