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PUEtic WarM�P�rm�l• <br /> Date '� <br /> . e�ep o.o� • <br /> AppliCeti.. ror <br /> pUBLIC WORKS PERMIT °°°'�W°`".`.. <br /> ,o�.�F.. • <br /> u..eoo�v..v.m { <br /> B�I�M�Du� S <br /> Print or Type Only <br /> Plan Check No: C 40096 SBPA <br /> Applicat.Date: 03/31/93 <br /> OW�ef Job Addreee� 2139 CEDAR ST � Phone <br /> Owner: POECHLAUEK KURT <br /> Tenants <br /> Propoeed Uee= SINCLE FAMILY RESIDENCE <br /> Deec. of Work: , Phone <br /> Applicent ADDN AND DORMER <br /> Deecribe Fropoeed Work _ O?FICE SET JOB SET <br /> APPROVED FOR PERMITt DATE_/_/_ BY <br /> W <br /> Proleet Addreea(11 known) � <br /> � <br /> Attach lour(4)copieb al Plenn lor proposed work• Orew to ncale and note the followinq en eppliceble: � � <br /> • Properly Linee � Centerllne ol etreet <br /> � Oulline end dlmenalona of ell e:letinp and � Indicele Norih <br /> propoaed etructures on the lot • Show eny propoaed qredinp chan0ae <br /> • Exinlinp and propoaed utllitlas • Show meaeuremente M <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS � <br /> 1.All calla for Inspectbn ehall be made 24 hro.In edvance-phone 2b�8810. <br /> 2.All work shell be peAormeo In eccordence with thle permit and current Clty of Everett Deelpn and Conntrucllon <br /> Standarde and Specificatlans. � <br /> 3.Call Loutlon Underqround Service 4B hre.belore you dig.TOLL FNEE NUMSEIII•800�424aS66. <br /> O <br /> � <br /> PUB NOTW EDUIRED MIT � <br /> BY O <br /> DATE <br /> Q a <br /> ACKNUWLEDGEMENT AF C��NDITIONS <br /> The unde�eigned owner/epDlicent hereny aqreee to hold and seve harm� <br /> teas Ihe CIIy of Everett Irom any and ell clelme for damepea coeta <br /> ezpenses, or ceueee of ectlon Ihat mey erlee becauee ol Inetalletlon <br /> end maintenence ol lhe Impiovement or other rlghPof•way uea herelo <br /> epplled for end IuAher egreee lo remove seme upon notice Irom the <br /> Approved lor Conetrucllon Dete Clty end lo replace public property demaped thereby. • <br /> FINAL INSPECTION Date Data <br /> Sipneture ol APPlltent <br /> Approved es Constructed yypRK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � PUBLICWORK8DEPARTMENT 100 DAYS OF DATE PERMIT IS ISSUEO AND THEREAFTER IS TO <br /> 3200 Cedar Siraet BE DILIGENTLY PURSUED TO COMPLETION.1HIS PERMIT MAY BE <br /> Everetl,WA BB101 CANCELLED BY THE CITY UPON ANY STOPPAdE OF WORK ON THIS <br /> Phone:26B•8810 PROJECT OVER BO DAYS DURATION. <br /> I <br />