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� atron Fu <br /> PUBLIC �RKS PERMIT Date� <br /> PUBLIC WORKS DEPARTMENT Public Works Permit N <br /> 3200 Cetlar Street <br /> Everett,WA g8201 259•8810 <br /> Building Pertnit M <br /> TYPE OR PRINT ONLY PuWk Nbrka Fee S <br /> Plan Check No: 8 55906 ggp� <br /> 1�pplicst.Dato: 07/11/97 <br /> owner 3ob Addr���: 2142 CW1tiD 1►VE <br /> Oan�rs BARR2NGBR MBLVIN Phona <br /> T�nants <br /> Propo�ed Use: SSNCLB F1IMILY RESIDBNCE <br /> ���� Detc. of Work: <br /> REPL11C8 FOUNOATION I hone <br /> Describe Proposed Work _ OFFICB S8T JOB SET <br /> APPAOVED FOR ?ERMIT: DATE_/_/_ gy W <br /> � <br /> � <br /> PROJECT ADDRESS(if known) � <br /> Attach four(4)eopies of plans for proposetl werk•p�aW to seale and note tha followinq if applleable: W <br /> M'roperty Lines 'Qutline and dimensions of all existing end proposed structures on tM bt ■Existing and pmposed utiliUes O <br /> 'CemMine ot stroet ryndicate North 'Show any proposad grading changea �$how measurements <br /> DO NOT WRiTE BELOW THIS LINE � <br /> �'ERM�T C�NDITIGIJS: � <br /> 1. All calls for inspection shall be made 14 hours in advance- phone 259-8810. <br /> 2.All work shall be performed in accordancs with this permit and current City of Everett Design and O <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800•424-SSS.S. <br /> � <br /> `UQ1.1(; 1�OqKS � � <br /> kOi �NA/ll O <br /> �UIRE� � <br /> lY��--- - <br /> •nTE_,_�__—,.���'/ <br /> 4 � <br /> ���_ <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant heroby aqraes to hold�nd eaw hartnbes <br /> the Clty of Everett hom any and all elaims la damagee,eoste,aupenKy�a <br /> Approved for Construction Date �auses of action that may arise bacause ot InstaOatbn end mslntenance of <br /> che improveme�t a othar:ipht-ot-way use hereto appliad for end ryrMix ag�ee� <br /> to romove same �pon notice hom the City and to replrca pup�fe p�pper(y <br /> dameged thereby. <br /> FINAI.INSPECTION Date <br /> Approved as ConsWcted <br /> Signaturo of Applkant Dtle <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF OATE PERMIT IS ISSUED AND THEREAFTEp IS TO BE DIUGENTLY PUqSUED TO <br /> COMPLETON.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPqGE OF WpqK ON 1}{IS PRO,)ECT OVER 90 DAYS WMTION. <br />