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�ication Fa ( <br /> � PUBLIC 1IrJRKS PERMIT Date� <br /> PUBLIC WORKS DEPAFiTMENT Public Works Pertnit M <br /> 3200 Cedar Slreet <br /> Everett,WA 98201 259-8810 Building Permit M <br /> TYPE OR PP.INT ONLY Publk Nbrks Fee E <br /> Plan Check No: B 55726 SEPA Phone '� <br /> Owner ppplicat.Date: 06/23/97 <br /> Job Addreee: 1617 $DGEMOOR LN � <br /> Owner: NORTON JAMES & HOLLY � <br /> I�cant Penartt s Phone <br /> APP Propoeed Uaos SINGLfi FAHILY RESIDENCE <br /> Decc. of Work: <br /> UPPER DECK ADDITION � . <br /> Describe Proposed Work _ 1 <br /> OFFICE SET JOB SET � y <br /> APPROVED FOR PERMIT: DATE /_/_ BY__ � �� <br /> N �� <br /> PROJECT ADDRESS(if known) m � <br /> Atlach four(4)copies of plans for proposed work-Oraw to scale and note lhe following if applicable: O . � <br /> •Property Lines 'Oul'ine and dimenslona of all existing and proposed structures on the lot •Existing and proposed utilities -� <br /> •Centerline of street •Indicate North •Show eny proposed grading changes •Show measurements ^ <br /> ♦ <br /> DO NCT. WRITE BEL(1Vb THIS LINE � }; <br /> PERMIT CONDITIONS: : <br /> 1. All calls for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2. All work shall be pertormed in accordance with this permit and current City of Everett Design and + <br /> Construction Standards and Specifications. <br /> 3. Cali Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � � <br /> V♦ <br /> O <br /> a <br /> i,��BUC W s <br /> ORK= �FF41�try i <br /> �s�r qf4UIR�• <br /> �Y_ �c <br /> • 17i?__......�/�/���� c! <br /> `��� l./ i <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS i <br /> The undersigned owner/3pplicant hereby agrees to hold and save harmless ; <br /> the City of Everett from any and all claims for damages,costs,expenses,or � <br /> causzs of action that may arise because of installation and maintenance of . <br /> ApprovedforConstructlon Date theimprovementorotherright-ot-wayuseheretoappliedforandfurtheragrees . <br /> to remove same upon notice from the Ciry and to replace public property <br /> damaged thereby. � <br /> � <br /> FINAL INSPECTION Date � <br /> Approved as Conswcted �. <br /> Stgnature of Applicant Date , <br /> i <br /> COMPLtTION.TIH S PERMIT MAY BE CANCELLED 8Y THE CITYIUPON ANY S�TOPPAGE OF WORK ON THIS PR0.1EC 0 EER 90 DAYS DULRATION.Y PURSUED TO . <br /> i <br />