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- s <br /> ? <br /> � �.wn F« � � � ) - <br /> �w�� PUBLIC WORKS PERMIT °"' : <br /> PUBLIC WORKS DEPARTMENT PubNe Works Pxmit• i <br /> 3200 Cedar Street F <br /> Eve�ett,WA 98201 . 259-8E10 8uilditp Pennll� � <br /> c <br /> Fea f <br /> TYPE OR F'RINT ONLY SLPA <br /> Plan Chack No: C 57527 <br /> rpplicat.Data: 12[26/97 . <br /> 3ob Add�:Y= JOHNSON CI�ROL Pha+e <br /> pwner Tenant: <br /> propoaed U�as SINGLS F7IMILY RBSIDBNCE <br /> De�c. of Works �a <br /> ADDITIONS OF CARP�RT � BSDROOM <br /> Applicant <br /> OFFICS SET��_JOB SST � <br /> Describe Proposed Work _. AppRov�p FOR PERMITt Dl►TS_/_I_ BY � <br /> i <br /> �'w <br /> _I <br /> ?ROJECT ADDRESS (if known) Ya <br /> :.tlach four(4)coples ol plans for proposed work-Draw to xa�e and note the tollowing it epplice6le: O� <br /> •Property Lines 'Outline and dlmensions ot ell exisling and propoxd structures on the lot •Ex�st��p a�d Pr°P°������� � <br /> •Centertina ot street •Indicate North 'Show any propossed Ored��9�he^ges •Show maeauremenls <br /> DO NOT WRITE BELOW THIS LINE � � <br /> PERMIT CONDITIONS: O <br /> 1.Ail calls for inspection shall be made 24 hours in advance-phone 259-8810. <br /> 2,Ail 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 1-80�-4245555. � <br /> O/� <br /> •,JRUC �i�iORKs rG�" �i <br /> �p� GOUfRG�► <br /> li�—•-f = '"��- <br /> lATE_.------'""`�- <br /> ,.. <br /> G� '�-0 J G('A�G S t�G <br /> �a-�-e . ���'^,� � �'-� ' �'� 'n �,-�" t'e ,;�� r i <br /> . r � �` <br /> ' �,�J c � ; Z l Qv' <br /> C, , <br /> s E�.�,�� v � ,,I i��,rG c.•n d C v r� G <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owneNapp�icaN her°�'°9�°°6 to�d�nd eave IwmNss <br /> ' the Ciry ot Everori trom arry and all clafms for damages�cosh�°�^��� <br /> causes ot ectbn that may erlse bece�o�t In�o°N��� ����$ <br /> Approved for Construction Date the Improvert�ent w olhx rfgh4of-weY <br /> i to remova same upon noHce hom tlx CItY and to roW�� W�P�PMY <br /> Idamaqed tMreby. <br /> � FINAL INSPECTION Dale <br /> � Approved as ConsWcted � �e <br /> Signeture o1 Applieant , <br /> COMPLETION.RT}IIS P RMIT MAY BE CANCEBLEO BY THE CRY UPON oANY STOPPAGE OF WORK ON THI�PROJECTE�F 9�DA S DURATIO�N.Y���TO <br />