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- Pu�IIc Wodf Pe�mll� �--�� <br /> Date ema.oeoi.• <br /> Appllcalion For <br /> PUBLIC WORKS PERMIT 7uElicWorksFeo S_ <br /> ToulFea <br /> Laas�oo�Fea Paitl S <br /> Baunn oue s - . <br /> Print or Type Only SE2A <br /> Plan Check No: C 45282 <br /> Applicat.Date: OB/16/94 <br /> Job Addreea: 26 E MARILYN AVE <br /> Owner: OSWALD KEN Z�P phone � <br /> Owner Tenant: <br /> pcoposed Use: SINGLE FAMILY RESIDENCE <br /> Desc. of Work: <br /> ADD BEDROOM, UPGRADE EXISTING Z.p phone <br /> Applicant JOB SET <br /> OFFICE SET�� <br /> DescHbe Proposed Work . APPROVED FOR PERMIT� DATE_/_�_. BY <br /> - W <br /> Prolect Address(if known) � <br /> Attach four(4)copies of plans for proposed work• Draw to scale and note�Ceo11eWine of st�eet able: � <br /> • Property Lines • Indicate North <br /> • Outline and dimensions of all existing and � Show any proPosed grading changes <br /> proposed structures on the lot � Show measuremenis M <br /> • Existing and proposed utiiities W <br /> DO NOT WRITE BELOW THIS L'NE O <br /> PERMIT CONDITIONS � <br /> 1.All calls for inspectian shall be made 24 hrs.in advance•phone 259•8810. <br /> 2.AII work shall be performed in accordenca with ihis permit and current City of Everett Design and Construction <br /> Standards end Specifications. � <br /> 3.Call Localion Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800�424•555 . <br /> O <br /> � <br /> PUBLIC WORKS PERMIT /A <br /> NOT REQUIREfI �/� <br /> iY Q;�ATE S / 9 � <br /> a <br /> ACKNOWLE�GEMENT OF CONDITIQNS <br /> The undersi9ned owner/applicant hereby agrees to hold and save harm• <br /> less the Gity ot Everetl irom any and all claims for damages, costs, <br /> expenses, or causes ol action that may arise because of installation <br /> and maintenance o! lhe improvement or other right•ol•way use hereto <br /> Approved for Construction <br /> Dale Cpp�ied�lo�r ePlace�publ c9peopertyrdarnaged herebyn �otice Irom the <br /> Date Da�e <br /> FINAL INSPECTION Signature ol Applicant <br /> Approved as Constructed y�ORK AUTHORIZED BY THIS PEFMIT MUST BE STARTED WITHIP! <br /> PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> /��� 3200CedarStreel BE DILIGENTLY PURSUE� 70 COMPLETION.THIS PEFNIT MAY BE <br /> !��E77 Everett,WA 58201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> �� Phone:259-8810 PROJECT OVER 90 DAYS DURATION. <br />