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Date �-�-� <br /> .ebe Wan�Pe.m�l• <br /> Appllcatlon Fm ema.0•0�.. 0 7/q 56'1 S <br /> PUBLIC WORKS PERMIT vvbi�cWm��Fa� <br /> fot�l Fe� S <br /> leu ADO��N PUC a <br /> fcint or Type Unly 8.�.��.o�. S <br /> Ruat Goodri ht Mill Creek 98012 <br /> �`"^ef Mailing Address 1 City Z� 745-2209 <br /> P Phone <br /> Owner <br /> App���B�� Mailing Addreae <br /> Cily Zip Phone <br /> Deecrlba Propoeed Work remodel ex1A[ing house after fire <br /> Proiect Aadresa U� known) 2514 Cedar St � <br /> Aftach lour(a)copiee ol plane lor proposed work• Draw to ecale and note Ihe followinp as appliceble: � <br /> • Prape�ty Llnee • Centerline ol sheet <br /> • Oulline and tlimensione ol all exisling and • Intlicate North � <br /> propoeed etructuree on the lot • Show eny pioposetl graCinp changes <br /> • Exletinp and proposod utilitiea • Show meaeurements <br /> DO NOT WRITE BELOW THIS LINE � � <br /> PERMIT CONDITIONS O <br /> 1.All calla lor Inepectlon ehell be mede 24 hn.�n advance•phone 259�8810. <br /> 2.All work ehall be peAormad In accorclance with Ihis permit end curcent City of Everett Deelpn and ConeVuctlon ' <br /> . Stendarde and Speclllutlons <br /> 3.Cell Locallon Untlerqround Servlce 4B hra,bafore you dlp.TOLL FREE NUMBER 1-800�4Z4�5655. <br /> � <br /> O <br /> / � � <br /> (J/1Lcf� �L:�"L� � <br /> �t �.0 / i <br /> '� ! '..�c'�� if i'yl�t �..� <br /> 6 � <br /> ��,,� V� <br /> 2 ,l n� <br /> O <br /> a <br /> ACKNOWLEDt3EMENT OF CONDITIONB �I <br /> The underelqned owner/eppll��ant hereby epreea to hold and aave he�m• I <br /> , �leee the City of Everett from eny and ell claime for tlemeqe4 coete. <br /> expeneea, or causee ol actlon thel mey erine because of Instelletlon <br /> an0 maintenance of the imurovement or other rlpht•of•way uae herelo <br /> Approvea for Conetructlon Dale applled (or end lurther apreee lo remove eame upon notice from the <br /> Cily anA to replaca public property damaped thereby. <br /> FINAL INSPECiION Dete <br /> ApprovaE ae Conefructed Sipnatu�e ol qpplicenl Date <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED 8V THIS PERMIT MUST BE STARTED WITHIN <br /> 3200Cedu81roe1 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Ewrelt WA 98201 BE DILIOENTLY PURSUED TO COMPLETION. THIS PERMIT MAV BE - <br /> Pho�e:269�8B10 CANCELLED BY THE CITV UPON ANV STOPPAl3E OF WORK ON THIS j <br /> PROJECTOVER 90 DAYS DI)RATION. <br />