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�ate PUDLc Woeks Pe�m�t• <br /> � <br /> Appliwtic ot eiey.oeoi• <br /> PUBLIC WORKS PERMIT PVOTa1�F�"° S <br /> Less Fooi.Fee Pa�o S <br /> Print or Type Only s��=�«��� s <br /> Plan Check No: B 40029 SEPA <br /> Owner Applicat.Date: 03/25/93 � Phone <br /> Job Addrees: 4725 COLBY AVE <br /> Owner: SERG AVSTIN <br /> Tendnt: <br /> Appticant Proposed Use: SFR/DECK � Phone <br /> Desc. of Work: <br /> DECK 320 SF <br /> Desc.ribe Proposed Work _ JOB SET <br /> OFFICE SET <br /> APPROVED FOR PERMIT: DATE_/_/_ B� <br /> W <br /> Proiect Address(if known) � <br /> Attach four(4)copiea ol plans for proposed work- Draw to scale and note the lollowing as applicable: � <br /> • Property Lines � • Centerline of slreet � <br /> • Outline anA dimensions of all ezisting and • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing anC proposed utilities • Show measuremenis /N <br /> W <br /> DO NOT WP.ITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shall be made 24 hrs.in advance-phone 259•BB10. � <br /> 2.All work shall be pertormed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Calt L�ation Underpround Service 4B hrs.belore you dig.TOLL PREE NUMBER 1•800-424•5555. � <br /> O <br /> � <br /> PUOLIC WORKS PERMIT � <br /> NOT REOUIREO O <br /> BY ��> -- <br /> DATE ' '"�`` " ' a <br /> P.CKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owne�/applicanl hereby agrees to hold and save harm- <br /> less the City ol Evere�t Irom any and all claims for damages, costs, <br /> expenses, or causes of aclion that may arise because of installation <br /> antl main�enance of ihe improvemenl or other right�of�way use hereto <br /> applied lor and luriher aBrees to remove same upon notice Irom the <br /> Approved for Construction Date Ciry and Io replace public property damaged thereby. <br /> FINAL INSPECTION Date <br /> i- Approved as Conslructed SignaWre ol ApFlicant Date <br /> I PUBLIC WORKS DEPARTMENT WORK AUTHORRED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarS�reet 180 DAYS OF DATE PERMIT IS �SSUED AND THEREAFTER IS TO <br />��r Everetl,WA 98201 B� DILIGENTLY PURSUED TO GOMPIETION. THIS PERMIT MAY 8E <br /> Phone:259•0810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DA'f5 DURATION. <br />