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-. , <br /> Date <br /> �upbc Work�Parmil• <br /> Applicalion For Oltlp.Deoi.� <br /> PU �LIC WORKS PERMiT P���,=Wa,k.F•. <br /> Totrl Fee 5 <br /> lear 4�p1,Fee P��p S <br /> Print or Type Only e.�.�«o�� s <br /> Plan Check No: B 45620 SEPA <br /> Applicat.Date: 09/20/94 <br /> Job Addrs: 222b GfiAND AVE <br /> Owner: PENNICK AJ <br /> Owner Tenant: REMBOLD JON 7ip Phone <br /> Preposed Use: SINGLE FAMILY RESIDENCE <br /> Deac, of Work: <br /> INSTALLING HOT TUB W/DECK UNDER E%ISTING <br /> Applicant ZND FLOOR DECK _ � <br /> Z�p Phone <br /> OFFICE SET JOB SET <br /> Describe Proposed Wor APPRVD FOR PERMIT: DATE_/i_�_ gy <br /> Project Address(if knownl � <br /> 4ltach four(4)copies of plans lor proposed wurk� Dra'v,� to scab�:in,y ncte tnu Ioncwing as apulicable: � <br /> • Property Lines �� <br /> • Centeriine ol street � <br /> • Outline and dimensions ol all existing ana • Indicate North <br /> propo5ed slruclure5 on the lot • �how any r,roaosed grading change5 <br /> • Ezisting and proposed�Iiiities • Show measuremenls <br /> DO NOT WRITF BELOW THIS LINE � <br /> PERMIT CONDITIONS O <br /> 1.All calls for inspection shali be made 24 hrs.in advance•phone 259•8810. <br /> 2.All work shall be perormed in accordance with ihis permit and current Ciq�ol Everett Design and Construction � <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dia.TOLL FREE NUMBF.R 1-800•424•5555. <br /> � <br /> O <br /> PUBLIC WORKS PERMlT � <br /> NOT�EOUIREp /_ <br /> �V V� <br /> qATE Z / 7 O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> _ � The undercianed owner/applic2nl hereby agrees ro hold an0 save harm• <br /> � less Ihe City ol Everett trom any and all claims lor damages. cosis. <br /> � expenses. o� causes oi action Ihat may-aris= because of installation <br /> � and m�intenance ol Ihe improvement or olher righl•pl�way use heretq <br /> proved for Construction I appi�r.�: lor and luriher agrees to remove same upon nolice Irom 1he <br /> Da�e � City antl �o replace public properry damaged Ihereby. <br /> i <br /> JAL INSPECTION ' Date i <br /> �roved as Consfructed Signawr^ol.nnPlican! Date <br /> ���� PUBIIC WORKS DEPARTMENT I �"�On'K AUThIOR12ED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarSlreel . 780 OAYS OF DATE PERMIT IS ISSUED AND THEREAFTEF �S TO <br /> Everett,WA 98207 BE DILIGENTLY PURSUED TO COMPLE�ION. THIS PERMIT �dAY BE <br /> Phone:259•8870 CANCELLED 8Y THE CITY UPON ANY STOppAGE OF WORK ON THIS <br /> I PROJECT OVER 90 DAVS DURATION. <br />