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�� � � ' �he:¢wma Pnnn� � / � .� . <br /> Date � <br /> y eiaa o.o�.• <br /> � <br /> ApPlical'an �of <br /> M – <br /> � � PUBLIC WORKS PERMIT °°°"w°,".`.. s <br /> Tmtl h� <br /> ��� Lo��OGI F��GUE S �,' <br /> ��� B�I�nc�Du� `� , <br /> Frint or Type Only <br /> y CJ Ylan CheCk Nos C 359tl9 SEPA <br /> O M Appllcxt.Date: 03/16/92 � <br /> C] Job Addroees 26dB CLEVELAND AVE <br /> Owner: S2YHANSKI, MIKE <br /> ZiP P�one i <br /> Gf• O Owner Tenenti <br /> �H Propoeed Ueei SINGLE FAHILY AE:IDENCE <br /> y y Deac. of Work� <br /> r� H REMODEL WHOLE HOVSE / ADD PAATIAL 2ND STORY Z�p Phone <br /> y Applicenl IN EXISTINC ATTIC <br /> �ty�p OFFICE EET JOB SET _ _ ' <br /> �� � Describe Prop� gy <br /> [�� — APPNOVED FOR PEAMIT: �ATE /_/_ <br /> O t/� � <br /> Prolect AdCrees 111 known� � <br /> �� <br /> Allach lo�r(4)copies o�plans lor proposaC wo�k•Drew tn acele and �ole Ihe lollowing as aNp�icahle: � + <br /> • ProOerty lmae • Ce�lerline of sireet <br /> • Indicafe Nor�h � <br /> • Ou;line and dimenaione ol eli eaisting and � Show any proposed gratl�nB c�en9es . <br /> proDoseA structures o�Iha lot � Shuw meaaurements M <br /> • Ezi611np end proposad u�ilille! W <br /> �O NOT WPITE BELOW THIS LINE A �. <br /> y <br /> PERMIT CONDITIONS � <br /> "��� i.A�I calle lor inepectlon 6ha11 be mede 24 hra.In edvanca-phone 259•881 O. <br /> 2.All work s�all Ce pedormed In accorEance wllh�hia permit and curtent City ol Everett Design end Constructlon <br /> ��'. Stendarde entl Specificellons. I <br /> � 3.Call Lxellon Underground Service 4B hrs.halare you d�g.TOLL FHEE NUMBER 1•800-424•5555. ' � <br /> � O i <br /> C� �� / , � , i � � � , � � � � � � � <br /> � �� � <br /> i �� � <br /> L�� a , <br /> , � <br /> � ,�'�� ACKNOWLEDGEMENT OF CONDITIONS <br /> . � The undersigneC owner/appiicant herehy agreee to hold and save ha�m� + <br /> less Ihe Ciry ol Everetl Irom any end all c�alme tor Cemages, aosts. , <br /> � ezpenses. or causes ol action t�at may ense because al inatelletion <br /> � and mamtenence 01 Ihe improv0men� or other righDof�way use �erBlo �, <br /> applied lof Bntl �uhhe� aQ�eeB lo remove SAme upan nolite Ifom l�e <br /> Approved�or Consiruction �a�e Cily antl lo replace public properry damaged Ihereby. <br /> I <br /> FINPi. INSPECTION Dale Dale �I <br /> A�prcved as Coi.��Vucted SiqnaWre ol APPhcant <br /> � WORK AUTFIOR12ED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 'r`c/ PUBLIC WORNSDEPARTMENT 180 DAVS OF DAiE PERMIT IS ISSUED AND THEFEAFTF.R IS TO <br /> � 3200 Cetler SIree1 BE DILIGENT�V PURSUED TO COMPLETION. THIS P[RMIT MAV BE <br /> Evare�C WA PB201 CANCELLED EV THE CITV UPON ANY STOPPAGE OF WORI:ON THIS <br /> Phone:259�8810 PROJECT OVEF 90 DAvS DUf7ATION <br /> I <br />� <br />