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Date 8'8-9� <br />Application Fcr <br />PUBLIC WORKS <br />Print or Type Only <br />PERMIT <br />Shepardson Robert/Carolyn 4024 Hoyt'Ave Everett 982C1 <br />Owner A9ai0nr Ar,�re55 " �"r �.' t;'t'i <br />i <br />� �, ,� <br />i}� � <br />Owner _ <br />qpplican� rnsn�na nddross Cav <br />PuoLc v/o.wa Pe�mn • � v � <br />eiag oeo� • 49154 <br />Less>po� Fee Pa�^ 5 �% <br />BalanceDue S /� r <br />change of uae to add retail sQace_to SFR, add handicapped raup 6 porch <br />Describe Proposed Work _ - ------ — — — — <br />_ _ v�C_ _�r <br />Proiect Adtlress (I known! _ 4024 H�yt Ave ___ ___ <br />AttaCh lour 14) coPieS of Plans lo� ProposeJ wo:k - Dnv: to �r:.�'�,� .,:,.i nr,te Yie following as apUhcahle: <br />• ProPerfy Lines • Cenlerline �1 sireet <br />• Outline and dimensions of all existing and • Indicate N�,orth <br />proposetl slrucWres on the lo� • Snov+ any proposed g��ding r.hanges <br />• Existing and proposed utiliiies • Sh�N measurements <br />PERMIT CONDITIONS <br />1. All calls fo- inspection shall be made ?4 hrs. in advance - phone 259•8810. <br />2. All work shall be pedormed in accordance with this permit antl current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. Uefore you dig. TOLL FREE NUMBEA 1•800•424•5555. <br />�zr�t�nenf f� ����'� <br />e� /�n'1 l F1 - -�t ✓ <br />_ _— ... <br />' ��, IS� I <br />i n.:��., I <br />FINAL IN�PECTION <br />ApproveA as Construcled <br />�A��,� PUBLIC WURKS DEPARTMENT <br />32�0 Cedar Sireel <br />Everett, WA 982J1 <br />Phonc:259�8810 <br />AGKhOVdLE�GCt.7CtJT OF CONDITIONS <br />i!u� unAei�igned owner/appiic�ni he�rUy agrees to hold and savz harm� <br />irss Ihe City of Everetl from any and all claims lor tlamages. costs. <br />ezpenses or causes of action Ihat may anse because ol installation <br />and rnaintena�ce o! the improvement or olh=r nght-of-way use hereto <br />and��d ler and turiher agrees to remove same upon notice Irom �he <br />G!y and to replace nubhc proPerty damaged �hereby. <br />�J//i/l7/ii/ \ \ �/�]Ii/iC-�4:l.�--� <br />iture ol A plicant �! 3 Date <br />INORK AUTHORILED BY THIS PERMIT MUST BE STAFlTED WITHIN <br />190 �AYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTIY PURSUED TO C061P:.ETION. THIS PERMIT MAY BE <br />GANCELLED BY THE GTY UPON ANY STOPPAGE OF N�ORK ON THIS <br />PRpJECT O\'ER 90 DAVS DURATION. <br />