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��� <br />m�x <br />C, H <br />9H� <br />r <br />H � <br />K n <br />H� <br />�Hti�J <br />ti H <br />� � � <br />H C7 <br />OH <br />H�,g <br />(�]Y �] <br />zH�H <br />gyy <br />H <br />C7 t7 fn <br />� � t=1 <br />HOvi <br />Date <br />, � <br />AppliCalioi For <br />PllBLIC WOI�KS PERMIT <br />Print or Type Oniy <br />Owner <br />Applicant <br />Describe Proposed Work <br />Prolect Address (if known) <br />Plan Check No: B 39376 SEPA <br />Applicat.Date: O1/27/93 <br />Sob Addre: 7209 LOWER RIDGE RD <br />Owner: WHITTER JUDY <br />Tenant: <br />Proposed Use: POACH/DECK <br />Deac. of Work: <br />COVERED PORCH <br />OFeICE SET JOB SET <br />APPRVD FOR PERMIT: DATE_/_/_ BY ' <br />Puo�lc worb Permlt + <br />emp. oeo�_ � — <br />puol¢warkaFea $ <br />Toial Fea <br />�esa AOG� Foe PaiE 5 <br />Balance Oue S <br />Z�p Phone <br />Zip Phone <br />Attach lour (4) copies oi Plans lor proposed work - Draw to scale and rwte the following as applicable: <br />• Property Lines • Centedine uf slreet <br />O Outline and dimensions ot all existing and • Indicate North <br />proposed structures on ihe lot • Show any proposed grading changes <br />O Existing and proposed utilitie� • Show measurements <br />PERMITCONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance- phone 259•8810. <br />2. All v�ork shall be pedormed in accordance with this permit and current City of Everett Design and Construction <br />Slandards and Specifications. <br />3. Call Lor.aiion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800•424-5555. <br />for Gonsiruclion <br />PUBLIC WORKS PER�NIT <br />NOT REOUIRED <br />BY �� <br />DATE� � 9,3 <br />Date <br />FINAL INSPECTION Date <br />Appro�ed as ConSiructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Sireet <br />Everen, WA 98201 <br />Phon�• 259�8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />h <br />� <br />� <br />� <br />O <br />H <br />� <br />� <br />a <br />The undersigned owner/appiicant herehy agrees to holtl and save harm- <br />less the City of Everett Irom any and all claims lor damages, costs, <br />expenses, or causes of action that may arise hecause of installation <br />and maintenance oi the improvement or other righl�obway use hereto <br />applied for and `urther agrees to remove same upon notice irom the <br />City and to replace puhlic property damaged thereby. <br />Signature ol Applicant Date <br />WORK AUTHORIZED 6Y THIS �. �� MUST BE STARTED WITHIN <br />100 DAVS OF DATF PERMIT IS IS..JED AND THEREAFTER IS TO <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 />