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PU6L1C 1�JRKS PERMIT DateL` <br /> � PUBIJC WORICS DEPARiMENT Publk Works P�rtnit M <br /> 3200 Cedar Street <br /> Evere!t,WA 9B2P1 259-BB10 Butlding Partnit R <br /> TYPE OR PRINT ONLY Pub�ic Nbrks Fee S <br /> Plan Check No: C 59964 SEPA <br /> Applicat.Date: 08 19 98 phone <br /> Ownar � Job Addreee: 20 3 OYT AVE <br /> Owner: POWLESLAND JAIME <br /> Tenant: <br /> Propoeed Uee: SINGLE FAMI:,Y RESIDSNCE phone <br /> p�P��„�1 � Deec. of Wark: <br /> REMODEL 7WD REROOF <br /> Describe Proposed Work OFFICE SET JOB SET W <br /> APPROVED FOR PERMIT: DATE_/_/_ BY H <br /> �� <br /> N <br /> PROJECT ADDRESS (if known) ' m <br /> Attach four(4)copies of plans for proposed woik-Draw ta scale and note the lollowing if applicable: o <br /> •Property Lines 'Oi+tline and dimensions of all existing and proposed structures�n the lot •Ezisting and pioposed utilHles <br /> •Centerline of street •Indicate North •Show any proposed grading changes 'Show meesurements � <br /> DO NUT WRITE BELOW THIS LINE � <br /> PERMIT CCNDITIONS: <br /> 1.All calls for Inspectior all be made 24 hours in advance-phone 259-8810. ' O <br /> 2.All work shall be performed in accordance with this permit and current City oT 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 /> r <br /> � <br /> a <br /> � <br /> s�r rioT� �UUIRE*��r <br /> RY <br /> �AT� � ---._. <br /> ACKNOWLEDGEMENT OF CONDIT10N5 <br /> . The undersigned owner/applicant hereby agrees to hold and save harmless <br /> the Ciry of Everett lrom any and all claims for damages,costs,expenses,or <br /> causes of adion that may arise because of Installation and malntenance of <br /> ApprovedforConstruction Date theimprovemenlorotherright-of-wayusehereloapplledforandtuAheragrees <br /> lo remove'same upon notice hom ltie City and to repl2ce public property <br /> damaged the�eby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMR IS ISSUED AND THERFAfTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.7HIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON TNIS PROJECT OVER 90 DAYS DURATION. <br />