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F« • <br />{S PERMIT °�t• <br />�� ��� <br />cw,. so..i <br />sezoi zse.eeio <br />A�w�e w«w ae�mx r <br />BuNdinp PenNt f <br />E OR �RINT ONLY Public NbAce Fes S <br />Plpan Ch�ck Not B 5/839/6 8EP71 <br />Owner �PJobcl►dd ���: 6129�W9M)16NOLIA AVE p�pr» <br />Ownors NATTHI&SSN RICH11ItD <br />T�nants <br />Applicanl -- Da�c�ofdWorks $INGLE F1IMILY RESIDBNCE <br />11DDITION3 TO HOUSE ANp G71R!►GE �� <br />PrOpOS9d Wprlt _ OFFSCE SET <br />JOB SST <br />-- .1PPROVED FOA PERMIT: D71TE_I_I_ BY_ <br />ADDRESS Qf known) <br />:h fo�r (4) eoples of plans �or pr�pOye� wpr� _ p��,, to acale and note the folbwing H appl;cade: <br />'Property Lines butline uy Cimensbny of all existing and proposeC atrur,y�rss pi pb bt •Fxi.�ting and propcsed utOMles <br />•Centerline of stroet ■Indkxte North 5how any proposed grad�nq eheng�y ■�W maasurements <br />-.._. _.....—__...... ���..,���... <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours fn advance - phone 259-8810. <br />2. All work shall be perforrned (n accordance with this permit and current City of Everett Design and <br />Constructfon Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />_.�,,,_„�� 81Vt <br />•��flifO�M N 0 .lf <br />�tlMa�� 4�py,� �n8n� <br />Approved lor Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />`CtALi :vOflKS �ppM1T <br />�+ � q60UlAG! <br />,v. ��� <br />•AT�___, C�t <br />�s»��., <br />ACKNOWLEDGcMENT OF CONDfT10NS <br />The undersfgned ownx/applicent herehy agrees to hoW and �ave hyrtnysy <br />the City ol Everett from any and all claima tor demeyes, cw}s, ezpenses, n, <br />causes of action that may arise becausa of Instellatbn and maintenance of <br />the fmprovemanl or olher rigM•of•way use he�eto epplisd fw and further ap�eey <br />to remove same upon notke from the City and to replece public propeAy <br />damayed thercby. <br />— � Signature of AppllcaM <br />Date <br />JJORK AUTHCRIZED BY TH�S PERMIT MUST BE STARTED WITHIN 780 DAYS OF DATE PERMR IS ISSUED AND 14ERFAFTER IS TG aF pnJ�ENTLY AURSUED 70 <br />COMPLEI'ION. THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPqGE OF WORK ON THIS PR0.1E:�T OVER gp pq/g p�q�7�pN. <br />