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�/ Apaicetlon For <br /> PUBLIC WORKS PERMIT Date <br /> PUBLIC WORKS DEPARTMENT Publlc Works Pertr,it M <br /> 3200 Cedar Slreet � <br /> Everett,WA 98201 259•8810 Buliding Pertnit M <br /> IYPE OR PFINT ONLY o�������Norks Fee S <br /> Plan Check No: 8 53641 SEPA <br /> Applicat.Dates 11/27/96 <br /> Job Addrs: 2014 MONROE AVE <br /> Ownar Owners BEHREND BRIAN Phone <br /> Tenants <br /> Propoeed Uee: SINGLE FAMILY RESIDENCE <br /> Deec. of Works <br /> CONVER EXISTIN6 Cl�EtPORT TO GARAGE — FRAHE <br /> Applicant CLOSET IN BEDROON Phone <br /> Describe Proposed Work_ aFFICE SET JOB SET <br /> APPRVD FOR PHRNITs DATS_/_/_ BY W <br /> � <br /> ,0A <br /> V♦ <br /> PP.OJECT ADDRESS(if known) � <br /> Ariach four(4)cc,,ies of plans for proposed work-Draw to scala and note the following if applicable: O <br /> � <br /> •Property Unes `Outline and dimenslons o(all ezisting and proposed structures on the lot •Existing and proposed WIIHIes <br /> 'Centerline oi street •Indicate North 5how any proposed greding chenges •Show measurements � <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 performed 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 /> V♦ <br /> �io Q��I;c �or ks {-�;+ ���tvtd. O <br /> �. <br /> � <br /> � <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedappilcant hereCy agrees to hold and save harmless � <br /> the City of Everett from any and all cleims for damages,eosts,expanses,or � <br /> Approved for ConstrucHon Date �auses of actlon that may arise beceuse of Installation and malntenance ot '{ <br /> the improvement or other rlght-of-way use heieto appliad for end further agrees � <br /> to remove same upon nolic., trom the City and to repleea public properry � <br /> damaged thereby, <br /> FINAL INSPECTION Date '� <br /> Appioved as Constructed <br /> Slgnature ot Appllcent Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF�ATE PERMR IS ISSUEO AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLEf10N.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER�0 DAYS DURATION. <br />