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� <br />TYPE OR PRINT ONLY <br />D.F. <br />Describe Proposed Work <br />• �Wwuun Fn, <br />PUBLIC 1�,ORKS PEFiMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />14429 3RD AVE NW SEATTLE <br />Mailing Address City <br />355-2436 <br />Malling Address City <br />STORAGE ADDITION TO SFR <br />PROJECT ADDRESS (if known) <br />Dat� 4/9/97 <br />Public Works Prmtit A <br />Building Permit p 5477$ <br />Public Woiks Fee $ <br />Phone <br />Attach four (4) copies of plans for proposed work - Draw ta scale and note the lollowing if applicable: <br />•Property LJnes bulline and dimensions of all existing and proposed slructures on the lot •Exis�ing and proposed utilities <br />'Centerline ol street •Indicate NoAh •Show any proposed grading changes •Show measurements <br />...._ _..._ <br />PERMIT CONDITIOPJS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be pertormed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Undorground Service 48 hrs. before you dig. TOLL FREE NUMBER 7-800-424-5555. <br />i�'.Y�I � � r,J�rl=s � rv� ��i� I�� ,�g�r�1''�—� <br />Approved (or Consiruction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />�- <br />� <br />O <br />♦�A <br />v♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The untlersigned owner/applicant hereby agrees to hold and save hartnless <br />the City of Everett Irom any and all claims lor damr+r,es, costs, expenses, or <br />causes of action that may arlse because of Install:�tion and maintenance ol <br />the improvement or other right-o!-way use herato applied lor and IuAher agraes <br />to remove same upon notice Irom the City and to raplace public property <br />damaged thereby. <br />Signatura ol Applicant Date <br />WOfiK AUTHORIZED BY THIS PERM1IIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAF'fER IS TO BE DILIGEN7LY PURSUED TO <br />COMPLETION. T!iIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PF0.IECT OVER 90 DAYS DURATION. <br />