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� <br /> � <br /> Date `�"'� � — <br /> PUEIi<Ylorb Permit s <br /> Application For aiae�oe;i.e <br /> RU �L�C WOR�CS PERMIT P�ei�<wa�ksrca _ <br /> H�H Taial Foa 5— <br /> '.y n�� Lesa ApP�Fen Paid $ <br /> [�� <br /> +,.a y Ba�a�co oua S_ _ <br /> m�H Print or Type Only — <br /> >��n <br /> H � <br /> H H SEPA <br /> � y� Owner Plan Check No: B 35532 <br /> Applicat.Date: 02j'03/42 o Phone <br /> ,.�� �� Job AddYees: 5705 E'/ERGRE�'N WAY <br /> Owner: STARTZMAN BILL <br /> y t+ Tenant: <br /> x z'� Applicant Proposed Uee: OFF2CE5 � Phone <br /> Gf O Deec. of Work: <br /> O H� ADD YAATITIONS� BEARING WALL AND STAIR <br /> gDescribe Proposed Work _ <br /> G�j n n OFFICE SST JOB SET <br /> H C� <br /> ay�3 AppROVED FOR PERMIT: DA'"E__/_I_ gY <br /> Ci] <br /> e �y — W <br /> n d N Project Address(il knovm) � <br /> � ��riy Attach four(4)copie:ol plans lor propcsed work- Draw lo scale and note Ihe lollowing as applicable: � <br /> Z y� • Propeity Lines • Cenlerline ol streel `� <br /> y �� • Outline and dimensions ol all existing and • Indicate North V� <br /> �� -� � proposed siructures on the lot • Show any proposetl grading changes <br /> • Exisling and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> � PERMIT CONDITIONS O <br /> . 1.All calls lor Inspeclion shall be made 24 hrs.in advance-phone 259•8810. � <br /> 'o°+ 2.All work shall be pertormed in accordance with this permit and curtenl City ol Everetl Design and Construction <br /> � Standards and Specifications. . <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FpEE NUMBER�-800•424•5555. � <br /> ev q <br /> Ey� O <br /> �.�I � / '�,�C�.t, �i :::._ /�. ,,,,, . i' ;i / „ % � <br /> '� V♦ <br /> �..�' `�. - . O <br /> �.A�,� �'- _�-i�._ <br /> a <br /> B ,Y�. y1 <br /> ' '.m. ACKNOWLEDGEMENT OF CONDITIONS <br /> �„f The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the City ot Everetl Irom any and all claims for damages, costs. <br /> � expenses, or causes of action ihal may arise because of installation <br /> and main�enance ol ihe improvement or other righrol-way use hereto <br /> ' applied lor and luriher agrees to remove same upon notice Irom the <br /> Approvetl tor Consluction Datz City and to replace public property damagcd thereby. <br /> FINAL INSPECTION Dale <br /> Approved as Conslmded Si9nature ot Applicant Date <br /> PUBIICWORKSDEPARTMENT W�RK AUTHORIZED BV THIS PERMIT MUST BE STARTED WITHIN <br /> 180 DAYS OF DATC PERMIT IS ISSUED AND THEA[AFTEN IS TO <br /> 3200CedarSireel BE DILIGENTLY PUIiSUED TO COMPLETION.?HIS PERMIT MAY BE <br /> � ;. Evemtt,WA 98201 CANCELL[D BY THE CIT�' UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259��810 PROJECT OVER 30 DAYS DURATIGN. <br /> i <br />