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i �. <br /> Date PvCtie Work�Parmll• <br /> AppHcation For eiao.oeo�.• <br /> PUBLIC WORKS PERMIT °°°°°W°�.F� <br /> Totel Fea S <br /> Las�AppL Fse Pe1E S <br /> P�i�t Of Typ2 Only Plan Check No: C 41962 SEPA eai.��.o�. S <br /> Applicat.Date: 09/10/93 <br /> Job Addreae: 844 CROWN DR <br /> Owner: SAYLOR GRANT <br /> Tenant: <br /> Propoaed Uae: SINGLE FAMILY RESIDENCE <br /> Owner Deec. of Work: Zip Phone <br /> ADDIT. TO SFR 410 SQ FT ON LOWER LEVEL 617 � <br /> SQ FT ON UPPER LEVEL — TEAR OFF PAAT OF <br /> Applicant OFFICE SET JOB SET Zip Phone <br /> APPROVED FOR PERMIT: DATE_/_/_ BY <br /> Describe Proposed Work . <br /> W <br /> Project Address(if known) � <br /> Attach four(4)copies of plans for praposed work• Draw to scale and note the tollowing as applicable: � <br /> • Property Lines • Centerline of street � <br /> • Outline and dimensions of all existing and • Indicate North <br /> praposed structures on the lat • Show any proposed grading changes <br /> • Exfsting and proposed utilities • Show me25uremants � <br /> DO NOT WRITE BELOW 1'HIS IINE <br /> PERMIT CONDITIONS OI <br /> t.All calls(or Inspectlon shell be mede 24 hrs.in advance•phone 259-8810. � <br /> 2.All work shall be performed in accordence wNh this parmit and cunent City of Everett Design and Construction <br /> Standards and Speclficatlona <br /> 3.Call Location Underground Servfce 48 hrs.before you dig.TOLL FREE NUMBER 1•800-4245555. � <br /> ,� O <br /> PU9LIC WOAKS P � <br /> NOT EOUIq�pRM1T � <br /> BY � O <br /> DATE /7 � � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the City of Everett Irom any and all claims for damages, costs, <br /> expenses, or causes of action that may arise because ot installation <br /> and maintenance ot the improvement or other right-of•way use hereto <br /> applied tor and further agrees to remove same upon notice Irom the <br /> Approved for Construction Date Cily and to replace pub�ic property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature of Applicant Date <br /> � PUBLIC WORKSDEPARTMENT WORK AUTHOPIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everet4 WA 98201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone:259•8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />