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Date <br />Application For <br />PUBLIC WURKS PERMIi <br />Print or Type Only <br />Plan Check No: B 50204 SEPA <br />Applicat.Date: 12/04�95 <br />Job Addreea: 8015 EVERLY BLVD <br />Ownei Ownet: BECK MATTHEW <br />Tenant: <br />Propoeed Uae: CARPORT <br />Apphcant <br />Describe Proposed Wark <br />Prolec� Address l�l known! <br />Deac. of Work: <br />CHANCE FLAT ROOF TO PITCHED ROOF <br />OFFICE SET JOB SET <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />Attach tour (4) copies of plans loi ProposeJ wo�K � Drav. lo sr,aL± ao;f ni.te tna'o�lo•.ving �s anu��r.ab�r. <br />• Pronerty Lines <br />• Outline and dimensions ol all exishng anA <br />pioposetl sirucWres on the lot <br />• ExiL�inq and propo5ed utili�ies <br />����n��c vm,.s w•�ma . <br />u�n�� o�o� • -- <br />Pul�hr. Wa,�e crn � _ <br />,o�T� ��e s <br />Less noui F.e PaN S <br />pa6i�•e� Cuc $ <br />• Cen�rrlinP ol Slreei <br />• Indical9 Norih <br />• Snow any r,roposetl 9ntl�n9 changes <br />• Show measurements <br />Phnnr <br />Phono. <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be matle 24 hrs. in advance- phone 259•8810. <br />2. All work shall be performed in accordance wilh this permit and wrrent Ciry ol Everett Design and Consiructlon <br />Standards and Specificalions. <br />3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-500•424•5555. <br />Approved lor Construction <br />:•UBI.IC ',`.��RKS PFNM�r <br />tiG'i REOUIRE� <br />i <br />;Y j' <br />. nTE _ _1L /j 1S <br />�---.. <br />AGKNOWLEDGEMENT OF CONDITIONS <br />W <br />H <br />_ / <br />� <br />O <br />7h? !:�ders�aned owner/apPhc2nt hereby agrees to hold antl sa��e harm� <br />—" ---� less Ihe Cdy o� Everett Irom any and all claims for damages. costs. <br />; CxGenSPS. or Cau5e5 OI acli0n that may ans? because of inSlallaiiOn <br />an,'. mainl?nance n! Ihe improvement or o�her righbol�way use hereto <br />�.a:N�e�'. �cr and I�rther ;�nrces lo remeve same upon nolice irom Ihe <br />Qaie � <br />, C��'> �ii:tl to rep�aco pubhc proner;y damaged Ihereby. <br />FINAL INSPEGTION Date <br />Approved as Constrncted <br />�ArI�� PUBLIC WORKS DEPARTMENT <br />3200 Cedar Streel <br />Everett, WA 98201 <br />Phone:259�8810 <br />Siana�ure of Apphcan! ua�e <br />INORK Al1THORIZED BY TNIS PERMIT MUST BE STARTED WITHIN <br />190 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE OILIGENTLY PURSUED TO COMPLETION. THIS PERMIT tdAY BE <br />CA^JCELLtD BY THE CITV UPON ANY STOPP�GE OF WORK ON THIS <br />PROJ[GT OVER 90 DAYS DURATION. <br />