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Puoec Waru Perml• <br /> Date 3/14/95 Bid, DeP1 • -47]50 <br /> Application For In Pullin Worke Fee S—_ <br /> PUBLIC WORKS PERM(-T ,w Fee <br /> Otem Aj Dueo Papa S <br /> C _ap, nEi Due <br /> r� po <br /> Print or Type Only '�T n h Oo 0 °' <br /> r p > Phone ` <br /> 0orlin Gaena. 9004 44th Ave W thtkilteo P827 �'ly 347i64r n �J <br /> Owner Mailing Address Li <br /> -.*i or] WO V Z � U 2 <br /> r� y: Sti rub o x ,. in u Phone <br /> Address <br /> City Zip <br /> Applicant <br /> t4ew house - Basic 308 <br /> Describe Proposed Work <br /> W <br /> 304 80th P1 SW Lot 3, Short Plat 7-94 <br /> Project Address(if known) <br /> Attach lour(4)copies of plans for proposed work- Draw to scale and Hole*Centeraing as ble: <br /> line of street <br /> I — <br /> • Property Lines • Inuicate North (�^/ <br /> • Outline and dimensions of all exis'ing and 0 Show any proposed grading changes <br /> proposed structures on the lot A Show measurements <br /> • Existing and proposed utilities O <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONShone 259.8810. <br /> 1.All calls for inspection shall be made 24 hrs.i <br /> 2.All work shall be pedormed In accordance with <br /> advance,ph this permit and current City of Everett Desigr.and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800-424.5555. <br /> O <br /> -1, peep City 5ticets cleall tit all 1WIcs. ed <br /> 5. Curb aftm and sidewalk it,the plat are new :nd undamag , any damage thereto shall be replaced at e <br /> discretion of Ute Public Wofks Inspector. <br /> 6, <br /> Driveway must be cinch u_eee ntoPI*e CD1 dri cut n ust be pironoff nved by U1entering e1PW Irpc cor.pwidUl lattpro�ou <br /> drawings detail. Any ♦/� <br /> line bruited to existing apron width. \/ <br /> 7, Adjust water boxes to grade at end of Construction- <br /> 8. Driveways shall be comptetety cured before (Iin.rivon them. <br /> 9. Rooftop drainage sh:fll be disch uged: <br /> a) <br /> and 1 cousmn tedroof roofdownspout <br /> rt ut syst-Residential"tial Roof sipied Down spout systetsection 4-9A Of n edelad(ac a hedl. <br /> b) Onto splash blocks. <br /> The meUlod selected will be subject to Public Works Department approval. NT of cONDInorJs <br /> 10. The honks ou lots I-% "lust have a residential spfinnkleer reign systear�q ner/a I cant hereby agrees to hold and save harm <br /> rl The undersigned owner/app <br /> •rQ_,t,_, less the City of Everett from any and all claims for damages, costs. <br /> �GG,.ff� expenses. or causes of action that may arise because of installation <br /> nt or o <br /> 7� and appliedforand fnanceurthereagre ag <br /> rees remove their amen pion notice slromrthc <br /> thereby. <br /> �Dale and to replace public property damaged <br /> Approved for Construction <br /> _ DaID _ — Date <br /> FINAL INSPECTION Signature of Applicant MUST BE STARTED WITHIN <br /> Approved as Constructed WORK AUTHORIZED BY THIS PERM <br /> PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AIJp THEREAFTER IS TO <br /> 3TO <br /> W200 Cedar Street CANCELL DTBY LY THE C TYDU PONOANY STOPPAGE IOF WORK ON THIS <br /> Everett,WA 98201 PROSECT OVER 90 DAYS DURATION. <br /> r <br /> Phone:2598810 <br />