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II <br /> l <br />� <br /> I <br /> I <br />� 12�2��83 Pu�l¢Wad�Permit• �� 1 � <br /> Date eie�i oen� • 83/1284 <br /> Appllcation For <br /> PUBLIC WORKS PERMIT PueTo�Poe��� :�o. o0 <br /> _ leec�pcl Fee PeiJ Q <br /> � B�InnceUi�e S �• O O <br /> Print or lype Only ��7/ <br /> Fernandez & Schmetzer 19207 49th West, Lynnwood <br /> Owner Meiling Address City Zip Phone <br /> I & G Controactors 4601 37th S.W. Seattle 98126 932-3675 <br /> Applicent Melling Address Cily Zip Phone <br /> Interior remodel <br /> Dascribe Proposed Work <br /> W <br /> Pro�ect Address pl know�l ZZOl California � <br /> Attach fom(4) coples of plans lor proposad work- Draw to scele and no�e Ihe following as epplica6le�. � <br /> • Property Llnes • Conterline ol slreat � <br /> • Outline end di�neneions of all ezisting end • Indicate No�th <br /> proDosed elruc'ures on the lol • Show any proposed greding changes <br /> • E�Isling and prcposeA ulllitles • Show measurements M <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> L All calls lor inspection shell be made 24 hrs. Ir�ndvance-phone 259•88�5, � <br /> 2. All work shell be perlormed in accordnnce with this permil nnd current City of Ev�rett Daslgn end Conalructlon <br /> Stendards and Specificatlons. <br /> 3. Call Locetion Underyround Service 48 hrs. beforr. you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> O <br /> � <br /> � <br /> O <br /> a <br /> / AGKNOWLEDGEMENT OF CONDI710NS <br /> Tho undeisignad owner/epplicant he�eby ogreas to hold end seve herm� <br /> . — less the Clly of Eveiet� irom eny and ell claims for dameges, costs. <br /> / eKp nses, or ceuses of ectlon thet mey erlse beceuse ol Ins�ellation <br /> � A 4�_ and ainlenence I the ImVrovement or olher righl�of�weY use herato <br /> _�.� � ����� eppli d lor end �u her agrees to remove snme upon notice Irom �he <br /> -Approv lor Co ruc W e�e Cily e d to r lace ublic properry demnged thereby. <br /> ���� .. <br /> � — //• — T/ <br /> E- <br /> FINAL PECTION Defe Si alu ol � en Deta <br /> AoprOv es Conetr 1 <br /> WO K UTHORIZED BV THIS PERMIT MUST BE STARTED WITHIN <br /> rveretl PUHLIC WORKS DEPARTMEN? 1B0 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> � 3200 Ceder Slreel 8[ �ILIGENTLV PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Everel�,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone: 259�8815 PROJECT OVER 90 DAYS DURATION. <br /> � <br />