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� <br /> � � u -�o <br /> qpplicacon For � -1e <br /> PUBLIC WORKS PERMIT publicWorksPermitn <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar S:reet <br /> Everett, WA 982C1 (425j 257•8870 Building Permit� _ <br /> TYPE OR PRINT ONLY Public Works Fee S -- <br /> Owner Plan Check No.: C9911-001 Phonc <br /> ]ob Address: 8503 HOLLY DR <br /> Owner: COROTASSTEVE _ <br /> Appticant Tenant: Phone <br /> Application Date: 11/02/1999 � <br /> Describe Pro osed Work _ NfOPosed Use: SFR <br /> P Type of wc:rk: ADD?RON GARAGE/LIVIN6 SPACE � <br /> Office SeL— Job SeL `ire/Planning Set <br /> � <br /> Approved For Permit: Date: BY� //'1 <br /> \/� <br /> PROJECTADDRESS (if known) � <br /> O <br /> Attach lour(4)copies pians for proposetl wcrk- Draw to scale and note �he lo!lowing il applicable: � <br /> •Pmperty Lines •Outtine and dimensions of all existing and pmposed structures on the lol •Existing antl proposed utililies <br /> •Centerline ol slreet •Indicate North •Show any proposed gratling changes •Show measurements � <br /> DO NOT WRITE BELOW TNIS LINE <br /> PERMIT CONDITIONS: O <br /> 1. All calls for inspection shall be made 24 hours in advance - phone (425) 257•8810 <br /> 2. All work shall be performed in accordance wilh this permit and current City oi Everett Design and � <br /> Construction Standards and Specitications. , <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-B00-424-5555. ♦A <br /> �i/♦ <br /> O <br /> =UGL'�� ',i�:��..:.,S Pi: ::i �� � <br /> ' --"'��1�ai11Rr.�4� <br /> ��„� _..�_I.1.��5.�. <br /> �.C)T� : (���J�� N1�SZ �'1- pLU�� B I N l� P�M iT <br /> �-rC, ��6��i� s �i�s�w�lz-7-o r-+�" <br /> � P�. ���� r��w A-��r�� ���U �� �3U �]_T <br /> OVEJZ cX15TlNC� 5 � I�� SEI�/EJZ. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownerlapplicant hereby agrees to hold and save harmless <br /> the City of Everett from ar,y and all claims for danages,cosis,expenses,or <br /> causes ot ac!ion lhat may arise because ot installation and maintenance of the <br /> pprovea or onsuucuon a1e improvement or other right-ol-way use herero applied for and further agrees to <br /> remove same upon notice(rom the City and to replace public property dam- <br /> aged therehy. <br /> FINAL INSPECTION Date <br /> Approved as Conswcted <br /> ignaNre o pp icant aFe <br /> WORKAUTHORIZL-D BYT}+IS PERMR MUST 6E STAHTED WI1HIfJ 780 DAYS OF DAiE PERMIT IS ISSUED AND THEREAI-ZER IS TO BE DILIGEMLY PURSUEDTO <br /> COMPLETION.THIS PERMI��MAY BE GdJCELLcD BY iHE CfTY UPON ANY STOPPAGE OF WORK ON iHIS PRQIECT OVEF 90�AYS OURATION. <br />