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Date_3_13-95 /� <br /> �_ <br /> 4 PunL,;Wo�h�Perm�l% -1 � ��� <br /> AppliCation For Bmy oaci . ti��3� <br /> PUBLIC WO�KS PE��TING _`� I I,�I� PubTote Fee�ep f <br /> � <br /> �J� Lefe�oo� FeePeiG S <br /> f'� <br /> Print or Type Only � � � � � f, �, e,�.�«o�, 5 24� <br /> y_ <br /> cT <br /> h- V) O C] `O O � <br /> � °� rare .nriui <br /> M N M � « .hi <br /> Goldmark Enterorises 915 Stitch Rd� L� Stevene WA 9�258 334 9656 <br /> Owner Mailmg qdtlress � <br /> � ��Y � Z'� Phone <br /> c�i o `��' � �S `� c�.� Fa'+ w <br /> Ktis or Jeanine Granstrom 239-086� � � �' �' 4�' � � � <br /> Applicant Mailing AtldreSS <br /> City Zip Phone— <br /> DesCribe PropoSed WOrk new du e <br /> ryl u,E �( <br /> ProjectAddress�ilknownl 1932 lllth_Pl SW __ Lot 9 SP 2-94 � <br /> Attncb lour(4)copies of plans lor proposed work• Draw lo scale and note Ihe lollowing as appLcable: � <br /> • Prope�ty Lines • Centerline of sireet �� <br /> • Outline nntl dimensions ol all eaisting antl • Indicate Norih � <br /> p�oposed slructures on the lot • Show eny proposetl grading changes <br /> • Existing and proposed utilities • Shnw meesuremeMs <br /> DO NOT WRITE B[LOW iHIS LINE � <br /> PEFMIT CONDITIONS O <br /> 1 All calls lor Inspection ehell be made 24 hre.In advance�phone 259•8810. <br /> 2.All work ahall be paAormed In eccordence with Ihis permil antl current City�f Everetl Design end Construction ' <br /> Slandards end Spacilicatlons. <br /> 3.Cell Locatlon Underground Servica 48 hrs.before you dig.TOLL FREE NUMBER 1-$00•424•5555. <br /> �. neen< ��y siree�s c iean:n un wnes. � <br /> `. ('!I'U QVItPf C7nQ<IdfW011'1�1�hP plCll prn nn�.,, n��.�i���r�nT!17Cf1 (l�ly!��Inlfla(+ I�1CfP10 ShCll�pf fP�llpC (`rl OI t�ip O <br /> disuetlon of Ihe Public Won,s Inspecta. <br /> a Anv chnnqe In the cfrlvewoy cul m�.rcl be opprovpcl bv pie pyy �mpe��_��r,wltllh al p��� ��ur Ilmiled to exktinq <br /> :�pron wldth. � <br /> �. Adj�nl wuter Uoxch io 4rtude ul r.nd o(c,ornhuclbn. <br /> '�. SIII fences and/or Mher eroslon conlrol measi�rPt shall be Irxt�llFc1 by Ihe bi�IIAer Ot the clireclion ol the Publl� � <br /> :Ycrt s Inspec lor. <br /> �. �tooftop aramaqe snau Ue UKcharqed: O <br /> �^�� � '� � (. 7 R.� Connecl to the plarc<lomi ctr�in syslem.��h�b K provlcietl al Ihe fronl of Ihe lot. <br /> �ois a L ^ ::onnecl lo Ihe I��I's inJivltl��al IrFnch d�uln provlded ul Ihe reur of each IoL � <br /> �=a�aion: Care m�Ki ue inken:�ot io aicwoi ihe orea ot�he trench aroini <br /> � b(�r��F�q� ACKNOWLEDGEMEN�OF CONDITIONS <br /> F � The undermyned owneqeppllcant here�y agrees�o holA and save harm- <br /> le,s the Ciry ol Everetl Irom eny anr! all claims lor damages, costs, <br /> / /l /�C�! „ ezpenses. or c.auses of acl�nn ihal mAy arise because ol inslallalion <br /> LL���Xi��� ��� �/2z�95 and maintennnce of the imprevement or o�her riphbol-wey use he�elo <br /> APP�ov rstrucli n Da1e npplied for end Iw�her ag�ee5 lo remove eame upon nolice from the <br /> ') City and fo replace pu61i ruperty Jemaged Ihereby. <br /> ^_� " �� —�� � -. <br /> FINAL I "C710N Date � l_C �� / .5 <br /> Approve s Gonshucled Sg re olApphcan Dete <br /> ���J{� PUBLIC WOHHS DEPARTMENT W H AUTHORLED BY THIS PEFMIT MUST BE SIARTED WITHIN <br /> ,�!/ 3200CetlarSireet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everelt,WAg8201 HE DILIGENTLY PURSUED TO COMPLETION. THIS PERti11T MAV BE <br /> Phone�259•BB10 CANCELLED BY THE CITV UPON ANY STOPPAGE OF WOFK ON Tii1S <br /> PqOJECT OVER 90 DAYS DURATION. <br /> i <br /> II <br />