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/ <br /> Date 11–]2-93 Fuei�cWonuPmmn� �� ��' � <br /> App�iCation For <br /> e�ea oao�• 42664 <br /> PUBLIC W4RKS PERMIT FyeTmuFee�� S <br /> ..r.Ano�Fx Poe S � <br /> 6a�unceDue S �✓� ✓n <br /> Print o� Type Only <br /> Co7 - .��Z yo//33i <br /> ,IAY tiADIIdOND 6 JIM WE'TERGRLGtd 3807 COi.BY AVE EVERETT 98201 339-0123 <br /> Owr,er Maihng Address Gity Zip PhOn2 <br /> OWNL'R.'i � <br /> Appbcam Ma�ling Ad�ress City i C i°�-r,nr <br /> Dec.s�:n� prO�OSedWork CHANGE OF USE FROM SFR TO REAL ESTATE OFFICG _ _ __ ____ <br /> W <br /> Pre�ert Addrrss li1 knowni 3807 WLBY AVE � <br /> l,ttar.h low ial r.opies ol plans for proposed worM � Drew to �,�::,le:anU note Ihn (o�lowing as applica6le: � <br /> • Property Lines a Centerline ol street � <br /> • Outline and dimensions ol ail e.c:t�ny ann • Indicate Norih <br /> proposetl strudure5 on the lot • Sho�v any proposed grading changes <br /> • [xis�ing and pioposeA utild�ns • Show measurements M <br /> �� <br /> DO NOT WRITE O[LOW THIS UNE O <br /> �ERMIT CONDITIONS <br /> 1.All calls for inspection shail be made 24 hrs.in advance�P����nc 2$9•5810. ^ <br /> 2.All work shall b=nedormed in accordance with this permit and current City of[verett Design and Construction ♦ <br /> Sfandards and;�ecilications. <br /> 3.Gall location Unu.3rground Service 48 hrs.before you dig.70LL FREE NUMBER 1•$00•424•5555. � <br /> ')� / w-1�'Cl� `L 4"G. 7st.i�a� /�L �!�<i<�' /��tC �/L Cr� '1h.�ia_�_..�-c.�.,�n-:.� O <br /> � r� f i , <br /> r .� " d Cl�:e- B ¢�jo%att� n-v-c�� y" rf' C.-�s�� r�c,( L <br /> .5- .��IC Lc�¢�i'�v Se�uru.e- �r ua��t �+�.��ie�' ,a�� �it. ,5.���� � �r/� <br /> :��iw-ct:U �>,<.�� 7na.e.� Et.�� /nc.v�+..,cc�rra.( Cc,�c S#n.,/«„t"... V� <br /> frT� .['o-»-a,.,.,.,.��u.� USt . � I O <br /> ��� �Q� �Q l� k�8� <br /> P,+' � ��.(,t � <br /> ' �1�� ������ ����� �� ACK�dGWLEDGEMtNTOFCONDIiIGN'-� <br /> �� � � TheundeisignedowneUapplicaniherebyagreestoh��c�an�.i•.:�c���mm <br /> - - - -- -- --� - � �-- -- —�- � less Ihe Cily oi Everet� Irom any and all claims lo� dam:�ucs. r osi�:. <br /> /' e.penses, or causes o! action that may arise because o� �nsianatu,� <br /> ,�(!_ /����_ /� _..��= ena mainlenance ol ihe improvement or other rigM�of�way use heretr, <br /> J�t�2 '1W � anP��ed lor and lurther a�rees to remove same upon notice lrom th�• <br /> +-nr:o���d I�,� C�.+�sh�,�t�on ' ���a�a C�ty and to replace pubG property naged thereby. <br /> t\. 5--3–9,, G <br /> ��� �� —�Daie � / � • Z % ' %.S <br /> t itML INSPECTION Date <br /> ���r.enr,ved as Consiructed t , o' o �cant <br /> WGFK AUT RIZED BV THIS PtFM1T MUST BE STARTED �N:THIIJ <br /> � PUBLICWORKSDEPAIiTMENi 180 QA OF DATE FERfdiT IS ISSUED AND THERC�ITf �. i�; 7�7 <br /> 3200CedarSireot BE DIIJGENTLY PURSUFG TO COMPLETIO.J. THIS Pff � I %�,� P; <br /> fvrrr-lC VJl.962G1 f;ANGGLLCD BV TH� CIT'.'UPON AI�V STOPPPGE Of W� I � •: �i'il-, <br /> � � .. . � � � _ '( �. �;:1 �1 �� f . ����,JHnlli)IJ <br />