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44ryr PUBLIC W KS PERMIT <br />faAeuc woacB DEPARTMENT <br />3M Cede stieat <br />Emratt, WAM M Z"10 <br />Dab • <br />Pubk wkrtm Parmk s <br />Suk krg Punk to <br />TYPE OR PRINT ONLY PhrbYeVft Fee$ <br />Plan Check No: C 58388 SEPA <br />Owner span, A 11cat.Date: 04�02498 Phan <br />Job Address: 260 ILLSIDE LN <br />Ow <br />ner COON ED <br />Tenant: <br />Appilowd MaBn d Use <br />Dsffcc. of Work: 81NGLE FAMILY RtBIDZNCB Photo <br />REBUILD FAUN FIRE DAMAGE <br />Describe Proposed Yabrk <br />OFFICE SET JOB SET <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />PROJECT ADDRESS (if known) <br />Attach four (4) oopiw of plan for pop , work - Draw to sc.a s and rob the folbwlrp N appkoabW <br />'Property Unss e0utkm and dfinemions of d udsting and pmposed sh chm on the bt eEtdadnp and proposed ut/Un <br />'CenMYhe of elnat 'Mhdkate North a8how any proposed 9r+ 1 '9how mu1AXWr anb <br />PERMIT CONDITIONS: <br />1. All '.:alls for Inspection shall be made 24 hours In advance - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and cunent City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-42445555. <br />Approved for Constriction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />-'V410 WOPIKS Ptprvn <br />M VK4-iUlllE• <br />fr <br />OATF-, <br />W <br />ca <br />O <br />z <br />O <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The wwWraigned ownu/apoli ant hereby areas to hold and am hermleve <br />the CItY of Evslea from arty and ak ale rrm for dermegM, ooeb eeparmae or <br />causes of action that may artse became of krtalWon and malntarwoe of <br />theirnpovmmntorotharrW-of-wayuwhwebappladforndhNthar , ee <br />to remove wne upon notice from the City amd to replace PAft pmpet <br />damaged thereby. <br />SWIGh eofAppkcent Deb <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THOWAFTER IS TO BE DitNiENTLY pURSUED Tot <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE. CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION <br />