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Pphhc 4VorFf Pe�m��• <br /> Date <br /> eiag.Ocu�.• <br /> qpplicalion For _ <br /> PuO�icWo.kSFee 5 � <br /> F�UBLIC WORKS PERMIT TalniCee <br /> Less AOUI Fee PB�E S <br /> Ba�a�ca Oue 5 <br /> Print or Type Only ` <br /> Plan Check No: B 45141 ���'A <br /> Applicat.Date: 08�03/94 Phnnr. <br /> Owner Job Addrees: 50 8 $LM ST <br /> Owner: OVERTON SUE <br /> Tenant: <br /> Propoeed Use: SINGLE FAMILY RESIDENCE -- phone <br /> Applicant Desc. of Work: <br /> FAMILY ROOM ADDIT70N <br /> Describe Proposed Work _ OFFICE .iST JOH SET <br /> APPROVED FOR PERMIT: DATE_/_/_ BY__ <br /> - - W <br /> Project Ad!fress�il known! .__ --�---- — � <br /> � <br /> A�teeh lour(41 Copi05 0� Plans lu� Uropused wu�� • Drav: io sr..ii•a ann ncte tha b�luwiny as apU���ab�e: � <br /> • Property Lines • Centerline nl street <br /> • Outline and dimensions ol all existing and • Ictlicale Norih <br /> prOpo52tl S�ruC�UfeS On lhe lot • Snew any r,reoosed gratliny chanaes <br /> � • Existing and proposed ulili�ies • Show mea�urements /� <br /> W <br /> DO NOT WRITE 6ELOW THIS LINE O <br /> PERMiT CONOtTiOIJS � <br /> 1.All calls lor inspaction shall be made 24 hrs.in advance-phone 259•8810. <br /> 2.All�vork shall be pedormed in accordance with this permit and curront City of Everett Design and Cunstruction <br /> Standards and Specitications. � <br /> 3.Cati Location Underground Service 4P hrs.betore you dig.TOLL FREE NUMBER 1•800•424•5555. <br /> O <br /> � <br /> � <br /> FUBLIC �NORKS PERMIT O <br /> NO j REOUIREt1 <br /> 3Y� � <br /> iIATE ^ � <br /> ACKNOWLEDGEMENT OF COND�TIONS <br /> ThN�.mders�anetl owner/apphcanc ne�eby agrees to hold and sa��e harm- <br /> --"""—�i iess elie C��Y o� Everell Irnm any and ali claims lor tlamages. cos�s. <br /> ; e*Penses. o� causes of aclion thal may aris4 because ol ins�a�lation <br /> � . -j- anA m;.,nt?nance o! IhC imLrovem0nt or OlhEr right-ol•way u5e here�0 <br /> IaGp�:ed lor and lurther agr�.es lo �2move same upon nolice I�om ihe <br /> Approved lor Construction Data: � �,;y�nd �o rep�ace public proPerty damaged thereby. <br /> i <br /> � FINAL INSPECTION Date Dale <br /> Approved as Conslrucled Signature ol Applicant <br /> WORK AUTHORIZED 9Y THIS PERMIT MUST BE STARTED WITHIN <br /> [Egg PUBLICWORKS�E�ARTMENT 1g0 OAYS OF DATE PFRMIT IS ISSUED AND THEREAFTER iS TO <br /> � ���V�� 3200CedarStreet BE DILIGENTIY PURSI�'cD TO COMPLETION.THIS PERMIT MAY BE <br /> � Everelt,WA 98201 C.4NCELLED BY THE CI'(Y UPON ANY STOPPAGE OF WORK ON THIS <br /> P� r. cr-r nvco on nn\C f111PFT1(1N <br /> I <br />