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i licaUon For i� <br /> ' PUBLIC WORKS PERMIT °e'0 ' <br /> PUBLIC WORKS DEPARTMENT Public Works Permit# <br /> 3200 Cedar Street <br /> Everett,WA 98201 259-8810 nuu�iing Permit N <br /> lYPEORPRINTONLY Plan Check No: C 50799 SEPA <br /> npplicat.Date: 02/G6/96 forks Fee$ <br /> Job Addreas: 114 E INTERCITY AVE <br /> Owner: HAYENGA MACHELE <br /> Tenant: <br /> Owner Propoaed Use: SINGLE FAMIL" RESIDENCE <br /> Deec. of Work: Phone <br /> REMODEL FINISHING BASEMENT 6 EXPANDING <br /> MASTER BEDAOOM <br /> Appllcant OFFICE SET JOB SET Phone <br /> APPROVED FOR PERMIT: DATE__/_�_ BY <br /> Describe Praposed Work � <br /> r <br /> /�/� <br /> V♦ <br /> PROJECT ADDRESS(if known) � <br /> Attach four(4)copies of plans for proposed work-Draw to scale and note the following if applica6le: o <br /> •Property Lines •Outline end dlmenslons ol all existing and proposed structures on the lot •Existing and proposed utllities <br /> •Cenlerline of street •Indlcate North •Show any proposed gradi�g changes 'Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � � <br /> 1.All calis for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2.All work shail be performed in accordance with this permit and current City of Eve�ett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you diy. TOLL FREE NUMBER 1-800-424-5555. � <br /> V� <br /> O <br /> INITUL �NSPECTION � <br /> KIRK BROOK6 �UBLIC WORKS PfiRM6T <br /> tvOT �iE�UI� <br /> DATE Z � `�� aY� <br /> aAT� 9s <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The unaersigned ownedapplicant hereby agrees to hold and save harmless <br /> the City of Everetl from any and all claims lor damages,costs,expense�,or <br /> Approved fur Consiruction Date causes of ac�iori ihat may arise because of Installation and maintenance o1 <br /> ihe Improvement or olher dghFof-way use hereto applied for and fuAher agreas <br /> to remove same upon notice from the City and to replace public property <br /> damaged ihereby. <br /> FINAL INSPECTION Date <br /> Approved as Consiructed <br /> Signature of Applfcant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGEN7LY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />