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� <br /> �etB � � weucwan.>.rmn• <br /> APPlicalion For eao.o.oi• <br /> PUBLIC WORKS PERMIT ^�°�w°��� <br /> ra.�... s <br /> �...eoo�n.v.b f <br /> PrintorTypeOnly e+aM.o�. f <br /> Pl�n Ch�ck No: B 35350 58p� <br /> Owner 7�pplic�t.Dita: O1/35/92 Phone <br /> Job Ad�nert 4MARCARETICHCROSeLN <br /> Tanent: <br /> ApPlicanl psopo�ad Ue�t SINCLE FAMILY R65IDSNC6 Pnone <br /> �e�e. of Nork� <br /> MD 625F TO ICIRCNEN AND Al7D 1755F UNNEATED <br /> OascriEe Proposatl Work SUNROOM <br /> OFFIC6 SET JOB SET <br /> APPROVEU FOR PEA11ITt DATfi_/_/_ BY� <br /> W■ <br /> Pro�ect AEEress(il known) � <br /> Altet�lour(4�topies GI plan9lor proposed work-DraW IO 5[ale entl nota Ihe�JllowinB BS ap0licable: � <br /> •ProperlY���as •Cenlorline ol slree� /A <br /> •Oullina and dimensions ol ell e�isling an0 • InAicate Norih V� <br /> proposetl siruclures ont�elol •Shaw eny O�oposetl graElnB c�enges <br /> •ErlstinB en0 proDesaE ulilitles •Show measuremenls � <br /> DO NOT WHITE BELOW TNIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All cella lor Inapettlon a�all6e metla:4�rs.in edvenCe•phone 259�8810. � <br /> 2.All work shall be perlormed In eccordence with Ihis permit enC curtenl City ol Everelt Deslpn and Cons�ructlon <br /> StandarCs end Specilicalions. <br /> 3.Cell Lxatlon Underpround Service 48 hrs.belore you tlip.TOLL FHEE NUMBER 1•800�424•5555. � <br /> O <br /> i � <br /> �� i „ � <br /> ,.��"%. �i:':Ji'.r �.;. . �-� .1%>'�/.� , ��1'� <br /> ..'`'. `\�6 <br /> �� ✓ a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicanl herehy agrees to ho10 anC save Aerm� <br /> less Ihe Cily ol Everelt Rom any antl ell clalms lor Camage& cosls. <br /> eMpenses.or causes ol action t�al may arlse becausa ot inslnllalion <br /> antl maintenence ol I�e improvemonl ar other rig�t�ol�way use hereto <br /> applied lor and lurlher agrees to remove same upon notice Irom t�e <br /> Approved lor ConSim[tlon DBia Cily Bn0 to replatB public pmper�y CBmaBed IhereOy. <br /> FINAL INSPECTION Dale <br /> Approved as ConStmcte0 SignaWre ol Appliwnl Dat: <br /> � PUBIIC WORKS�EPARiMENT WORK AUTMORI2E� BY THIS PERMIT MUST BE STARTED WITMIN <br /> 9200CeaarSireet 180 DAVS OF DATE PERMIT IS ISSUED AND TNEREAFTER IS TO <br /> EverelL WA9B20t BE DILIGENTIY PURSUED TO COMPLETION.TMIS PERMIT N.AV BE <br /> POone:259�B6t0 CANCELLED BY THE GTY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAVS DURATION. <br />