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Date 3-13-95 'n�T�NG 5 ' �j - �l�G' P„��,�wo,w.P»,m��. 95 I <br /> ApplicBtlon F�r e�aa oeot • /.�7 .�r79C _ <br /> PUBLIC WORlG� PERMIT Pu�LCWor4eiee <br /> ialei fen s <br /> Op Lee��on� fee Pe�a s <br /> r� Babnce�ue s� <br /> Print or Type Only � ,� 8 e3 � `� �� `.fs' <br /> a <br /> `; n � �' � .Y `M�, � <br /> M M M <br /> Goldmark Enterprises 9L5 S'tit}ah Rd Lk Stevens WA 98258 334-9656 <br /> Owner Meliing `cki•6�s ;.7 iity Zip Phone <br /> �; � `�' �3 � `�''� � � i <br /> Krie ur Jeanine Granetrom �34sQ$42 � � � �; �� _ <br /> Applicant Mailmg Atltlrees Cily 2 p Phone <br /> Describe Proposed Work _. �eW dUp1E% __ _ <br /> --- W <br /> Prolect Address lil known� _ �91G�1 I tIl P1 SW _.______ _ Lot b SP 2-94 � <br /> Attach�our(4)copies ol plans for proposed work• Draw ic scale anA nole�he lollowing as appbcable: � <br /> • Pwperty Lines • Centerline ol streel � <br /> • Outline and dimansions ol all exishng anA • Indicate North <br /> proposed structures on ihe lot • Show any proposed greding changes <br /> • Exlsling and proposed utildles • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PFRMIT CONDITIONS <br /> 1.All calls for Inspaction uhall be matle 24 hrs.in advence•phone 259•8610. � <br /> 2.All work shall be peitormed in ecco�dance with this pei,nit end current City ol Everett Design end Construction <br /> Standerda end Specillcatlons. <br /> 3.Cell Lxat!on Undarground Service 48 hrs.belore you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> a. �eeu c u�ciiec�is c i<an ai a i nmes. � <br /> _ �Urb�l�il!�r ni,C)cICIPwCt6 In IhP plqt rirP npw�rl<I i.in!1�7ntO�e(I. Or�y:10�nr7q!� IhP�Cto'hClll bP r�pIOC Pd Ctl �IIC <br /> Jhcretioncf Il��e P�blic Wor1,51nsUector. <br /> f. Anv chonqe�n the drWewnv c�.�i m�Kt be approvecl bv �he PW Ire.peclor.wltllh at p�op linc!nm!icd Iv exKllna � <br /> apron wlCflh, <br /> ', Ad�lhl Wplf 1 UCxp� IU ytplJ@ OI ef1C1 OI COfhINCllpll. � <br /> w. $II� (Pf1CQ5 tl!1(1/Of OIhP!P.f(XIDII fONM�RiP,<RUfP.S Sh011 bt!IfK�C111PC1 by Ih@ b�i�IdP,f OI ihB tlllPCllOfl Of IhQ Pi/bIIC <br /> vlorl i Inspccta. � <br /> +, eoortop tlrainaqe snnii be tlKcharged: <br /> IAIS 1.2 �. 6. ��.A, 9 COl1f1PCl �O ihP pIOPS c�O�f11 Clf!1111 cyS�Pm.O clUb K DfOvitlPd CII �hP hOltl ql�hC IGI. <br /> ��,;Hi� A 5: -:,imec t b� the lofs lntlivlcl��ul hench Ura�ri pre�i.IPd O� IhP reO� 'vl PUCh IGI. � <br /> �� (li i11011: l (IIP ini n.l IiP 10V f�l n01 �O(lhn ipl I�ip qIPO Of II1P hCI1Ch ChClnll <br /> ACHNOWLEDti[MENT OF CONDITIONS <br /> �� . /6�4r The undersigned owneVapplicanl hereby ag�ees to hold antl save haim� <br /> --- — -- less Ihe Gity ol Everetl Irom eny and all claims �or damages, costs, <br /> �� �/J pezpenses. or causes of action that may arise because of inslelletion <br /> —��%/, Q ^CL�� '7��//` and maintenance ol �he improvement or other riahPo6waY use hereto <br /> 1(�1�i.._(('' �o J � Bpphr.A �or end lurlher agrees to ramovn same upon notice Irom ihe <br /> ApProveA I .nnslrucfion —�_Dale City and to replace pubhc p perry damaged ihereby. <br /> y <br /> G �� ��� � � 3- 23 - 5s' <br /> FI L NI SPECTION � ^ <br /> Z �� Date <br /> ApProved as Conslructed Si ature ol Applicant Date <br /> � PUBLICWOFKSDEPARTMENT CRK AUTHORI213D BV THIS PERMIi MUST BE STARTED WITHIN <br /> 190 DAYS OF DATE PFRMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Ceder Street y� DILIG[NTL1' PURSUED 10 COMPLETION. THIS PERMIT MAV B[ <br /> Evaretl,WA 98201 GANCELLED BY TI�E CITY UPON ANY STJr'PAGE OF W09K ON THIS <br /> Phone:258�BB70 PROJECT OVER 90 DAYS DURATION. <br />