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Date <br /> Pubbc Wodf Perm'il• <br /> AppIiC8U011 FOf Bing Oep1.• <br /> PUBLIC WORKS PERMIT 7ubIi�WO�MSFee <br /> TotplFea 5 <br /> Lefi Apui.fr.e PaN S <br /> Print or Type Oniy eam��eo�. 5 <br /> . _ <br /> Plan Check No: B 45009 SEPA <br /> Applicat.Date: 0�/25/94 <br /> Job Addresa: 802 CROWN DR <br /> Owne� �wner: BOARDMAN QILL <br /> Tenant: :�P Phonr. <br /> Propoeed Uae: SINGLE FAMILY RESIDENCE <br /> Deec. of Work: <br /> REROOF AND ADD GhBLE DORMER FOR ATTIC <br /> Appiicant STORAGE - NON-HABITABLE ARE9 :Ip Phone — <br /> � OFFICE SET JOB SET <br /> ' Describe Proposed Work _ APPROVED FOR PERMIT: DATE <br /> _/_/_ HY __ _ <br /> � Prolec�Address ld knoNn! "�--'------'-'---' --_ "— <br /> �, A�teCh fpur(41 Cop:Es ot plans f0� propused wu-k � Drav; ta,r.ai•a..�nq ncte tha'oiWwiny as applfcabie: � <br /> �� <br /> � • PropeCy Lines • Centerline r�l street /_ <br /> � • Outline and dimensions of all existing antl • IcCicat? North a� <br /> proposed slructures on Ihe Ioi • Snow any r,roaosed gradiny chanar.s <br /> • Existing and proposed utilities • Show measuremenls /y� <br /> DO NOT WRITE 6ELOW THIS LINE w <br /> PERMIT CONDITIONS � <br /> 1.Ail calis for inspection shall be made 24 hrs.in advance-phone 259-8810. <br /> 2.All work shail be performed in accordance with this permit and current City of Everett Design and Construction � <br /> Standards and Specilications. <br /> 3.Call Locatton Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424-5555. <br /> 7 <br /> PUB�,� wo O <br /> N�T R OUSqPF�MfT � <br /> a y �.�' EO <br /> ��A7E �// <br /> z� y� <br /> 0 <br /> a <br /> - <br /> ACKNOWLEOGEMENT OF CONDITIONS <br /> ___ _ The untler�ianed owner/apphcani ner2py agrees to hold and save harm• <br /> j IeSs ;h? Gty or Everett Irom any and al� claims for damagea Wsls. <br /> i eKpenses. or causes of action that may aris^ because ol insta�laPon <br /> � • -!-and mamtenance o! lhe improvemenl or other righl-obway use hereto <br /> Approved lor Construction Date I appi:n�; for and further aqrees lo remove same upon notice Irom Ihe <br /> � Crty antl to replace public property damaged thereby. <br /> i <br /> FINAL INSPECTION � Date <br /> Approved as Conslructed Signature ol Applicant Da1e <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarSlreet �80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> �U ' --- --•- CANCEL'_ED BY THE C�TY UPON ANY STOPPAGE OF WORK ON THIS <br /> —.,_ ._.._....�...... nnvc niionTinni <br />