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� � <br /> � P'-�:ation For ..... <br /> PUBLIC W.�RKS PERMIT Date <br /> PUBLIC WORKS OEPARTMENT Public Works Permit x <br /> 3200 Cedar Sireet ' <br /> Everett,WA 98201 259-B810 Building Permit k <br /> TYPE OR PRINT ONLY Public Works Fee 5 <br /> Plan Check No: C 55328 SEPA <br /> Owner Applicat.Date: O6/04/97 Phone <br /> Job Addreas: 1819 MAPLE ST <br /> Owner: WICKER KEN <br /> Tenant: <br /> Propoaed Use: SINGLE FAMILY RESIDENCE phone <br />, Applicant Desc. of Work: <br />. CONVERT EXISTING CARPORT/SHED TO BED/BATH — <br /> ADD NEW CARPORT <br /> Describe Proposed Work_ � <br />' OFFICE SET JOB SET <br /> � APPROVED FOR PERMIT: DATE_/_/_ SY � <br /> � <br /> �/ <br />� PROJECT ADDRESS (if known) � <br />� Atlach tour(4)copies of plans for proposed work-Draw to scale and note the following if applicable: <br /> I •Property Lines 'Outline and dimensions of all existin9 and proposed siructures on Ihe lot •Existing and proposed utilities O <br /> •Centerline ol street •Indicate North •Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1. All calls for inspection shall be made 24 hours in adv�nce- phone 259-8810. O <br /> 2. All work shall 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. TOLL FREE NUMBER 1-800-424-5555. � <br /> Y/ <br /> �4ir�Lli1 b4HqlE� P�MMlr O <br /> ►vAr RSCyN�l6�► a <br /> f '�Y..��� <br /> yATc�„���..........r." <br /> II __. --_ <br />� � ��C-SP.�J P,t/' V'�y S v✓t��i►� 21 rG� o�YtGw <br />( �G�� �-a-t `- ���'z�de -f� l�f C,ZP. C , <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersig�ed owner/applicant hereby agrees to hold and save hartnless <br /> the City of Everett from any and all claims for damages,costs,expenses,or , <br /> Approved for Conslruclion Date causes of action that may arise because of installation and maintenance of <br /> the improvement or other right-of•way use hereto applied for and further agrees <br /> to remove same upon notice from the Ciry and eo rep�ace public property <br /> damaged thereby. <br /> FIWAL INSFECTION Date <br /> Approved as Constructed � <br /> Signature of Applicant Dat= <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 700 DAYS OF DATE PERMIT IS ISSUED AND THERFAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLEf70N.TFiIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON TIilS PROJECT OVER 90 OAYS DURATION. <br />