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( Application For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 88201 (425) 257-8810 <br />TYPE OR PRINT ONLY <br />Public Works Permit N <br />Building Permitif _ <br />Public Works Fee $ _ <br />Plan Check No: C 62861 SEPA <br />Applicat.Date: 06/25/99 <br />Owner Job Address: 7825 LARIMER RD <br />Owner: QUIST NEIL <br />Tenant: <br />Applicant Proposed Use: SINGLE FAMILY RESIDENCE <br />P" Desc. of Work: <br />HOUSE AND DECK ADEN <br />Describe Proposed Work <br />OFFICE SET J08 SET <br />APPROVED FOR PERMIT: DATE / / BY <br />PROJECT ADDRESS (if known) <br />Phone <br />Phone <br />Attach four (4) copies plans for proposed work - Draw to scale and note the following if applicable: <br />• Property Lines • Outline and dimensions of all existing and proposed structures on the lot • Existing and proposed utilities <br />• Centerline of street • Irdicate North • Show any proposed grading changes • Show measurements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257.8810 <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 />?UGLIC WORKS PERMI, <br />nU-{'EUUIRN� <br />t Y._ <br />PAT In. <br />-- <br />Approved tar Construction Date <br />FINAL INSPECTION Date <br />:Approved as Constructed <br />W <br />U) <br />M <br />0 <br />n <br />Z <br />0 <br />rFM <br />I+ <br />0 <br />am <br />ACK14OWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hoid and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arse because of installation and maintenance of the <br />improvement or other right-of-way use heretu applied for and further agrees to <br />remove same upon notice from the City and to replace public property dam- <br />aged thereby. <br />ignature of Appificani a,e <br />WORK ALffHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMrr IS ISSUED AND THEREAFTER IS TO BE DIUGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAYBE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATIal. <br />