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Date 3-13-95 �„���w�,..P�,m,. 9�/3� / <br /> ApplitahonFm � � �OSTIIrp ��R=y 1y1, - �,aaDeo� . 47734 <br /> PUBLIC WORKS PERMIt P��;�„�e���° s — <br /> � Lefa�pPl FeP Pa�G S <br /> Print or Type Only , .e.�.�«o�� s 24 <br /> , <br /> Goldmark Enterprises 915 Stitch Rd Lk Stevene WA 98258 334 9656 <br /> Owner MxihnyAtltlress ��' Gfy Zip �hone <br /> Kris or Jeanine Gran z[rom 239-0862 n ..' . ' � �, .. , <br /> Applicanl Meiling Address City Zip Phone <br /> Describe Proposed WorV _ new dun1�X _ <br /> Project Atldress 1�1 kno��•nl 1905 �11 th Pl SW i.ot 5 SP 2-9 , � <br /> Attach lour 14)topies of plen9 (a propo5ed work� Draw to 5cale and note Ihc lollowing a5 epplica6le: � <br /> • Proper�y Lines • Centerline ol street � <br /> • Oudine and dimensions ol all eMis6ng and • Intlicate Ncrth <br /> proposed structures on the lol • Show any proposed gratlmg changes <br /> • Ezlsling and proposed utllities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMITCONDITIONS O <br /> 1.All cells lor inapection ahall be made 24 hrs.in edvance•phone 259•887 0. � <br /> 2.All wurk ahall be peAormed In eccordance with this permit and current City ol Evarett Design end Constructlon <br /> Stenderds and Specilicatlons. <br /> 3.Call Locatlon Underpround Service 4B hrs.before you dig.TOLL FREE NUMBER 1•800-424•5555. � <br /> J. 1 P('p(ily SIfPPK(IP(1�1 CII OII Ii171f5. <br /> . r�irh r�i d��l !1nC1'KIPWCIIP Ifl lhf+�l�91 OfP f1PW(ln7!��dOfTK1QP(1.Cifly dC1i11C1(?C IhPfPlO Sh011 bP fP�.)IpCPIi OI Ihp O <br /> d�screllon ol Ihe PuGlli Wor1.5 Ir�spec.tOr. <br /> . . A�ly C�hCmqP In�hB UMPw�V Cul m�r,' bp�pp�OVPtl by ihP PW inSpCCIOr.widlh a�proU IInP IImtlCA 10 Pxr511nq � <br /> 'pron�nifdlh. <br /> . , Adj��l wulei boae� lo yrade al entl of CorxlruUlon. <br /> . Sill fencec anA/or oRipr eralon co[trol mem�iren shall be Installpcl by Ihe ryi iiltler al Ihe[firPcllon of 1he P�ibllc � <br /> :vcrls Impccl0r, <br /> +. MOoflOn CIfpI11C1(�Q Sh011 bP dRGhlifCyPtl: � <br /> l��: 1 ^. '1. 6. �,A. 9 rOMPCI �p ihP(?I!1P�.clOfitl CIfCPrI SVK1Pl11. (7 c�i iC h ',� vICIPCI Gl IhC flOfll Of Ih!+Inl <br /> lJIS41li: �-01111BCIIOIhPICI'SlfiUi•:i;JlJCllllE'flCh(IiUlli�;lO�.n,L'•:1CIII�ICIFillpl(•i1CPi101. � � <br /> t (1�ihOn: C��i(ini M UP la1(���nol ip dnn ipl IhP curO ot IhP IiPnc h clr(71it� <br /> ACKNOWLEDGEMENT OF CONDIiIONS <br /> i � __ The undersigned owner/apphcant hereby aBre^s lo hold and eave harm� I <br /> �n less Ihe City ol f.veiell Irom any and all claims lor dmm�ges. cost:. <br /> ' �^�� � e�penses. or ceuses ol aclion ihal mny arise 6eceU9e Of mStallBtion <br /> ��`//r/ __��G+� and maintenance ol Ihe improvement or other ri;�hl�ol-waY use heieto <br />�I —�-' -L=-- eppheA lor end lur�her ng�ees lo remove same upon nolice Irom the <br />� Approved I Consiruction _ Dale <br /> i Gry�nA to �eplace publ�c properry damaged Ihereby. <br /> 1 <br />� �_,._�l�- � .� �/s� i� -� �--�� s- i�- �s <br /> i F AL INS?ECTIOIV � Dale �- �---� <br />! Approved as Constructed Si nature ol Ap�licant �� Uate <br /> � PUBLIC WORKSDEPARTMFNT WORK AI;THORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200Cede�Street 1B0 DAVS OF DATE PERMIi IS ISSUED AND THEREAFTEF IS TO <br /> Everett,WAP8201 BE DILIGENTLY PURSUED TO COMPLETION. TNIS PERMIT MAV BE <br /> P�one:259�8810 CANCELLE�BY THE CITV UPON ANY STOPPAGE OF Wt7RN ON THIS <br /> PROJEGT OVER 90 DAVS DURATIO�I. <br />