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A uon Fw ` <br /> PUBLIC W�RKS PERMIT °a1e I <br /> ������ PUBLIC WORKS DEPARTMENT Public Works Permil M li <br /> 3200 Cedar Slreet I <br /> Everett,WA 98201 259•8810 Building Permit N '� <br /> 'YPE OR PRINT ONLY ' ' " "' -�cs Fee S <br /> Plan Check No: C 57459 SEPA <br /> Applicat.Date: 12/17/97 , <br /> 3ob Addrees: 4858 4] GLENHAVEN �DR <br /> Owner Owner: NIELSEN STEVE/MARY phone <br /> Tenant: <br /> Propoeed Uee: SINGLE FAMILY RESIDENCE <br /> Desc, of Work: <br /> Applicant ADDITIONS TO HOUSE AND GARAGE/REMODEL phone <br /> OFFICE SET JOB SET <br /> Describe Proposed Work _ - <br /> APPROVED FOR PERMIT: �ATE_/_/_ BY <br /> � <br /> � <br /> �/ <br /> 'ROJECT ADDRESS(if known) /iy� <br /> ;ttach tour(4)copies of plans lor proposed work-Draw to scale and note the following if applicable: O <br /> •Property Lines •Outline and dimensions ol all existing and proposed structures on the tot •Existing and proposed utilities <br /> •Centerline ol sireet •Indicate Norih •Show any proposed grading changes •Show measuremenis � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <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 E�erett 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 /> �// <br /> O <br /> a <br /> ~Vo��V a�ORK� <br /> kU i GGUIR���I i <br /> �Y.____ �7 <br /> �ATC.w__I_G.�2 Cn <br /> � _. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save hartnless <br /> the City ot Everett from any and all claims lor damages,costs,expenses,or <br /> Approved for Construction Date causes of action that may arise because ol'nstallation and maintenance of <br /> the improvement or other right-of-way use hereto applied for and fuAher agrees <br /> to mmove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> I FINAL INSPECTION Date <br /> Approved as Conslructed <br /> Signature of Applicant Date <br /> 'JORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfEH IS TO BE DILIGENTLY PURSUED TO <br /> �OMPLEf10N.THIS PERMIT MAY BE CANCELLED BY THE CITY I�PON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATI�N. <br />