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, iDate F�o���w��..P�,m�,. <br /> Applica�ion Por oia¢oeo�.• — <br /> PUBLIC WORKS PERMII' '°°:,�'°F�`°° : <br /> �aneooi reev��e 5 <br /> eai.�<.o�e 5 <br /> Print or Type Only <br /> Plan Check No: B 41671 SEYA <br /> Applicat.0ate: OB/11/93 —_ <br /> pw�e� Joh Address: 2329 LOMBARD BLD 1 phone <br /> Owner: SHEF.TS JIM ' <br /> Tenan[: <br /> Proposed U�e: MULTI FAMILY <br /> App�, ,�� Desc. of Work: P�one <br /> REPLACE OLD FOUNDATION WITN CONCRETF. BLOCR <br /> F REROOF (30 SQ) <br /> D�scribe Pmposed Work _ OFFICE SET_ dOB SET <br /> APPROVED FOR PEAMIT: OATE_/_/_ BY� <br /> _ � <br /> Proloc�Atldress(il known) � <br /> Attach lour(4�copies ol p�ans lar pmpnsetl work-Draw�o scale antl note Ihe lollowin6 as applicable: o <br /> • PmOerty Lines •Cen�edino oi slreet //� <br /> •Oulline and tlimensions ol all existing antl •Intlicale Narih V� <br /> Oro�osetl structures on ihe lot •Show any pmposed gmding changes <br /> •ExiSiing anE proposeC ulllities •Show measurements M <br /> W <br /> DO NOT IVRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls lo�Inspection shall be matle 24 hrs.In advance-phone 259•8810. � <br /> p,qll wark s�ell be pedormed in eccordance with Ihis permit and current City ol Evereit Desi�n and Consiruction <br /> Slantlards and fpecifiwlions. <br /> 3.CaIILowIlonUndergrountlService4Bhrs.beforeyoudig.TOLLFHEENIIMBERI•800•424b555. � <br /> r/ <br /> �'UBLIC WORKS PERM17 � <br /> NOT qEOVIRED /� <br /> B V '�■ <br /> �II <br /> o�Te �4 i� ss ' O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The untlersi9ned owneqapPlicant hereby agrees to hold anC save harm� <br /> — less ihe City ol Everett Imm any and all tlaims lor Camages, cosls, <br /> e�penses, or tauses ol action Iha1 may arisn because ol installa�ion <br /> and mainlenance ol lhe improvemenl or olher riphPol-�.+ay use herelo <br /> aOP�ietl br and lurther agrees to remove same upon nolite Irom ihc <br /> ApP'ovetl lor Constmction Dale City and to replace public property damageE ihereby. <br /> FINP' INSPECTION Date <br /> Appmvetl as Conslmcled SignaWre of AOPlicant Oale <br /> Pli9LICWORKSDEPAFTMEN7 WORK AUTHORIZED BV TFIIS PERh11T MUST BE STARTED WITHIN <br /> 180 OaVS OF DATE PEfiMIT IS ISSUED AND THF.REAFTER IS TO <br /> 3200CeEar5tmel OE OILIGEIJTLY Pl1PSUED TO COMPLETION.THIS PERMIT MAY B[ <br /> Evermt,WA 9920i CM1C[l1[�C1Y 1 H-CI71'UPON ANY 5 i OPP�;E OF WORK ON THIS <br /> POone 25&G01U FHOJFL7 GV[fi 90 DAVS DUFA i ION_ <br />