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i <br /> � ation For \ � I <br /> �w�� PUBLIC WORKS PERMIT °a'8— � <br /> � <br /> PUBLIC WORK5 DEPqRTTAENT Public Works Permit N I <br /> 3200 Cedar Sireet <br /> Everett,WA 98201 259-8810 Building Permit M <br /> TYPE OR PRINT ONLY Pubtic Nbrks Fee f <br /> Plan Check No: C 57034 SEPA • <br /> pr,,�ef Applicat.Date: 11/07/97 — phone <br /> 3ob Addreees 47b� CAADNER AVE <br /> Owner: BERRY JOHN J <br /> Tenants <br /> A I(cant Ptopoead Uee: SINGLE FAMILY RESIDENCS <br /> PP Deec. of Work: Phone <br /> ADDITIONS OF BEDROOM AND REC AOOM <br /> Describe Proposed Work _ � <br /> OFFICE SET JOB SET <br /> APPROVED FOR PERMIT: DATE_/_/_ BY � <br /> �� <br /> — �/ <br /> PROJECT AD�fiESS(if known) � <br /> 4tlach four(4)coples of plans for proposed work-Draw to scale and note the folbwing if applicable: O <br /> •Property Lines 'Outline and dimensions ol all existing and proposed structures on the bt •Existing end proposed utilNies <br /> •Centerline of street •Indicate North •Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1. AII calls for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 7_. 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-B00-424-5555. � <br /> v/ <br /> O <br /> *��If�T�M�Y �Glli{lY � <br /> �"i0UIR6• <br /> tY ,(iVL� <br /> �ATE� .� ' <br /> � <br /> ACKNOWLEDGEMENT OF CONDI710NS <br /> The undersigned owner/applicant hereby anrees to hold and eave Iwmlesa <br /> the Cky of Everetl from any and all elaims for damapes,wst�,expensos,or <br /> Approved lor Construction Date eauses ol action that may arisa because ol in;tallatbn and mainlenance of <br /> the fmprov�ment w other rigM-of-way use Mreto appCbd la and turtl�er agrees <br /> to remove same upon noNce han the Cily antl to replece public property <br /> damaged thr�Pby. <br /> FINAL INSPECTION Datx <br /> Appmved as Constructed <br /> Signature of Aoplicant Date <br /> JJORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1f10 DAYS OF DATE PERMR 131SSUED AND THEREAFf[R IS 70 BE DILIGENTLY PURSUED TO <br /> COMPLE710N.THIS PERMIT MAY BE CANCELLED 6Y THE CIlY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS WRATION. <br />