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�iy�� PUBLIC U��JaRKS PERMIT <br /> Dets� <br /> PUBLIC WORKS DEPARTMENT PuGlb Worke Permlt N <br /> 3200 Cedat Street <br /> Everett,WA BB201 259-8810 Bulldiny PermH N <br /> TYPE OFl PRINT ONLY Pub�b Waka Fse t <br /> Pl�n Ch�ek Not 8 55344 B�PA <br /> Appllc�t.D�t�� 06/0•/97 <br /> Owner Job Ad�dr�n�tt fiOFORTH VIROILL� Phons ' <br /> T�nenti <br /> Ptopo�ed U�at 6RBSNHOUSC <br /> Applicant D��C. of Moiks — _ <br /> NBW ORr6NHOU5& ON 6XI9TIN6 SLAB iIITH Fhone <br /> FOUNDATION ADDITIONS � <br /> Describe Proposed Work __ oFFICB seT JOB 8ET � <br /> APPROVED FOR PSIiMITt UATE_/_/_ BY � <br /> � <br /> � __ � <br /> PROJECT ADDRESS(if known) _ � <br /> Attach four(4)copies ol plens for proposed work•Draw lo acale and nate the lolbwing if epplkable: O <br /> •Property Lines 'Outline and dimenelons of all exielinp end proposed atructures on tM bt �Exlsting and proposed utilities <br /> �Centerline of street hndicete North �Show any proposed gradinp changes �Show measurementa � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: O <br /> 1. All calls for Inspection shall be made 24 hours in advance- phone 259-8810. <br /> 2.All work shall be performed in accordnnce with this permit and current City of Everett Design and <br /> Construction Stondards and Speclfications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 7-800-124-3E66. H <br /> � <br /> O <br /> �U�LIO WONh� 'HRM�T � <br /> NG�T OUi�6! <br /> DY1� � <br /> MTC.,_„,.� <br /> / T <br /> ACKNOWLEDOEMENT OF CONOITIONS <br /> The undersigned owner/epplieant hereby agreea to hold end eave harmlesn <br /> the City ol Everett hom any and all claima for damages,costn,axpenses,u <br /> Appioved for Con:;tmction Data causes of action that may arise because of Installation and malntenence of <br /> the Improvement or other righFol•way use herato applkd lor and furthm apreea <br /> to remove same upon notice Imm the CNy and to ieplace public pmparty <br /> damaged thereby. <br /> FINAL INSPECTIOh Date <br /> Approved as Constnicled <br /> Signature ol Applicanl Data <br /> WORK A�fHORIZEU BY THIS PERMIT MUST BE STA'cTED WITH!N t80 DAYS OF OATE PERMR IS ISSUED AND THEREAFfER IS TO BE�ILIGENTLY PURSUED TO <br /> COMPLEilOY.THIS PERh11T MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF 1YORK ON THIS PR0.IECT OVER 90 DAYS DURATION. <br />