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�::, . <br /> �/-3i —'•�-s" � . <br /> Date 7-18-9] ��oiic�vo�4�ve�ma• �1 Z77 <br /> , 91/27360 <br /> ��� qpplicationFor . �O POSTING I�_5� ' o�4oeo�., - ' <br /> ��x pUgLiC WORKS;:�PEF�lVIIT P°�"°,°�„SFeC S _ <br /> TOI�IFeo <br /> �..{ r�: i ��ssAooLFcePam $ <br /> 9 yx y ' r� r : - �� " c r � 6aiancc Due S Z� <br /> H y� Print or Type Only � ^ °' ` "' <br /> � z� - i , r� r r .., r. � , r_�- <br /> �'i� -� rn -i � i� ` <br /> . y.� -. .. �� m r � -� -i �,� c. <br /> � H� '� o-. i� r'• a p 'n ., <br /> y H Fairmont Homes Inc 21902 38th �&ve hl ��Brier WA 98036 356-2435 <br /> Owner Mailin9 AdOreSs � �� �� � Cny ' � ,. Zip Phane <br /> r <br /> ' r� G�: I Ci [� r <br /> rp�+� p. ( r] LJ (J L i �-�' <br /> [+J 0�• '�, l"J Z O W � O c 1 � �� ! 1 1 W <br /> � H� �1S71G'T _ G) ... - o: [i� �v xc .. ,:. _.. .._ i.. .��i r.' . . <br /> H ��y qPr,��a�� IdailingAddress City Zip Phone <br /> /� O <br /> y�V � <br /> H <br /> x H Describe Proposetl Work ne�i SFR <br /> aH <br /> rHH — <br /> � <br /> H - — <br /> " d� Wr,� r�� 3a2-- �IP�-+ c�.,.;�_ <br /> EZ H p� Project Address�if known) �L_�'--_ ""� r "'� - � <br /> H O C/� <br /> Atlacn tour�4)copiCS 0� plans for pioposed work- Drav;to scale and note Ihe following as applicable� � <br /> • Pwperty Lines • Ccnlerlinr. ol stree� ♦A <br /> • Outline anA dimension5 0�all enirling anA • lndiwte North �� <br /> proposed structures on the�ot • Show any pwposed�radmq chanqes <br /> • Exis�iny and pwpo[�d uiili�ies • Show measuremerts /�/� <br /> \�li <br /> DO NOT WRITE 9ELOW THIS I.INE O <br /> � � <br /> I� � PERMITGOND�iIONS <br /> 1.All calls tor inspection shall be made 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shall he perlamed in accordance with this permd and current Ci;y of Everetl Design and Construction <br /> w � Standards and Specilications. <br /> � � <br /> 3.Call Location Underground Service 48 hrs.before you dig TOLL FREE NUMBER 1•800•424•5555. � <br /> �/' / I G�ec�v� .��,��, Al� �-'"�'� • � <br /> �� l�-i G� S�i'KG 1 <br /> �uY�� /� - � <br /> / f' )t.l[.i �c.l' j� - ,. �li:_. �f.; : _T%. � �. . �_ (r�• _/ , ,��5��.�r�t- � <br /> �� l � ♦ <br /> O �i C�.'C�Ce i',I'i_ � /.i �i. � <br /> �ew'�i <br /> � <br /> �r � � <br /> '�� I <br /> O�� <br /> �� ACKNOWLEDGEMENT OF CONDITIONS <br /> � '�r', The undersi9ned owncUapplicant hereby a9rees Io hold�nd savr. h�nm <br /> � � — less the Ci�y of Gve�etl �rom any and all cl�ims for Aamac,�es. cosis. <br /> � expr.nses, or causes of aclion lhat may arise because ot installalion <br /> ��_� y�/� C 1�_ _ �-Z J-91 �nd mai •nance ol �he improvement or other ri�hiroFway use here�o <br /> �� � � F-�� applied or and further agree.. lo �r,mave same upon notice irm�� the <br /> Apprcved lur Co�s�n�r.�/ip�A Dale �-Citya� ia f�ldce public proper�. •�:::naged Ihereby. <br /> — '1! i� ' / // / c/ : \ —_ -=__`_ ' " . __ . <br /> �II _ <br /> cG�! _-� <br /> FlNAL INSPECTION Date ------- <br /> Approved as Constructed Sign e I A plican� . ���� <br /> � PUBLICWQRKSDEPARTMENT W K A�1�0 IZED BY THIS PERMIT MUST BE STARTED WITH:N <br /> ,V� 180 DAYS RF TE PERMIT IS ISSUED AND THEREAFTEr7 IS TO <br /> 3200 Cedar Streel BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAV BE <br /> Everett,WA 98201 CANCELLED B�THE CITY UPON ANY STOPPAGE UF WORK ON THIS <br /> Phone:259-BB10 PROJEGT OVER 9J DA"S DURATION. <br />