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, __ _ - - �.. <br /> � cation For <br /> PUBLIC WORKS PERMIT Date <br /> PUBLIC WORKS DEPARTMENT Public Wcrks pertnit# <br /> 320�Cedar Sireet <br /> Everetl,'.'dq 9L201 259-8810 <br /> Building Pzrmit# <br /> TYPE OR PRINT ONLY <br /> Public Works Fee$ <br /> Plan Check No: B 52614 SEPA -- <br /> Applicat.Date: 08/19/96 <br /> Job Addresa: 1415 HOYT AVE <br /> Owner Owner: BUOY JANET <br /> Tenant: Phone <br /> Propoaed Uae: SZNGLE FAMILY RESIDENCE <br /> Deac. of Work: <br /> Applicant REMOVE STAIRS, ADD COVERED P9RCH <br /> Phone <br /> Describe Proposed Work _ oFFice SET JOB SET <br /> APPROVED FOR PERMIT: DATE_�_�_ gy - f � 1 <br /> LW <br /> 1'� <br /> '�w <br /> PROJECT ADDRESS (if known) _I <br /> Attach four(4)copies of plans for proposed work-Draw tn scale and note the lollowing i(applicable: � <br /> 'Property Lines 'Outline and dimensions of all exisling and proposed structures on the bt •6cisting and pmposed utilitles o <br /> 'Cent�arline of street •Indicate Nonh •Show any proposc�gradinq changes •Show measurements <br /> DO NOT WRITE BELOW THIS LINE � <br /> F'ERMIT CONDITIO�S: � <br /> 1. All calls for inspection shall be made 24 hours in advance- phone 259-8810. <br /> 2.All work shall t�e pertormed in accordance with this permit and current City of Everett Design and O <br /> Construction ::tandards and Specifications. <br /> • 3 Call Location llnderground Servir.e 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. L <br /> ♦1"/�� <br /> � � �. p M♦ <br /> • i�JU �U (��'�' � ���Di' �S �E';������ 1�['�����C�� � <br /> ,���._< <� t��`_ a <br /> ACKNO`NLEDGEMENT OF CONDITIONS <br /> The undersigned owneNappiicant hereby agrees to hold and save harmless <br /> Ihe City of Eve�ett(mm any and all daims for damages,cosis,enpenses,or <br /> Appmved lor Cunstruchon Date causes ol action that may arise because of installation antl maiNenance of <br /> the improvement or other righbol-way use hereto applied for and fuAher agrees <br /> to remove same upon notice Irom 1he City and to reolace pubfc properry <br /> damagad thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> Signature of App;icant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND iHEREAhTER IS TO BE DILIGEMTLY PURSUED TO <br /> COMPLETION.THIS�ERMIT MAY�E CANCELLEU BY THE CITY UPON ANY STOPPAGE OF WO?K ON THIS PROJECT OVER 90 DAYS JURATIqN. <br />