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� <br />� <br />TYPE OR PRINT ONLY <br />PUBLIC 1��RKS PERMIT <br />PUBUC WORKS DEPARTMENT <br />3200 Gdu Stnat <br />Everotl, WA g8201 25&8810 <br />Owner Maillny M <br />APW�� MrWip A <br />Describe Proposed Work <br />PRWECT ADDRESS (if known) <br />Pu6NC Work3 PNfnit N <br />Buikfinq P�rmk I _ <br />PubNc Worka Fes S — <br />Plan Ch�ck No: C 54991 B�pA <br />Applicat.Det�: 05�01/97 <br />3ob l�ddro��: 25 1 MONROE 7�VlL <br />Own�rt !'OtiLSR CRAI6 <br />T�nant: <br />Propo�W U��t SIN6LE FAMILY R88IDENCE <br />D��c. of Works <br />11DDITION TO EXIBTINC RSSIDENCE - 11118T3R <br />BEDROOM 112iD F1IMILY <br />OFFICE SET JOB <br />11PPROVED FOR PBRNIT: D11T8_/_/_ BY <br />Attech four (4) copbe of plens for Proposed work - praw to seale and note tM fdbwiny fl eppikable: <br />�ne <br />Ms <br />'Property lJnes 'Outline and dNne�sions of all existinq and pmposetl shucturos o� ths lot 'Exlsting and propoasd utilRisa <br />`Centarline ol at�set 'IMkets North 'Show any proposetl gratling eherpe� 5how meesuraments <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance with this pertnit and current City of Everett Design and <br />Construction Sta�dards and Specifications. <br />3. Call Location Underground Serv(ce 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5563. <br />N a ���I,z c��k.s ��— +��.,�� <br />Approved for ConsWction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />� <br />O <br />� <br />� <br />O <br />a <br />ACKNOWLEDOEMENT OF CONDITIONS <br />The undsnip�ed awnx/applicant ha�eby agroea to hold a�d �aw hartnless <br />ths Cfly of Everett fiom any and all daimo tor damagea, cosri, expsnsaa, or <br />esutes of action Mat may arise because of installetbn antl mdntenanca tf <br />tM improvement a othrr ripht-of-way use herato appBW lor end tuMer press <br />to rsmove same upon raGee hom tM Ctty arW to rsplaca pubNc p�operty <br />damagedthaeby. <br />Sipneture of Applicant Date <br />WORK AUTHORIZED BY THIS PE9MIT MUST BE STARTED WITHIN t80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br />COMPLEIION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER 90 OAYS DUMTION. <br />