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Dat��/G /9� <br />c-". <br />Application F�r <br />PUgLIC WORKS PERMiT <br />Print or Type Only <br />Owner <br />Applicant <br />Describe Proposed Work <br />Project Address (if known) <br />Plan Check No: B 27556 <br />Applicat.Date: 08�16/91 <br />Job Addrese: 35 0 LOMAARD <br />r'4 ,. <br />Sepa Number: <br />Owner: MCCAMEY WILLIAM <br />Proposed Use: SINGLE FAMtLY RESZDENCE <br />Desc. of Work: <br />REPLACE AND EXTEND REF�R PORCH <br />OFFICE SET JOB SET <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />A[tach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: <br />• Property Lines <br />• Outline and dimensions of all existing and <br />proposed structures on the lot <br />• Existing and proposed utilities <br />P�bLc Worxf Pnrmit s <br />9iCg.0eo� • l//�a% .is� <br />Public wo�ke Fea <br />ratel cee g <br />�esaAop�Fee?a�a S <br />Baiance Due S <br />• Centerline of street <br />• Indicate North <br />• Show any proposed grading changes <br />• Show m=asurements <br />Phone <br />Phone <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance • phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current Ciry of Everett Desipn and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800•4245555. <br />IlU�ce ltlo�Z��z.nu� /I�o� '�a�.::.� <br />� <br />,b. <br />�-Zi-9/ <br />Approvetl for Construction Date <br />=1NAL INSPEGTION <br />approvetl as Constructed <br />� PUBLIC WORKS DEPARTMENT <br />'V�� 3200CodarStreet <br />Everet� WA 98207 <br />Pl�one: 259-8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />_ / <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and save harm� <br />less Ihe City of EvereU from any and all claims for tlamayes costs <br />er.penses, or causes of action that may arise 6ecause of instaltation <br />and maintenance of the improvement or other right-ohway use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to raplace public property damaged thereby. <br />Oate <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUS7 BE STARTED WITHIN <br />180 DAYS OF DATE PERMITIS ISSUED AND THEREAFTER IS i0 <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />