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t <br /> � �a � <br /> A �) x <br /> C H <br /> � Hxfn <br /> HZH <br /> FC C] <br /> H �1 h <br /> I"T-�-��• � <br /> yv H Date �—��-9z TO POSTING�3�—q _ P�o�,�Wo,k,P�,m,,. _2�� <br /> � x <br /> y b npplica�ion For oma.oeai., 37420 <br /> �� g PU�LIC WO�iKS PERMIT PUOTOInIFcaFeo 5 <br /> Hw � Leo5Rp0��FeePa�4 S <br /> � H�7 Print or Type Only e����«o„� 5� <br /> HH <br /> g � <br /> H <br /> n Cd y Trumark Indus[ries E. 4020 Dfain Ave. Snoknne IdA 99202 (5091 Sa4-Ofi44 <br /> � C�7 t" Owner A7ailing Address Cily Zip Phone <br /> [+7 <br /> HO � -.. <br /> Jack Brace (509) 534-0644 ur Tom F3owen 353-4807 <br /> AppliCant Mailing Atldress Ciiy Zip Phone N\\ <br /> 1 .J <br /> new house construction ' � I <br /> Descnhe Pwposed Wor'• � � <br /> � � <br /> r�� t W <br /> P�ojectAddresslilknown) Lot 22 �� Q��.��/�`w �N� � <br /> Attad� lour(4)copies ol plans lor pwposed work- Draw lo scale antl note ttre lollowing as apphcable � <br /> • P�operry Lines • Centerline of streel ♦^ <br /> • Outline and dimensions of au eaistm9 antl • Indicate North V, <br /> proposed structures on the lot • Show any proposed 9rading changes <br /> '�' • Existin9 and proposed u�ilities • Show measurements Y <br /> 1 ' DO NOT WRITE BE�OW THIS LINE Y�� <br /> PERMITCOND�TIONS <br /> O <br /> ' ' 1.All calls for inspectior shall 6e made 24 hrs.in advance•phone 259•8810. � <br /> ' ' 2.All work shall be pertoimed in accordance with this permi�and current City ol Everelt Design and Conslruclion <br /> Stantlards and Specitications. <br /> � 3.Call Location Underground Service 48 hrs.6elore you dig.TOLL FREE NUMBER 1•800•424•5555. <br /> '�' 4. Install rock. construction entrance bchind drivewa;� as per cit�.• Z <br /> =_�Candard k'<'i�3 and erosion r_ontro] as dirr_cted 6y Fublic UJarks O <br /> 1 ' Inspector. <br /> � g, Keep city str-eets clean at ali times <br /> �1 b. Curb qutter and sidewalk in the plat are new and undamaqed, � <br /> � any damaqe thereto shall be replaced at the discretion of ihe <br /> ' Fublic Works Inspector. '/� <br /> � 7. Anv chanqe .in the driveway cut must 6e approved by the Fbl In- V, <br /> '� spector, width at prop line limited t❑ existinq apron widih. O <br /> �' 8. Connect all roof, yard and drive�aa� drains to storm dra�n <br /> 1 ' system provided to lot. � <br /> � y. adjust water 6o::es to qrade at end of construction. <br /> '=' 1.i�. Driv�way, shall be completely cured before drivinq on t.ir.rin. <br /> 1�' (� ACKNOWLEDGEMENT OF CONDITIONS <br /> l J The undersi9netl owner/applicant hereby agrees to holtl and save harm- <br /> les, Ihe City of Everett Irom any and all claims lor damages, cosls. <br /> 1 �/ „/J//j^ li• � �O �i-, ezpenses. or causes ol action that may arise becxuse ot installation . <br /> //'�//�.—/00 "yG antl maintenance ol the improvement or olher right�ol�way use hereto <br /> � i L r'�"-- applied lor and further a9rees to remove same upon notice Irom Ihe <br /> Appr��cd lor s �ction Oate Crt antl to re la e Rublic pwpert dama ed thereby. <br /> ���� �/�(�'✓11���F,LC�.i GV�� � <br /> t'� � 3��zy- 5'3 1� /,{— ry <br /> fINA NSPECTION �alc �L�� �j!L(,���1��/L��-� q Lp19�- <br /> �n��oved as Construc�ed Signature ol Appli nt Oate <br /> � PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> �/-J� 3200CedarStreet 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> �adrEn Everett WA93201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAV BE <br /> ��J Phone:2:,9�f�870 CANCELLED BY THE CITY llPON ANY STOPPAGE OF WORK ON THIS <br /> PROJ[CT OVER 90 DAl'S DURATION. <br />