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—_.l � , , <br /> � �a�e Putlic WOd3Perm1�♦ <br /> BIdO�DeD��• <br /> �i Applicalion For <br /> PUBLIC WORKS PERMIT PuEI¢Wa�kePoe $ <br /> Toiel Fee <br /> �I LefsPDD�Fee Ga1E $ I <br /> ��� i Balanro Oue S i <br /> � Print or Type Only , <br /> ��x ' rian �necK No: B 37284 SEFA <br /> � H Applicat.Date: 07/07/92 <br /> >yf/� Job Addreae: 7504 HEATHER WAY i <br /> H x� � Owner: PYATTE, HAROLD ZiP Phone I <br /> H x H Owner Tenant: . <br /> Proposed Use: SINGLE FAMILY RESIDENCE <br /> K y� Uesc. of work: _ <br /> PRIVATE SWIMMING POOL Phone <br /> � H� AOPlicanl zip I � <br /> CA H � <br /> � �,� �I OFFICE SET JOB f.ET_ <br /> y�y I . Describe Proposed Wor APPROVED FOR PERMIT: DATE_/_%__ BY I <br /> i <br /> � �� I i <br /> 4�� O I � i <br /> z �� � ; <br /> � yz I �. c <br /> ~y II Projecl Address(il known) <br /> g `� � � � ! <br /> H <br /> O ty CA 'I Atlach tour(4)copies of p�ans lor proposed worrt- Draw lo scale and note the lollowing as applicab e: � � <br /> � �ty � • properry Lines • Centerline of slreet � <br /> [�1 I • Outline and dimensions of all existing and • Indicate Norih <br /> proposed structures on the lot • Show any proposed grading changes <br /> y �� • Ezistlng and pro?osed utllilies • Show measurements M <br /> I W <br /> DO NOT WRITE BELOW THIS LINE O � <br /> PERMIT CONDITIONS � <br /> � 1,All calls lor inspection shall be made 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shall be pedormed in accordance wilh this permit and currenl Ciry of EvereU Design and Construction <br /> Standards and Specilications. � j <br /> 3.Call Location Underground Service 48 hrs.belore you dig.TOLL FREE NUMBER 1•800•424•5555. <br /> �.. I <br /> � � � O i <br /> %/,-. < . :., I � <br /> �c'�L�c i, c ./'.. ��, , F ; C % /". .r. c : I <br /> r� �� I <br /> m A -' � / -� � � I l <br /> �/ I � <br /> O I i <br /> �� , <br /> a � <br /> �- � <br /> , <br /> � � ACiWOWLEDGEMcNT OF CONDITIONS ' <br /> � <br /> The undersigned ovmer/applicant hereby agrees to hold and save harm• <br /> less the City ol Everett Irom any and all claims for damages, cosis, <br /> ` 'w expenses, or causes of action ihat may arise because of installation �. <br /> and mainlenance ol the improvemenl or other right•ot-way use hereto <br /> app�ied lor and lurtlier agrees to remove same upon notice Irom ihe <br /> Approved for Conslruction Date Cily and to replace public property damaged thereby. <br /> FINAL INSPECTION ��1e Da�e <br /> Approved as Conslrucled Signaturo ol APPlicant <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> ���� PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTF.R IS TO <br /> 3200CedarSireet BE DILIGEN7LY PURSUED TO COMPLFTION.THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLE�BY THE CITY UPON ANY S�OPPAGE OF WORK ON THIS <br /> Phnnnr 7fi9�Rfl10 �r n� nrinr.i <br /> ' <br />