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� atanFor �.� <br /> ���� PUBLIC WURKS PERMIT Date <br /> PUBLIC WORKS DEPARTMENT Fublic Works Permi�# <br /> 3200 Ce.dar Street <br /> EvereU,WA 98201 259-8810 Building Permit p <br /> NPE OR PRINT ONLY Public Works Fee S — <br /> Owner Plan Check No: B 59111 SEPA Phone <br /> Applicat.Date: 06/10/98 <br /> 3ob Addreae: 18b5 HOYT AVE <br /> Owner: MOSER LEO A <br /> Applicant Tenant: phone <br /> Propoeed Uee: SINGLE FAMILY RESIDENCE <br /> Deec. of Work: <br /> ADDITZON/ENCLOSE BACK PORCH AREA � <br /> Describe Proposed Work_ <br /> OFFICE SET JOB SET � <br /> APPROVED FOR PERMIT: DATE_/_/_ HY �� <br /> � <br /> PROJECT ADDRESS(if known) M <br /> Ariach four(4)copies ol plans for proposed work-Draw to scale and note the following i(applicable: O <br /> •Property Lines 'Outline and dimensians ol all existing and proposed siructures on the lot 'Exlsting and proposed utilities <br /> •Centerline o1 st2et •Indicate North •Show any proposed greding chan9es 'Show measuremenis � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1. All calls (or inspection shall be made 24 hours in advance - phone 259-9810. O <br /> 2. All work shall be performed In accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> v♦ <br /> '"UGLIC WORKS �FN�It O <br /> . . NOf @UUIP.cr -- a <br /> 8y <br /> •�TG__ / . <br /> —�-7�-...�___. <br /> ACKNOWLEDGEMENT OF CONDfTIONS <br /> � The undersigned owner/applicant hereby agr��es to holc and save harmless <br /> lhe City ol Everett from any and all claims for damages,costs,expenses,or <br /> Approved br Constr�ctinn Date causes of acUon that may arise becuuse of installation and main�enanca of <br /> the improvemenl cr other right-ot-way use hereto applied for and lurther agrees <br /> to remove same upon notice from the Ciry and to replace pubtic properry <br /> damaged thereby. <br /> FINAL INSPECTION Date <br /> P,pproved as Constructed <br /> L� Signature ol Applicant Date <br /> WORK AUTHOFIZED BY THIS FERMIT MUST BE STARTED WITHIN 7B0 DAYS OF DATE PERMR IS ISSUED AND THERFAFTEfl'�i,TO BE DIIIGENTLY PURSUED TO <br /> COMPLE710N.THIS PERMIT MAY BE CANCELLED BY THE CI7Y UPON ANY STOPPAGE OF WORK ON iHIS PROJECT OVER 90 DAYS DURATION. <br />