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PUBLIC� dVORKS PERMIT ��° <br /> � PUBLIC WORKS DEPARTMENT PubNc Works Pertnk N <br /> 3200 Csdar Strsat <br /> Evaratt,WA 98201 259-8810 BWlding Pertnk R <br /> TYPE OR PRINT ONLY � ��STI N G JAN 2 2 1pp� publb Nbrlce Fes S <br /> Plan Chack No: C 61483 sEp� <br /> Appllcet.Date: O1/28�99 phone <br /> Owner Job Addreeas 11Y1 RAND 11V� <br /> Owner: MICHAELS J06/T6ARY <br /> Tenant: <br /> Proposed Use: SINGLE F1IMILY RBSIDENCR <br /> �P���� Deec. of Work: Phone <br /> ADDITION OF LIVING SPACS 1�ND PORCH <br /> Describe Proposed Work_ oFpzce SET JOB SET � <br /> APPROVED FOR PERMITt DATE_/_I_ BY � <br /> � <br /> _/ <br /> PROJECT AqDRESS (f known) M <br /> Attach four(4)copies of plena for proposed wwk-Draw to scela and note the tolbwinq H apWle�ble: . W <br /> �properry Lines 'Outline and dlmensbro of all axistlny vid proposed sVucNres on ths bt 'ExbUng end proPosed utllRles O <br /> �Canterline ot st�eet 9ndicata North 'Show anY P�P��g�ditq chanyes 'Slww ms��uremants � <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDIiIONS: <br /> 1.All calls for fnspection shall be made 24 hours in advance- phone 259-881 G • O <br /> 2.AII work shall be performed in accordance with this pertnit 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 1-800-424-5565• � <br /> N <br /> � O <br /> a <br /> hyrRlb WARK•� I�EAIJ�F <br /> NO kl�!!i� <br /> �Y <br /> MTE----Z �—�------ <br /> ACIQJOWLEDGEMENT OF CANDRIONS <br /> . The undarsipned ownerhpplM.aM hanbY aGren to hoid and sws harmNsa <br /> ths CIIY of Evsralt hom�rry rnd a9 cWms for dam�pN�cwb��+��a <br /> caues a aenon nue m.r.rhe b�causa o�insh�on and mdm.rw�c.m <br /> qpProvad tor Construction Dete �y�p��a��.p{��y�qe Mrto�ppN�d tor�nd�+Ihx�pess <br /> to remow wns upan nodce hom the CHy�nd to reW�u P�bA� P�N <br /> dameqedlMrebY. <br /> FINAL INSPECTION Date <br /> Appioved as Constructed <br /> sqn.wr.m�aWu� °'h <br /> WORK AUTHORIZED BY THIS PFAMR MU5T BE STARTED YVITHIN�180 DAYS OF OA7E PERMI!iS ISSUED Mb 7HEAEAFiER IS T��a��Y PUR�m T� <br /> COMPLEf70N.7HI5 PERMR MAY B[CANCELLED BY THE CfTY UPON ANY STOPPAfiE OF W0t1K ON TFMS PROJECT������' <br />