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c;.�Fa �� <br /> � PUBLIC WORKS PERMIT Dsle <br /> PUBUC WORKS DEPARTMENT Pudk Works PxmN II <br /> 3200 Ceder Street <br /> Everetl,WA 98201 259-8810 Building Pormfl N <br /> TYPE OR PRINT ONLY Publk Works Fee S <br /> Plan Chack No: C 57548 SBpA <br /> Applicet.Date: 12/31/97 <br /> 3ob Addra�es 82$ PhCRS DR ' <br /> p,�,�a� Ownars JOHNSTON PHILLIP/1f11TRINA pho�e <br /> Tanants <br /> Propored Uoo: SINGLE F1IMILY REBIDSNCB <br /> D��c. of Work: <br /> ��� NBW C11RAC8 NSTH LIVINO SPACE ABOVE �� <br /> OFFICS SBT JOB SBT � <br /> Describe Proposed Work _ <br /> APPROVEU FOR PER!(IT: DATS_/_/_ BY <br /> � <br /> � <br /> � <br /> PROJECT ADDRESS pf known) � <br /> Athch tour(I)eopbs o1 plans for proposed work-Draw to aeale and note the folbwing I(applkable: <br /> 'PropMy Lines 'Outline antl dimensions of all exisling and proposed structures on tM bt •Fxistl�y end proposed utiAlies O � <br /> 'Centerline of street •Indicate North 'Show any proposed grading changes 'Show measuremenb <br /> � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2.All work shall be pertormed 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. � <br /> �UYUC YYpRKi �BM�/�t � <br /> 1i0 t' II�iCUIR6A O <br /> AY����•i <br /> �1TE���' � <br /> ...._ <br /> ACKNOWLEDGEMENT OF CANDIiIONS <br /> � The uMersigned ownedappllant hereby agresa to fald end ave Mrrtilwa <br /> tM City o1 EverMt hom arry and all ddms fa d�mayss.costs,axp�nsp,a <br /> Approved 1w Construction Date C813BS o1 a°O1�'"'�''�3°°s�1B a n,,cs�.eor�.nd m.m�wne.a <br /> the knpovartient or otMr rlpM-of-wry un M�Mo applMd la and GrVix pr�a <br /> �o rertave s�ma upon notlw fian Hro CNy and to rerl�c� piblc WopMY <br /> damaged tAerMry. <br /> FlNAL INSPECTION Date <br /> ApWoved as Constructed <br /> Sipnaturo o!AppXeant WN <br /> WORK AUTHORIZED BY THIS PERMR MUST BE STARTED WITFiIN 180 DAYS OF DATE PERMR IS ISSUED AND THEREAFTEp IS TO BE qLl(iENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE GTY UPON ANY STOPPAGE OF WOfiK ON THIS PROJECT OVER 90 DAYS DUMiION. <br />