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�;'- 3t - Zq - 9Z ,�t32 <br /> PUGIiC WOi�s Vmmi�� —— -- <br /> Date 3-27-92 �mn.oea.. 36193 --_- <br /> qpplicalion For _--- <br /> � p ° 1 WO�RKS PERMII• PuUI¢WoixsFea 5_ __ <br /> � � PUBL C '°"'"� <br /> Lcss aoP� Fcc Pain S <br /> � y �_ <br /> [�z Bainnce oue S Zv^ <br /> � � �i Print or Type Only TO POSIINGJ-��- <br /> �°a � ° <br /> y Fairmont Homes Inc. 21902 - 38th Ave W Brier, WA 98036 Z'n 356-2935 P'onc <br /> C7 7�' MaiVin9 Address C'�Y - <br /> pQ O � � Owner . <br /> �] d <br /> O N <br /> Oimex City Zip Phone <br /> Mg� N qpplicant tdailing Address <br /> r y <br /> � N N Describe Proposed Work Construct new SFR <br /> Oq N <br /> �C � <br /> � � y - W <br /> N <br /> nf R1 rkforPeY '�.a� - 5 Z' � 48th P1 SE � <br /> Prolect Add�ess(il known) .�T�- — <br /> At�ach four i4)copics e� p!ans for p�oposed work- Draw to scale ai�d note the following as apUhcable�. � <br /> • Centedine ol stree� ... . . . <br /> • Properly Lines • Intlicate �lorth �- � <br /> • Outline and dimensions of all�zisiing and � ghow any proposed yratling changes <br /> proposed structu�es o��ihe lot � ghow mevurements ., . � . . M <br /> • Existing and proposed utilities W <br /> DO NOT WRITE 9[LOW THIS LINE � - � - O <br /> PERMIT CONDITIONS -� � � <br /> 1.All calls for inspection shall be made 24 hrs.in�dvance-phone 259-88�0. <br /> �-' �-�.` 2.All work shall he pr,Aormed in accordance with this pennit and current City ol Everetl Design and Const�uction � <br /> r Standards and Specifiwlions. � <br /> � �� 3.Call Location Underground Service 48 hrs.betore you di9.TOLL FREE NUMBER 1•S00•424•5555. <br /> 1 ,,<� � 0 <br /> 1�`�j r-� , � <br /> ��� " <br /> , � <br /> i __ a , <br /> , �_�_� <br /> J � ACKNOWLEDGC-MENT OF CONDITIONS <br /> I-�r' , � _ The undersiyned o�n�neUapplicant hereby agrees to hold�.nd save harm- <br /> I — less thc City ol Everett Irom any and all claims lor dama<�es. costs, <br /> eaper.ses. o causes ol action that may arise because of installalion <br /> � � �� and maintenan� ��� ,' Ihe improvemenl or olher n9h4of-way use hereto <br /> �� ��y��- / �_ app�ied br and ��,��4ier agrees to remove same upon notice from ihe <br /> ,�� �Approv �or o ruc � n,� �; Date City an tu rep7ce 1�iblic p�operty dama9ed thereby. <br /> / % .',C . / _'� — '_�� <br /> . ' � .� �6�.���`..�%��.. %, f- % � <br /> � Date <br /> FINAL INSPECTION Applicant Dace <br /> i� a <br /> AnProved as Constructed Vy q THORIZED BY THIS PERMIT MUSi BE STARTED WITHM � � <br /> /���,� PUBLIC WORKS DEPARTMEM� 180 AYS F DATE PERMIT IS ISSUED AND THEFiEAFTER IS TO ... <br /> 3200CedarStreet I BE DILIGENTLY PI!FSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Everet�.WA 98201 CANCELLED BY THE CITY UPON ANV STOPPAGE OF WORY.ON THIS <br /> Phone:259�8810 PROJFCT OVEH 90 DAYS DURATION. <br /> � <br /> Ii <br /> I <br />