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Appliutbn Fw � <br /> ~ PUBLIC \ JRKS PERMIT °'° - <br /> PUBLIC WORKS DEPARTMFNT Publlc Works Pertnil M <br /> 3200 Cedar Street <br /> Everett,WA 98201 259-8810 gullding Permit M <br /> TYPE OR PRINT ONLY Public Works Fee E <br /> Owner p' Phone <br /> Plan Check No: C 51350 SEPA <br /> Applicat.Date: 04/OB/96 <br /> 3ob Addreee: 2319 OAAES AVE BLDG B <br /> Appikant I Owner: HILL LARRY ph� <br /> Tenant: <br /> Propoaed Use: SINGLE FAMILY RESIDENCE <br /> D9SCribe PropOS9d WOrk Deac. of Work: . _ ■ <br /> FOUNDATION, REROOF, REPLUMB � <br /> OFF=CE SET JOB SET � <br /> � <br /> APPROVED FOR PERMIT: DATE_/_/_ BY 'w <br /> V� <br /> PROJECT ADDRESS(f known) � <br /> Atlech four(4)copba of plans for proposad work-Draw to seab and rwte Me Iolbwing M epplkable: <br /> 'Propxly U�sa 'OutNne and tllmensions of all ezisling and propoaed structures on 1M bt 'Extsting and propaaed utiliths O <br /> 'Centerline ol stroet 'Indicats Nath 5Mw any proposed grading changes 5how measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDfTIONS: Z <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. O <br /> 2.All work shall be performed in accordance with this permit and current Ciry of Everett Desfgn and <br /> Constniction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-4245555. H <br /> � <br /> O <br /> °UBLIC WORhS PEPM�'� � <br /> NG1 qEUUIREp �/ , <br /> -'y--_L-�"'�-Q--�� - �'C�%1�/r'�""""`c �Q/1Qil-�i .XJC�/ <br /> •AT E•._-�F!•�96 • � Seoc.�. oz /?,ev�,�:.� <br /> �L(y n,,v,G �hrtL�c.a-1 [�-c/ <br /> r � � � <br /> � �L ' <br /> ACKNOWLEDGEMENTOFCONDRIONS <br /> The undersigned owner/applicant hereby agrees lo hold and save hartnless <br /> ihe City ol E�erett Irom any and all claims la damegas,costs,expanses,a <br /> Approved�a Cons�nxtlon py�e causes of action that may arise because of Installatbn and maintenance of <br /> the Improvement a other right-ot-way use hereto applied tor and lurther agrees <br /> to remove sama upon notice hom the Cky and to replace publk property <br /> damaged thereby. <br /> FINAL INSPECTION Dete <br /> Approved as Constructed <br /> Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PEfiMIT MUST BE STARTED WfTHIN 180 DAYS OF DATE PERMIT IS IS:UED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> CAMPLEf10N.THIS PERMR MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />