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Date�-13-95 ' � �7 -� <br /> '�'� �OSTING��I�.:�:_ I c„ricwan�vmm�i• TJ��lz9 <br /> Application For R bipp Dep1 . _ G7796 __ <br /> PUBUC WORKS P�RMIT P�����,v���.F•• -- <br /> � <br /> Totei Fee S_ <br /> � l!!f�pCl iee Ppa a� <br /> � p � p p � `J p Ba'.ence pue <br /> Print or Type Only �r� o � o o r} S�___ _ <br /> � `Ov� � � «� � �� <br /> M M M � � �j <br /> Coldmsrk Enterprises 91'i Stitch'Rd 'R[.k Stevena WA"q8258 334-9F56 <br /> Owner Mailing Atldress o� � p.y C�i�Y, ti � Zip Phone <br /> Cl O � ti] V Cl U � �t J <br /> _ Krie or Jeanine Granstrom 239-0$G2 � � s' ¢' � � � � <br /> �DP���anl Malling AddresS City Zip Phone <br /> Describe Propos�d W�rk new dU le% <br /> Projec�Address�if knawn� 1926 111 th Pl SW ^_ _ Lot 8 SP 2-94 � <br /> Attoch lonr 14� copies ol plans lor proposed work� L rpvi to scale ana nole R�e lollowing as applicablz� � <br /> • ProPerty Lines • Centerline ol slreet � <br /> • Outlina and dimensions ol ell ezisling and • Indicale North <br /> proposed struclures on Ihe lot • Show any proposetl greding changes <br /> • Ezisling and propo^�ed u�ililies • Show measurements � <br /> GO NOT WRITE BELOK'THIS L!NE /�y <br /> PERMITCONDITIONS [ 1 <br /> 1.All cells lor Inspection 3hell be mede 24 h�s in edvence•phone 259•88�0. �~� <br /> 2.All work ehali be padoimetl In acco�dence wlth thle perrait end currenl City ol Evereft Desipn and ConstrucNon ' <br /> Stande�ds end Specllicetions. <br /> 3.Cell Location Underground Ser�ice 4B hre.belore you dlg.TOLL FREE NUMBER 1•800�424•SSbS. � <br /> J. C.Pep c�ly slreels c ICcl�1 al cill t�mBS. <br /> 5, C!�fb�i/llPr nnd•Id^wnn In IhP nl(1� rlrp r1CW Of1�7�vlh(1mC1�Pd. Ony rlrinl(1qC Ih?rPlO Sh011 bP�PpIOCPCI[d R'�p O <br /> Jiscr211on of Ihe P�,blic W'urls IrnpeCtor. <br /> h. Anv chanqe In Ihe nm�eway c��I must be approvetl by Ihe P W Irnpeclor,wltlth al prop line Ilmltetl lo ex!cmiq <br /> apron wltlih. � <br /> ,• Adjinl waler Uoxrs Ic�y�pde u� enU of coihhuclian. <br /> ;. S'�1 fenc�+s antl/or othpr eroalon �onlrol me�nnrM 5hall be Irntulle�l by the bullder al the cllrecllon r��Ihe P;�blic � <br /> r,:;�1,Incpector. <br /> . kooliop tlrainoqe shail he cJrschon�ed: O <br /> !��` � =• ! F. ' .9, � ronnecl tc ihe plal's storm tlraln<yS�pm, �slub R provldetl at Ihe tront of the iol. <br /> �-���' �� ^ =� C ur�nect lo Ihe lol's Indlvidual Irenc I�tlraln provlcleJ at Ihe rear ul eoch lot. � � <br /> �" aullon; Care mlat be la1.e�no� to dKrupt inf�area ol Ihe lipncl�ciralnl � <br /> / ACKNOWLEDGEMENT OF CONDITIONS <br /> / ��1 pS _ 7he undersigneJ owner/appl.cant her�by agrees lo hold anc:save harm� <br /> less the Gity ol Evarett from any and all cleims lor damayes, cosls <br /> e�penses, or causes of nction �het may ense because of installntinn <br /> � � :.nd mamtnnence of Ihe in�provement or othni �iFhl�ol�way use heielo <br /> — — epPlietl lor end Iwlher aqrees �o remove aeme upon notice Irom Ihe <br /> Ap roved 1 i Co truction Date Cily and to replace public property demaged ihereby. <br /> � — �� - � s� .- z <br /> RNAL I P ION � Date �4'��� ���>' � � <br /> Approved as onstru:ted �line of Apphcant Dele <br /> �A�I� PUBLIC WORKS DEPARTMENi WORK AUTHORIZED B" THIS PERMIT MUST 9E STaRTED WITHIN <br /> 3200Ceda� Sireet 180 DAVS OF DATE FEFMIT IS ISSUED AND THEf1EAFTER IS TU <br /> Everett,WA80201 BE DILIGENTLY PURSUF.D TO COMPL[TION. THIS I�ERM�T MAY BE <br /> Phnne:259�A810 CANCELLED BY THE CITV U?ON ANY STOPPAGE Oi WOFK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />