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7/9/85 <br />Date <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Mark Wolken 8823 Holly Drive 83-203 <br />Public Works Perm" • V L ✓ 0 <br />Bldg Debl. a 85/15107 <br />Public Work, Fee <br />Tolal Fee S <br />Lee$11Py1 Fee Paid i <br />Balance Due !< LD <br />355-2443 <br />Owner Meiling Address City Zip Phone <br />Cronin Custom Homes 713 S.E. Everett Mall Way 98204 353-6500 <br />Applicant Meiling Address City Zip Phone <br />Describe Proposed Work Construct Single Family Residence <br />Prolect Address (It known) <br />810 89th Street S.E. <br />Attach four (4) copies of plans for propoFed work - Draw to scale and note the following as applicable: <br />• Property Lines <br />• Centerline of street <br />• Outline and dimensions of all existing and <br />• Indicate North <br />proposed structures on the lot <br />• Show any proposed grading changes <br />• Existing and proposed utilities <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All calls for Inspection shell be made 24 hrs in advance - phone 259.881 5. <br />2. All work shell be performed in accordance with ;his permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Cell Location Underground Service 48 hrs. before 1,ou dig. TOLL FREE NUMBER 1.800.424.5555. <br />Approved for Construction / ,Hate <br />A O <br />FINAL INSPECTION Date <br />Approved as Constructed <br />i <br />PUBLIC WORKS DEPARTMENT <br />3200 Ceder Street <br />Everett. WA 98201 <br />Phone: 25111• <br />ACKNOWLEDGEMENT OF CONDITIONS <br />LU <br />CO <br />M <br />O <br />Cl) <br />C"I <br />am <br />The undersigned ownertapplicant 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-ol-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to replace public property damaged thereby. <br />7 /g-B'f <br />Signature o plicant I Date <br />WORK AUT ORIZED 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 />