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��� <br />��x <br />9HV� <br />4 <br />�H� <br />� V7H <br />� � � <br />H t7 <br />OH�y <br />H^ L�1 O <br />y, V �C <br />9 H h7 <br />i <br />Hy <br />N <br />gd� <br />��� <br />HOCyi� <br />1 <br />� <br />5 <br />; <br />:; <br />a <br />i <br />� <br />i <br />Date <br />Applicalic""'�r <br />PUBLIC WaRKS <br />Print or Type Only <br />��, <.�o,.=�..,,�.,, <br />r � Bma. oam. • — <br />PERMIT I PUOIiCWorksFea 5 <br />Toial Fee <br />Lese AoO� Fea Pa�E S <br />9alance0ue S <br />Plan Check No: H 28134 SEPA <br />Owner Applicat.Date: 11/19/91 <br />Job Addrese: 7719 LOWER RI�GE Rti <br />Owner: LOOMIS SCOTT <br />Tenant: <br />Propoaed Use: SINGLE FAMZLY RESIDEN':E <br />qpplicant Deec. of Work: <br />RESIDENTIAL ALTERATION – FINISH BASE��ENT <br />Describe Praposed Work — OFFICE SET�.JOB SET ._ <br />APPROVED FOn PERMIT: DATE_,/_I_._ HY_—.— <br />Project Address (il known) - <br />Attach lour (4) copies of Plans for proposed work - Draw to scale and �ote ihe following as applicab!e: <br />• Property Lines • Centerline of street <br />• Outline and dimensions ol all existing and • Indicale North <br />proposed slructures on the lot • Show any proposetl grading changes <br />• Existing and proposed utilities • Show measurements <br />Phone <br />Phone <br />PERMIT CONDITIONS <br />1. All calls for insFection shall be made 24 hrs. in advance - Phone 259•881 �J. <br />2. All work shall be pedormed in accordance wilh lhis permit and wrrent City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call location Underground Service 48 hrs. before you di�. TOLL FREE NUMBER 1-800-424-5555. <br />���lye�:�.e�o�0 P.«.,.,.��/�b�-.Qi��,.tid� <br />`�� <br />/.�- �D -9/ <br />Apprcved for Construction Date <br />�. FINAL INSPECTION Date <br />� Approved as Constructed <br />• PUBLIC WORKS DEPARTMENT <br />' 3200 Cedar Slreet <br />Everet4 �'dA 98201 <br />�. Phona:258-8810 <br />� <br />� <br />s <br />� <br />� <br />/r` <br />V <br />C <br />� <br />ACKNOWLE�GEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harn <br />less the City oF Everett Irom 3ny and all claims for damages. cost <br />expenses, or causes of aclion lhat may arise because of installatio <br />and maintenance of the improvement or other right-of-way use heret <br />app�ied tor and further agrees to remove same upon notice lrom ih <br />Ciry and to replace public prcperty damaged thereby. � <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PEFMIT� MUST BE STARTED WITHI <br />180 DAYS OF DATE PERMIT IS ISSUED AND THER:AFTER IS T <br />BE DIIIGENTLY PURSUED TO COMF�LETION. THIS PERMIT MAY : <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON TH' <br />pfiOJECT OVER 90 DAYS UURATIUN. <br />. _ .. . . --. .._ ..-_ _.... --� , . ,/ <br />J <br />