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) <br /> �'3 �y�" <br /> D b x <br /> C", H <br /> 9 H fn <br /> 4 xy <br /> Hx� <br /> FC C] <br /> H htl <br /> �H� f�._�_Zg.,�. 2g5- ., <br /> ru�Lc worka PermO s <br /> � z� Date�4z 37412� <br /> eiap 000��•_ <br /> O O � Applica�ion For <br /> y PUBLIC WORKS PERMlT `°°"`""""„`° S <br /> � o g ,a�e�Fee <br /> H [� �p�sPoO��FaeFeia 5—/r7—--� <br /> 'riN� �n n��TING� � �_�J 0alance0ue $ `"' <br /> �H�1 Print or Type Only <br /> HH <br /> y <br /> H <br /> o l7 v� Trumark Industries F 4020 Plain Ave Suokane WA 99202 (509�`34_r06 <br /> �� � MadmgAtldress Cny 2 p Phonc <br /> Owner <br /> H O t�i� Jack Brace (509) 534-0644 or Tom Bowen 353-4807 � <br /> Mailing Address Cdy Zip Phone � o , <br /> Applicant I J" �, <br /> ( 1 <br /> 1 V- <br /> Describe PropoSed Work ReW h011SO ConStTUCt10n � <br /> ��-- <br /> ! <br /> ProjectAddress�ilknownl Lot 23 �,�Z �A2K �/IC�U �—IV — � <br /> � <br /> qitach lour(�)copies o�Plans tor proposed work-Draw to scale and nole Ihe lollowing as applicable: � <br /> • Property Lines • Centedine ol sireet <br /> • OuUine and dimensions ol all eaistinc�antl • Indicale North . <br /> proposed siructures on ihe lot • Show any proposed gradiny chan9c s <br /> •�1 • Existing and pwposed ulilities • Show mezsuremenis � <br /> 1 ' DO NOT WFITE BELOW THIS LINE O <br /> � <br /> PERMIT CONDITIONS � <br /> '�1 1.All calls for inspection shall t��rade 24 hrs.in advance•phone 259•8810. <br /> 1 ' 2.All work shall be pedormed in a�cordance�vilh this permit and current City ol Everett Design and Constructien <br /> Standards and Specilications. � <br /> � 3.Call Location Underground Service 48 hrs.6efore you dig.TOLL FREE NUTABER 1•800•424•5555. <br /> '�1 4. Install rock construction entrance behind driveway a3 Fer city <br /> standard #208 and erosion control as directed by Public Works O <br /> ' ' Inspector. <br /> � 5. Keep city streets clean at all t'vnea <br /> ..' 6. Curb gutter and sidewalk in the plat are new and undamaged, � <br /> � any damage thereto shall be replaced at the diecretion of the � <br /> ' Public Works Inspector. <br /> � 7. Any change in the drivewsy cut must be approved by the PW In- O <br /> apector, width at prop line limited to existing apron width. <br /> ��� 8. Connect all roof, yard and driveway drains to storm rirain � <br /> ' system provided to lot. � <br /> 9. Adjuet water boxes to �x'ade at end of construction. <br /> '-1 10. Driveways ahall be completely cured before driving on them. <br /> �( ACKNOWLEDGEMENT OF CONDITIONS <br /> � �� The undersi9ned owner/applican�herehy a9rees to hold and savr,haiin- <br /> � Iess the Clry ol Everett Irom any and all claims lor dama9es. r,o::ts. <br /> g eapenses. or causes ol action that may arise because of inslalialwn <br /> ��� / and mainlenance ot ihe improveme�t or other righl�obwaY use :re�e�o . <br /> �� applied lor and further agrees to remove same upon notice Irom ��-�e <br /> Ap oved lor Con¢truction ���e Ciey and to replace pu Im property damaged O�ereby. <br /> /(% �jLGL99 �LLCu` ' <br /> �/. �j��.�� j.�j a,i�_ q z, <br /> /�:-' ��y" r .�V /�/ — l — <br /> FiNAL WSPECTION Date " Date <br /> Si9na1 re of Applica <br /> ;p�roved as Constructed WpRK AUTHORIZED BY 7H15 PERMIT MUST BE STARTED WIiHIN <br /> PUBLIC WORKS DEPARTMENT id0 DAYS OF DATE PERMIT IS ISSUED AND THEi{EAFTER IS TO <br /> �} 9200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION. THIS FERMIT MAY BE <br /> ��ErrhEn [verett.WA 98201 GANCELLED 8Y THE CITV U�'�JN ANY STOPPAGE OF�NORK ON THIS <br /> �•�� Phona 259�BB70 PROJECT OVER 90 DAYS DURATION. <br />