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. pa�Q r` � PUEIic Workt Parmil• <br /> APPlicatlon For eiav.o.o�• <br /> PUBLIC WORK� PERMIT PuOTaWF;F�� , <br /> Lau�ppl Fee Pai� S � <br /> Print or Type Only e,�,��.o�� s <br /> Owner Plan Check No: B 46057 SEPA � Phone <br /> Applicat.Date: 10/31/94 <br /> Job Addra: 1410 GRAND AVE <br /> Owner: WALSH CAROL J <br /> Applicant Tenant: Phune <br /> Proposed Use: SINGLE FAMILY RESIDENCE <br /> Deec. of Work: <br /> 199SF DECK <br /> Describe Proposed Work <br /> � OFFICE SET JOB SET <br /> APPRVD FOR PERMIT: DATE_/_/_ BY <br /> W <br /> Proiect Address(it known) � <br /> Attach four(4) copies of plans for proposed work- Draw to scale and note the tallowing as applicahle: r <br /> • Property Lines • Centerllne ol street � <br /> . � • Outline and dimensions of ell exiaNnq and • Indicate North <br /> � � proposed structures on the lot � Show any proposed grading changes <br /> ,' • Existing and proposed utilities • Show measurements � <br /> 1 00 NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All cells for inspectbn nhsll be made 24 hra.in advance-phone 259-881 O. � <br /> 2.All work ahell be pe�formed in accordence with lhis permit and c•�rtent Ciy of Everett Design and Conslruction <br /> � � Standerds end Specilicatlona <br /> 3.Call Location Underpround Servke 4B hra betore you dig.TOLL FREE NUMBER 1-800-424•5555. � <br /> �'UALIC WORKS PERMIT O <br /> N07 R QUIRE� <br /> iY � <br /> �7ATE �� 2 � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersignetl owner/applicant hereby agrees to hotd and save harm- <br /> less the City uf Everetl Irom any and all claims for damaqes, costs, <br /> expenses, or causes of aclion that may arise because ot Installetian <br /> and maintenance ot the improvement or other right•ot•way use hereto <br /> applied tor and further agrees to remove same upon notice lrom the <br /> Approved for Construction Date City and to replace public property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature ol Applicanl Date <br /> � PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PEFMIT MAY BE <br /> Phone:259•8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />