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� <br />� <br />TYPE OR PRINT ONLY <br />Application For <br />PUBLIC '. . ORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA98201 25g-yg7p <br />Ds <br />Puhlic Works Pertnit q <br />Building Permit # _ <br />Public Works Fee $ _ <br />Plan Check No: B 51686 SEPA <br />Appllcat.Date: OS/09/96 <br />Owner Job Addreee: 13b6 W MUKILTEO BLVD <br />Owner: METHVEN GERALD/ARLON <br />T <br />enant. <br />Proposed Use: SINGLE FAMILY RESIDENCE <br />Applicant Deac, of Work: <br />ADD DECK & SUNROOM <br />Describe Proposed Work _ oFFice seT Joe <br />APPROVED FOR PERMIT: DATE_�_�_ gy <br />PROJECT ADDRESS (if known) <br />Atlach tour (4) copies of plans for proposed work - Draw to scale and noto the following if applica6le: <br />•Property Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br />'Centerline of street •Indicate North 'Show any proposed giading changes •Show measurements <br />-- -.....---_.... ......���.� <br />PERMIT CONDITIONS: <br />1. All calls for inspeclion shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and curcent Ciry of Everett Design 2nd <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />i�c,�bl�� ��(orks F��mt� nof �e��;rec� <br />5 / � z4- /q (p <br />��-e �v�<<c�--- <br />-�` U p yrc' e S � d2 S�c�e� -I-o mee-E U P� ' <br />o� f'��t.e z�rvvnd 4lhere Unc���" hC�J SJvi raowi. <br />W <br />� <br />� <br />� <br />♦�A <br />V♦ <br />� <br />a <br />G�C�G � S�.c,2rv-fl,-,.` c� SPc�.�, '���aa�- (�v� <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />ACKNOWIEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to liold and save harmless <br />the City of Everett from any and all clafms for damages, costs, erpenses, or <br />causes of dction that may arise because of (nstallation and maintenance of <br />the impi ovement or other right-of-way use hereto applied lor and further agrees <br />to remove same upon nolice from the City and ro replace public property <br />damaged thereby. <br />Signature of Appliwnt Date <br />WORK AUTIiORIZED BY THIS PERMIT MUST DE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND TFiEREAFTER IS TO BE DILIGENRY PURSUED TO <br />COIv1PLETION. THIS PERMIT MAY BE CANCELLED BY THE CIN UPON A�Y STOPPAGE OF WORK ON THIS PROJFCT OVER 90 DAYS DURATION. <br />