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Date 10/28/83 <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Pub.. Wort Permit e B-J 35B <br />Bid%Dept a 85/15631 <br />Public Wart Fee <br />Total Fee s <br />Leas APPI Fee Paid 5 <br />Balance Due s <br />7a/ 5rx <br />Ted Schmelzer 4126 Hoyt Everett 98201 659-4069 <br />Owner Mailing Address City Zip Phone <br />Cronin Custom Homes 713 S.E. Everett Mall Way Everett 98204 353-6500 <br />Applic: nt Mailing Address City Zip Phone <br />Eight Unit Apartment <br />Describe Proposed Work <br />Lip 7 -7 UJ <br />Project Address (it known) -4= Hoyt (B) i <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: 1� <br />• Property Lines • Centerline of street <br />• Outline and dimensions of all existing and • Indicate North v� <br />proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS O <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259.881 5. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800.424.5555. <br />To BE Covs�.ea a7�a PE,e AO.P,Poves'v O <br />def <br />Approved for C ate <br />FINAk1T4SPEeTiON Date <br />Approved as Constructed <br />i <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259-Bel5 <br />V <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the City of Everett from any and all claims for damages, costs, <br />expenses, or causes of action that may arise because of installation <br />and maintenance of the improvement or other right-of-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to replacZ77 <br />maged thereby. <br />Signature of pplicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />