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Date 2/11/86 <br />Applicalk n for <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Ben Kirstein 2209 Colby Avenue <br />Public Wmaa Permn a '% — SO <br />Bldo Dept a B6/16055 <br />Public Works Fee <br />Tolal Fee S <br />Less APPt Fee Pold S <br />Balance Due <br />if <br />Everett 98201 252-5598 <br />ONner Melling Address City Zip Phone <br />Cronin Custom Homes 713 S.E. Everett Mall Way Everett 98204 353-6500 <br />Applirant Mailing Address City Zip Phone <br />Describe Proposed Work _ Construct Single Family Residence <br />Project Address tit known) iG/ — t`f'Y <br />Attach lour (4) copies of plans for proposed work - Draw to scale and note the following as applicable: <br />• Property Lines • Centerline of street <br />• Outline and dimensions of all existing and • Indicate North <br />Proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />PERMIT CONDITIONS <br />1 All calls for Inspection shell be made 24 fire. in advance - phone 259.881 5. <br />2. All work shall be performed in accordance with this permit and current City of Evers,# Design and Construction <br />Standards and Specification& <br />�3.. Call Location Underground Service 48 hr& before you dig. TOLL FREE NUMBER 1.800.424.5555. <br />T• SOEL�'s'LC LJcor/L> S7,0 ET /S ;l'- .;fVBCvCE,t/ I <br />/OG-`a.J/9G.0 lif�'mr9GEn �v/-'/N✓ C'otSf,C'vGT.re9/ .iNf�CC 1'E ��(ycEn <br />C nPB <br />S" Axvy 6,e.9o..✓d ov zve Got sNAC c eer clo ✓E Sv fIs n/uT <br />j, isNE ,40ioin/�n/6 zerr t..t/iTiS/ t%/�i:Gki>ft' /E'Ga✓o9� <br />AE <br />Approved for Construction eta <br />QLQ_1D, t <br />FINAL INSPECTION Date <br />Approved as Constructed <br />everett PUBLIC WORKS DEPARTMENT <br />Ever Ceder Street <br />Everett, WA 98201 <br />Phone: 259.8815 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />UJ <br />ca <br />0 <br />n <br />z <br />0 <br />0 <br />a <br />The undersigned owner/applicant 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-of-way use hereto <br />L,-plied for and further agrees to remove same apon notice from the <br />City and to replace public property damaged theroby. <br />Signal re of Appll .ant [late <br />WORK AUY THORIZED T'HIS'PERd 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 />