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� PUBLIC���ORKS PERMIT Da._ <br /> PUBLIC VJORKS�EPARTMENT Public Vlorks Permit M <br /> 3200 Ceds Streel <br /> Evaretl,WA 98201 259-8810 Building Permit It <br /> TYPE OR PRINT ONLY Public Works Fee$ <br /> Plan Check Nos B 62159 SBp� Phone <br /> Owner A plicnt.Date: 04/13 99 <br /> PJob Addrese: 1716 OYT AVE <br /> Ownai: PISRSON STEVE/RATHY <br /> Tenant: — <br /> Applicant Ptopoeed U�e: SINCLE FAMILY RESIDENCE Ph�ne <br /> Deec. of Work: <br /> ADDITION <br /> Describe Proposed Work_ W <br /> OFFICE SET JOB SET � <br /> APPAOVED FOR PERMIT: DATE_/_/_ BY — <br /> � <br /> PROJECT ADDRESS (if known) M <br /> Attach four(4)copies ol plans for proposed work-Draw to scala end note the lollowing If applicable: � <br /> �Property LJnes 'Outline and dimensions of all ezisting end proposed slructures on the lot •Existing and proposed utilities <br /> •Centerline of street `Indicate NoAh 'Show any proposed grading changes •Show measurements � <br /> DO NOT\"91TE BELOW THIS LINE � <br /> PERMIT CONDITIONS: <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. O <br /> 2. All work shall he pertormed in accordance with this pertnit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Locatlon Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-4245555. `� <br /> ♦GA <br /> V/ <br /> � <br /> a <br /> 'UGLIU WpRKS P�N�,ui <br /> �����pJ1Rki,A <br /> tY., W�Y�1 <br /> --��i'---- _.._.., <br /> 1ATL.,, GjC�,� <br /> H <br /> ACKNOWLEDGEMENT Of C�NDITIONS <br /> The undersigned o.vnedapplicant hereby agrees to hold and save harmless <br /> the City of Evereri from eny and ell claims for dameges,costs,expenses,or <br /> Appmved for Construction pa�A causes ot action th3t may arise because of installatbn and maintenance of <br /> the improvement or other right�of-way use hereto applied ta and further agrees <br /> to remove same upon notice hom thee Clty and to replace public pmparty <br /> ' damaged thereby. <br /> F�NAL INSPECTION Date � <br /> Approved as Constructed <br /> Signature ol Applicant � Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STAfiIED WITHIN 180 DAYS OF DATE PERMR IS ISSUED AND T1IEFEAFTFR IS TQ BE DILIGENTLY PURSUED TO <br /> COMP�Ef10N.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON 7HIS PRQIECT OVER 90 DAYS WRATIDN. _ <br /> . ._. _ _.. _ _ ..— -- �-- - <br /> �— <br />