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PUBLIC VW S PERMIT <br />PUBLIC WORKS DEPARTMENT <br />UM Dal. Bbeet <br />Everett, WA NNI 459-M0 <br />OR PRINT ONLY <br />Dab • <br />Pubflevia Pandt <br />PuWoVia Fee <br />Plan Check No: C 59307 SEPA <br />Applicat.Date: 06//26/98 <br />Owner Jcb Addroes: 171D HOLBROOK AVE <br />Owner: HANLON BILL i KATY <br />Tenant: <br />Proposed Use: SINGLE FAMILY RESIDENCE <br />e ApplDasc. of Work: <br />FIRE DAMAGE REPAIR (INSULATION 6 WINDOWS), <br />ADD DECK <br />Describ 3 Proposed Work _ OFFICE SET JOB SET W <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />PROJECT ADDRESS (if known) M <br />Attach four (4) copies of plans for proposed work - Draw to scats and :ate the *Mowing N appkabN: <br />•P:op" Unes xOutiine and dknnskm of aN exbdrq and proposed st ucttsse an the lot 'ExisWq and proposal v"t"" O . <br />eContedirw of street 9ndicate North 'Show any proposed graft chartges 'Slate measurwmta M2 <br />PERMIT CONDITIONS: z <br />1. All calls for Inspection shall be made 24 hours In advance - phone 259-8810. O <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. H <br />n ' <br />•USLIC WORK= PTiRt111"i _/ <br />NOTS�OUIREII O <br />tY.__-- I h� on <br />*ATE.____. <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/appioant hereby egress to hold and saw harmless <br />the City of Everett from arty and al ofakre for damages coals, axpwww or <br />causes of action that may arise because of instaNation and maintenance of <br />the improvement or other right-of-wayum has appied for uW Airtm agrees <br />to remove same upon notice from the City and to replace PAC POP" <br />damaged thereby. <br />Signature of Appkant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED MO THEREAFTER I TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 20 DAYS DURATION. <br />