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r <br /> � � � <br /> A � x <br /> Q H <br /> Y �Cn <br /> i <br /> / <br /> � H � 7 � /Z �J�r{ . <br /> (�J ��17�(�2 � � �+"� Pub'�c\YorxaPcrmit• I (i�/ <br /> y Date <br /> O.o�Deo�-� 37418 <br /> � �o AppliCation For <br /> �]� Pu�l¢Wo�ks Feo <br /> H �g f�UBLIC WORKS PERMIT ,o,a�Fr� S <br /> less Foa� Fee Paia S� <br /> Hy � <br /> PaianceDuc $ <br /> a y� Print or Type Only <br /> t•� <br /> l�Hy <br /> �+ y H Trumark Industries E 4020 �fain Ave Spokane WA 99202 ��09) 534-0644 <br /> C]G tq Phone <br /> �� � Owner Mailing Address City Z P <br /> y �y Jack Brace (SOS) 534-0644 or Tom IIowen 353-4807 <br /> AppliG�nt Mailin�Address Cily Zip Phone �,� <br /> Describe Proposed Work new house con stiuction � <br /> W <br /> ProjedAddresslilknownl Lot 14 ���h���`���ZV �N � <br /> Atlach lour 14)�opies ol plans for proposed work- Draw lo scale and note Ihe following as appl:r�le�. � <br /> • Property Lines • Centerline ol streel ♦A <br /> • OWline and dimensions ot all eaisting and • Indica�e Norlh V� <br /> proposed structures on the lot • Show any proposod 9�adin9 changes � <br /> • Exisling and proposed utilities • Show mezsuremenls � <br /> ; ; DO NOT WRITE BELOW THIS IINE O <br /> � PERMITCONDITIONS � <br /> '�' 1.All calls lor inspection shall be made 24 hrs.in advance-pho��e 259•8810. <br /> 2.All work shall be pedormed in accordance with this permit and curtenl Ciry ol Everett Design and Consiruction <br /> 1 f Standards and Specifications. <br /> � 3.Call Location Underground Service 4B hrs.6elore you dig.TOLL FREE NUMBER 1-800•424•5555. � <br /> 4. Install rock construction entrance behind driveway as per city <br /> '�1 standard 1t208 and erosion control as directed by Public Works O <br /> Inaper.t.nr. <br /> ��' 5. Keep c.ity streeta clean at ali times <br /> 6. Curb gutter and sidewalk in the plat are new and undamaged, � <br /> f� any damage thereto shall be replaced at the diacretion of the <br /> � Public Works Inspector. � <br /> ��' 7. Any change in the drivewaY cut muat be approved by the PW In- <br /> apector, width at prop line lunited to exieting apron width_ O <br /> �' d. Connect all roof, Yard and driveway draina to atorm drain <br /> � syatem provided to lot. a <br /> �s 9. Adjuat water boxes to grade at end of construction. <br /> 10. Driveways shall be completely cured before driving on them_ <br /> �_' 1� ACKNOWLEDGEMENT OF CONDITIONS <br /> � The undersi9netl owner/applicant hereby ag�ees to hold and save hann� <br /> less the City o� Everett irom any and all claims lor damages, costs, <br /> nb ��t1j �} ezpenses. or causes of atlion that may arise because ol installation <br /> � /�.// �C V Z�—/ and maintenance ol the imProvement or other ri9ht�ol•waY usn heretc <br /> �, applied lor and further agrees to remove same upon noticc hom thc <br /> Approved lor Constructlen Date pity and to replace pubGc roperty dama9ed thereby. <br /> �/ %/'�Gf�l�tioG�/v 2t�tGvZLCC� <br /> —�as•%-�'��� 3- -�r- ij / , � �l " . , L q-y� -`'�:_ <br /> FINAL INSPECTIU`1 Date � <br /> l.pproveA as Conslructed <br /> Signa� re o�APPlican Date <br /> ^�_., WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> �/�{� PUBLICWORKSDEPARTMENT 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> ����/ 3200 Cedar Slreel BE DILIGENTLY PURSUED 70 COMPLETION.THIS PERMIT MAY BE <br /> Evorclt,WA 90201 CANCELLED 0Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phonr.259�8810 PROJECT OVER 90 DAYS DURA710N. <br />