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Date 6-Z1-95 P„o�����o,��a�,m,�. �5��_ <br /> Apulication For o�a9 o�p� . 48678 __ <br /> PUBLIC WQRf�S PERMIT ����������,�sF�� -- - <br /> .o„�FPe s <br /> ��l P�STING _�"� h g `°Q7 LessnnotF<ca.�� 5 �^� — <br /> Print or Type Only ' Ba���=�o�� s �� <br /> Dally Homes 3:16 F'uhrman Ave E Ste 100 Seattle 98102 328-3770 <br /> Uwner \4aiiinr;lddress City lip Phone �\ <br /> N�I <br /> Owner <br /> Applicant M:;ilinr,Address Ci�y Zip phonc <br /> Describe Proposed YVork _neW house_____ __________ .__ ___ <br /> . ___ --_—_—_____— —— _ W <br /> Project ACdress Iif knownl 4032 Kromer Ave ________ ______ _ _ L <br /> — r-- <br /> Attach four(.) copies ot plans foi propused work � Drav: to scab�.inn note�he tollowing as apulicaM��: � <br /> • ProPerty Lines • Cen�erlme nf stree� /A <br /> • Outiine and dimensions of all existing and • Indir.ate North V� <br /> proposed strucWres on the lot • Show any rro�o5ed�ratlinq r.hanqns <br /> • Eais�ir�� and proposed utilities • Show measuremen�s Y <br /> DO NOT WRITE 8[LOW THIS LINE �� <br /> PERMIT CONDITIONS C� <br /> 1.All calls for inspection shall be made 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shall be peAormed in accordance wilh this permit and current Ciry of Everelt Design and Construction <br /> Standards and Specitications. <br /> 3.Catl Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-500-424-5555. � <br /> ��. �itlC�1 CIIV SIiCCIS C�C.IO 8I �lililCS. � <br /> 5. Curb gutter and sidewalk in the plat are ncw sll(I 11lld:Illi;i�Cl�. .my d2a�age Il�ereto sh�ll be roplace:l at tha <br /> discrction oFthc Fublic Works [nspector. <br /> 6. Airv �ha��ge ui Ihe d�ivea�ay cut must Ue ap�rovecl by ihe P\U in;pacior. widlL a� prop W�e limitdci to � <br /> e�islvic 3pron widtl�. <br /> ? Adjust water boxes to grade at cnd of conslniclion. �/1 <br /> S. Drivcways sh�ll Ue complcl�ly curcd before driving on thrm.. r� <br /> 9. Fooflop driin��e sh;dl be discherged: � <br /> • to Ilic sitr's stonn drain .rystcm (privatc or pubGc) � <br /> � e <br /> � �l�b ACKNOWLEDCi[MENT GF CONDITIONS <br /> �\ <br /> Th�+undersiqned owner/appilcznt nereby a9�ee5�o hold anC s.�ce P�arm- <br /> //}} —j less Ihe Gity o� Everelt irom any and all claims for da�na9es. c.sis <br /> �� ,�J,�G/ , �/�/�� ; Cxp('q5C'S Jr �3USE5 O� �CIiOn �hd� fi13% 3�i59 6BC2lISE O� i�5�all;dl01� <br /> yv� � , � and main�enanr.[- o! the unprovement or other righ; ol�way use hereto <br /> F�,., <br /> . � ,a;pl�nd for and furthar aqrePs to remove same upon notice Irom Ihe <br /> Approved for Cor�a(ruction �� �� C,'y,-���d � rrr�.�.-c Ucbhc rop�r;y de iaged thereuy. <br /> �� <br /> ;-1,���� _ � _ - �� <br /> PINAL INSPECTIO� Datc i � �._ _�� Z ����-S <br /> Fpproved as Constructed ignature of Applican! Date <br /> : PUBLICWORKSDEPAR'fMENT WORK AUTHORIZED BY THIS PERMIT MUST �L= STARTEG WITHIN <br /> 3200CedarStreet 1H0 DAYS OF DATE FERMIT IS ISSJED AND l'HEREAFTER IS TO <br /> �-� BE DILIGENTU' PURSUED TO COMPLETION. ThIIS PERMIT �dAY P[ <br /> Everett,WA 98207 ; CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259-8810 i pROJECT OVEF 90 DAYS OURATION. <br />