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Ds�s 3-3-9% 1�1 P�STI NG _'I- ��_44 <br />App6cation For <br />�O <br />P�JBLdC WORKS F�,ERMIT <br />Q <br />GC <br />Ci <br />Print or Type Only <br />Duane Be <br />Owner <br />Owner <br />Aoplicant <br />Desalbe Prupoaetl Work <br />rp Ifi S g O u� 7 <br />I� ON.p� 0�p0 �Tp <br />� L� N N M N N <br />12417 36th Ave SE Eve�i` tt WA 98208 <br />Maihng qtltlres �. ro [�uv <br />� O O C <br />� M � Ift <br />!3"�7540 '" <br />�������� <br />new house <br />Lot 8 :isenhower Court <br />Ctly <br />{WjY \W <br />N ~ U <br />Lp <br />Project Atldress Id knnwnl 2509 101st St SE '� <br />Attnch lou� 141 copies ol plans lor proposed wo�k � D�aw lo scale antl nole me lollowing �s appliceble. <br />• Properry Llnes <br />• Oul6ne entl dimension9 of all exis6ng end <br />proposed etructures on Ihe lo� <br />• EHlsting and propnsed ulilitiee <br />Gup.c Woa� Perm�� • 1 Y/� � <br />�"e_' 7. <br />B�U�� Oeo1 � �y�]� <br />�2 Wone fee <br />fala� Fea � <br />�ea �ooi Fee Pnd 5 <br />Bal�ncsDue a Zd� <br />• Cenlerline uf st�eel <br />• Indlcele Norih <br />• Sh�w eny propoeed grading chenges <br />• Show measuremenla <br />Phone <br />PERMIT CONDITIONS <br />1. All calls for Inapeclion ehall be :nede 24 hrs. in advenca � phone 259•8810, <br />2. All work bhell be pertormed in eccordenca with thie permit antl curreM City of Everett Dealgn and Conetructlon <br />Stande�de end Speclficefl�ns. <br />3. Cell Locetlon Underground Service 48 hre. before you dig. TOLL FREE NUMBER 1•800•424•5555 <br />�. Instal rock constnictlon eMr�nce behind drivewsy ae per ciry <br />sfindard l20B and eruslon control es dlmcted by Publc Woiics <br />Intpector. <br />5. Keep cfly ctroets cban at al limes <br />8. Curb gutter �nd tidewek in ihe pIH ers new md und�meged, <br />+rry damage therelo ahal be replaced et Ihe discretlon o/ lhe <br />Publc Works Inepeclor. <br />1. Any chanpe In the drive�wy cut mun be approved by Iha PW In- <br />ipector. r�idth al prop Ine ImHed to eri�ting apron width. <br />8. Connect al roof, yard md drfverwy dralns to storm drain <br />syotem provlded to bt- <br />9. AdJuet water boYee to pnde at end of construction. <br />10. Drhroways shal be r.ompktety cured bafore driWng on Ihem. <br />'`_'L���1 ��% -- <br />OCKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />� <br />� <br />� <br />O <br />The undersignetl awneVnpplicent hereUy egrees to hold end save herm� <br />iee� �... .-.�.. _, .-..'__.. .___ _ . .. . . . <br />