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� <br />�i i=i � <br />9H <br />r�zx <br />9 H V� <br />y � t�-{ <br />O'yS0 <br />'�1 H "� <br />V: H <br />H C <br />'C'+1 O � <br />H C7 <br />O H�y <br />H t��7 O <br />G] •� C) <br />� H� <br />HH <br />ONH <br />CC�] C7 N <br />R] � C�7 <br />z ti �n <br />HO� <br />� e <br />!, o <br />tm''" <br />� � <br />��� <br />.,� i <br />! 8� <br />b Y�! <br />�1 <br />,o � <br />Date 7-29-91 <br />Applicalion For <br />PUBLIC WORKS �'ERM�T <br />Print or Type Oniy <br />i�w:•,� vro,xs i��.,��n a - <br />o���� o�a�.. 91 �27<31 <br />r�oi,c wo,xe ren g <br />To�al Poa <br />Lr•s qn0�. Feo Pald S <br />Bainnco�ue a <br />Dan Sclimelzer 8 A7aanol.ia Everett 98203 353-0666 <br />p.,y�e� Mailiny Address Ci�y Zip Phone <br />Sames Wagner 11431 Old Snohomish Monroe R� Snohomish 98290 568-3054 <br />Applicant Mailing AdCress City Zip Phone <br />Describe Propo�ea lVork addition of 2 bedrooms and one bath <br />Projec� Address (if known) <br />Attach lour (4) copies o� Pians br proposed work - Draw to scale and note the following as app�icable: <br />• Property Lines <br />• Outline and dimensions ol all existing and <br />proposed slructures on the �ol <br />• Existing and proposed utilities <br />• Centerline of street + <br />• Indicale North <br />• Show any proposed grading chan9es <br />• Show measurements <br />PERh11T CONDITIONS <br />1, All callc for inspection shall be made 24 hrs. in advance- phone 259•$510. <br />2. All work shall he pertormed in accordance with lhis permit and current Ciry of Everetl Design and Construction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. oefore you dig. TOLI FREE NUMBER 1•800�424-5555. <br />� ��� �� � ' <br />���C'�. �r...���—� %?-�-- . �-�' �� -t� %�.�,: � z, _�f <br />! ��' Approved lor Gons�ruction Dalc <br />FINAL INSPECTION <br />Approved a5 Construc�ed <br />PUBLIC WORKS DEF'ARTMENT <br />'v�3200 Cedar Sireet <br />Everet6 WA 98201 <br />Phone:259-8810 <br />Date <br />��� <br />�-���,.�; <br />ACKNOWLEDGEMENT OF GONDITIONS <br />L J <br />The undcrsigned owner/applicant hereby agrees to hold anU save harm� <br />less the Ciry ol Everetl trom any and all claims for dama9es, costs. <br />expenses, or causes of action that may arise because ot installation <br />and maintenance of ihe improvement or o�her ri9hl�ol-way use hereto <br />applied lor a-1 lurther a9rees to remove same upon notice irom the <br />Ciry and ro r<� .�cr. public p�operty damaged thereby. <br />Sipnature ol Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MU�T BE STARTED WITHIN <br />1H0 DAYS OF DATE PERMITIS ISSUED AND THEREA�lERIS TO <br />BE DILIGENTLY PURSUED TO COMPLEfION. THIS PEFMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJEGT OVER 90 DAYS DURATION. <br />�::. <br />