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� PUBLIC �. ORKS PERMIT <br /> �� <br /> PUBLIC WORKS DEPARTMENT Public Works Permit N <br /> 3200 Cedar Street <br /> Eve2tt.WA 98201 259-BB10 Building PermA 11 <br /> TYPE OR PRINT ONLY p��yyo�p�s <br /> Plan Check No: C 51157 SEPA <br /> Applicat.Date: 03/21/96 <br /> 3ob Addreae: 16b7 COLBY AVE <br /> Owner Qwner: PALMER PHZLIP 4 JANET Phone <br /> Tenant: <br /> Propoeed Uae: SIt7CLE FAMILY RESIDENCE <br /> Deec. of Wozk: <br /> Applitant DEMO TO STUDS� REWIRE, REPLVMB� INSULATE fi phone <br /> SHEETROCK <br /> Describe Proposed Work_ oFFIce SET JOB SET <br /> APPROVED FOR PERMIT: DATE_/_/_ gy � <br /> -- � <br /> � <br /> � <br /> PROJECT ADDRESS(if known) � <br /> Atlach four(4)copies of plans for proposed work-Draw to acale and aote the foibwing if applicabie: <br /> •Property Lines 'Outifne and dimenslons of all existing and proposed structures on the bt •Existing and proposed utllilies O <br /> •Centerline of street •Indiate North 5how any proposed grading changes 5how meazurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. O <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> V/ <br /> O <br /> � <br /> 'UBL�C N�ORKS pfip►d�� <br /> �.0� EOUIR6(a <br /> ',y__�� _ <br /> !ATE. !�:I '�� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save hartnless <br /> iha Ciry ol Everetl 1rom any and all clTims for damages,costs,axpenus,or <br /> Approved lor Conslruction Date �auses of action that may arise because ot Installation and mainlenance ol <br /> the improvement or other right•of-way use hereto applied for and further agrees <br /> to remove same upon notice from lhe City and to replace pubAc property <br /> damaged there6y. <br /> FINAL INSPECTION Dale <br /> Approved as Consirutted <br /> Signature ol Applicant Date <br /> WORK AUTHORIZED BY iHIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO 6E DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED�V THE CIiY UPON ANY STOPPAGE OF WORK ON TNIS PROJECT OVER 90 DAYS DURATION. <br />