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Date Pu01m WarMa Permil/ , <br /> Application For Biaa�oeo��• <br /> PUBLIC WORKS PERMIT R'hlieWo�wfFee _— <br /> To�r��e� s <br /> Laf!RDu4 Fee PLO 5 <br /> Print or Type Only Balan<p Oue S <br /> . <br /> Plan Check No: B 45133 SEPA Ph7�r <br /> Owner Applicat.Dates 08[03/94 <br /> Job Addreae: 909 P$CKS DR <br /> Owner: VANWINKLE DAVID <br /> Tenant: <br /> Propoeed Uee: SINGLE FAMILY RESIDENCE Phone <br /> Applicani Deec. of Work: <br /> REPLACE FRONT PORCH AND ADD DECK <br /> Describe Proposed Work _ <br /> OFFICE SET JOB SET <br /> APPROVED FOR PERMIT: DATE_/_/_ HY <br /> W <br /> Project Address�1f known: .__ . —.___.. --- � <br /> A�tech four(41 CODies ol plans�O� p�opJ>0J wu'K • D�Ov: t�sr.di? .m�t nGle(ha'o�luwmg as appfic0bie: � <br /> • Property Lines • Centerline �t street /A <br /> • Outline and dimensions o1 all eaishng antl • IrtCical� Norih v� <br /> proposetl structures on Ihe lot • �now any r,roaoseA gradiny chanaes <br /> • Existing and proposed utilities • Show measurements � <br /> 00 NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shall be matle 24 hrs.in advance-phone 259-881 O. � <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.belore you dig.TOLL FREE NUMBER 1-500•424-5555. � <br /> O <br /> PUB NOTWREQUIRED MIT � <br /> flv �' (� <br /> OATE � �' O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIUNS <br /> The!.�nder�ianed owner/applicant he�eby agrees to hold and sa•:e harm� <br /> ---"'—� Iess ;ha CdY o� Everetl Irom any and aU claims lor tlamages. wses. <br /> ; exUenses o� causes ol aclion fhat may aris? hecause of installalion <br /> � • -!- anA maml?aance o! lhe improvement or other rigtH�of•way use herelo <br /> aap��ed lor and turfner agrees to remove same upon notice Irom Ihe <br /> Approved lor Construction Date i �,;y���h �n reptace publlc property damaged Ihereby. <br /> i <br /> FINAL INSPECTION � Date <br /> Approved as Constructod Signature ol Applicant Date <br /> �I�j�', PUBLICWORKSDEPARTMENT WORK Al1THORIZEO BY THIS PERMIT MUST BE STAFTED WITHIN <br /> ��r� 3200CedarStreel 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> fbnbEsf EveretL WA 90207 BE DILIGENTL� PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> V r�...,, �cn.aq�n CANCELIED BY THE CITY UPON ANY STOPPAGE OF WOFK ON THIS <br /> oon icrT nv�A OO DAVS DURATION. <br />