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�(' ion Fot C <br /> PUBLIC WbRKS �FRMIT °"� <br /> GC��� PUBLIC WORKS OEPARTMENT Pubiic Works Pertnit/ <br /> �200 Cedar Street <br /> Everett,WA 98201 259-BB10 BuflAing Pertnit N <br /> TYPE OR PRINT ONLY Pubiie Works Fee S <br /> Owner M��� plan Check No: B 58083 SEPA Phone <br /> Applicat.Date: 03 04 98 <br /> Job Addreees 60 3 ERIDIAN AVE <br /> Owner: YOUNG RENNETH <br /> Applicant Me.ili Tenant: Phone <br /> Proposed Use: SINGLE Fl1HILY RESIDENCE <br /> Deec. of Work: � <br /> Describe Proposed Work TW STORY ADDITION/COHPUTER ROOM AND STORAGE „ ` <br /> W <br /> OFFICE SET JOB SET � <br /> APPROVED FOR PERMIT: DATE_/_/_ BY �� <br /> � <br /> PRO;JECT ADDRESS(if known) M <br /> Attach tour(4)copies of plans lor proposed work•Draw to scale and note the lcllowing N applicable: �i+ <br /> 'Property Lines •Oulline and dimensions of all eaisting anA proposed structures on the lol •Existing and proposed utilities O <br /> •Centerline of street •Indicate North •Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1. All calls for inspection shall be made 24 hours in advance-phone 259-8810. O <br /> 2. Ail work shail 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. TOLI FREE NUMBER 1-800-424-5555. H <br /> " :1R�Ic; WORKS tERlAI'� � <br /> MC:1' R VUiRE• O <br /> `Y.__.. .�- qp <br /> . - •aTf'.--•- - . IY_..� a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> I - The undersigned owner/applicant hereby agrees to Yold and save hartnless <br /> the City o1 Everett Irom any and all claims tor damages,costs,expenses,or <br /> roved for Consiruction Date causes of action ihat may arise because of installation and maintenance ol <br /> �P ihe improvemenl or other right-of-way use hereto applied lor and turther agrees <br /> to remove same upon notice Irom the Ciry anE to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constmcted <br /> Signeture of Applicant Date <br /> VJORK AUTHORIZED BY THIS PERMIT MUST BE STAFiTEO WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TU <br /> COb1PLE'f10N.THIS PERMIT MAY BE CANCELLEO BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVEF 90 DAYS OUMTION. <br />