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� � y �= i�,�-�- <br /> �4" � �j _ a�o„�wo�wsa��m�i. ����" <br /> y y N Date��42 �(�205 <br /> r� sm� o��o� • <br /> H 3 <br /> Appiication Fo� <br /> K � PUBL'C WORKS RERMIT '°°'�°W°«=`�� -- <br /> a � Tutai Fec 5— — <br /> O '�37 O iess aoni.�ee aaia 5 <br /> � H � �� �,��rini� 3-31_q3 <br /> V1 H - _ � eai,oce ouc S ZP�' <br /> x o � Print or Type Only <br /> L�7 t+i <br /> H t7 <br /> H � g Cronin Ilomes, inc. 713 SE Ev Mall Way Everett 98208 353-6500 <br /> �" n Owner Mailing AdAress � Gty � � 7ip Phone <br /> ~� � <br /> GH <br /> �> y <br /> H y Owner . -- .- <br /> �� A'�plicanl Maiiin9 A�ldress City Zip Phone <br /> H <br /> CC� C7 fn <br /> !� � � Describa Proposed Work neta SFR _ <br /> � <br /> ZHCn <br /> i H O Cn � <br />' — —— � <br /> Pwlect Address lif knov:n) 8732 lOth Dr SE � <br /> Attach tour(4)copies of plans lor proPosed work- Draw to scale antl note ihe followir,g as appllcable: �� <br /> • Property Lines • Centerline of s�reet '^ <br /> • Outline and dimensions ol all ezisiinq and O Indica�e Nor�h �d <br /> proposed structures on the lot a Show any proposed gradin9 changes <br /> • Exis�ing and proposed utilities • Show mezsuremenis /�q <br /> drf� <br /> DO NOT WRITE BELC N THIS LINE � <br /> PERMIT CONDITIONS <br /> 1.All calls tor inspection shall be made 24 hrs.in advance-phone 259•8810. �\ <br /> 2.All work shall be performetl in accordance with Ihis pennit and cdrrent Ciry of Everett Design and Construction ♦ <br />� ��' Standards and SpEcifir.a�ions <br /> 3.Call Location Undergmund Service 48 hrs.belore you dig.TOLL FAEE NUMBER 1•800•424-5555. � <br /> '_' �. , �. . , .... ... �� . � , . . . <br />� f ' .. �� � r/ <br /> �, c�ty stre�ets c1F�n �it all 'r.ime=_ <br />� r ' -��b aui P.er cnd �aidew �11<. tri Y.hc- ala+ a�-e new arid �_indar:� - . � <br /> � ����� clam-�ne i-h�r �te shall. be r�piac.ed et the discret.ior, <br /> � � :�i.Q�i�.-. 4Jor-4:.c' [nspec'r_or. <br />' / 0 � ,� channc� in the drivF:wtey c.ut. m�_ist be appr-oved n•;' thte � <br /> ' ' -.ar..i:o�-. w.irjt.h ai_ pi-oP line limitcd to e;n.stir�q :.iPron �,,;.': � <br /> � - �.mer.t all ront, yard and driJvuay dre,ins i�n �tor-m rlr �. <br />� � � .i i�rti n, i ;irlr � I'n 7,-''l-' . i �. . . � .� , � , ..�,. iY� <br />• �' , . . . . , . , . , .. . . . � . � �, � <br /> � <br /> 'a <br /> _ // ACKNOWLEDGEMENT OF CONDITIONS <br /> 1_' �r� - The undersic,•ned owner/applicaN hereby ag�ees to hold and save!�arm- <br /> less ihe City oi EvereU from any an; all claims lor tlamages, cosis. <br /> I f_� �� ezper.ses. or causes ol action fhal may arise because ot insta!latior, <br /> �(� Ifl/� L � �_p_oJZ and maintenance oi �he improvemem or other righ�-ohway use hemto <br /> ' �C V�� � � applied for and lurther a9rees to reinove same upon notice irom 1Le <br /> Approved onslluclion ��tE City antl to replace public Uroperty damaged thereby. <br />' / � r <br /> ! j <br /> � c <br /> PINAL NSPECTIO ` Date � '� ' -- <br /> ApProved as Construc�.:d Signat of App� ant �'I�' <br /> �� ��dLICWOHKSDEPARTMENT VJO AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 18Q�DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS 10 <br /> � 3200CedarStreet BE DILIGENTLI' PURSUED TO COMPLflTION. THIS PERMIT MAY 6E- <br /> Everetl.WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�8810 PROJECT OVER 90 DAYS DURATION. <br /> I <br />