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DeIB � , v�e�cwon�v.�i.n• <br /> AOPlicallon Fot eaa o.v�• <br /> PUBLIC WORKS PERMIT '�°:a°�:`.. : <br /> �....�<<..P.b s <br /> a.u��.o�. s <br /> Ptint or Type Only <br /> Plan Check No: C 40296 5¢PA <br /> Appllcat.Dete: 04/19/93 <br /> Owner Job Addreae: 77b5 itAINI6R DR Zip P�one � <br /> Owner: TOASET LLOYD <br /> Tenant: <br /> Propoeed Use: SINCLE FAMILY RESIDENCE <br /> Applicam DeeC. of Norks Zip P�one <br /> MOTHER-IN-L11W APT <br /> Destribe PropoSeE Work OFFICE SET J09 SET <br /> APPROVEO FOA PERMIT: DATE_/_/_ BY_ <br /> W <br /> Piole[I AOtlress(II known) � <br /> Altach four(4)co0ies ol plans lor proposed work-Draw to scale anC note Ihe lollowing as ap0�icable: � <br /> • Property lines •Centedine o151reei /A <br /> •Oulline and Eimensions ol ell aRisting and •InOicate Nort� V/ <br /> proposed structuras on�he lot •Show any proposed gratling c�anBes <br /> • Eais�ing antl proposed ulilities •Show measuremenis � <br /> �O NOT WRIIE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All cells lor inspectbn s�all he made 24 hrs.in etivance�p�one 25&8810. � <br /> 2.All work shell ba peAormed In accordance with this permit end cunent City ol Everett Design end Consiruction <br /> Slandards nntl SpetilicallonS <br /> 3.Call Locallon Untler�7round Servite 4B hrs.belore you dig.TOLL FHEE NUMBEp 1•800�424•5555. � <br /> O <br /> I•UBLIC WORNS PERMIT � <br /> NOT REOVIRED <br /> �.� /A <br /> DATE �`.1 y ' O <br /> a <br /> ACKNO\NLEOGEMENT OF CONOITIONS <br /> T�e unAersigneE owneqappliwnt hereby agrees to hola antl save�arm� <br /> — less ihe Cily ol Everett Imm any and all claims lor �amages costs, <br /> e�penses. or causes ol ection Ihal may xrise Decause ol inslallation <br /> antl maiNerance ol Ihe impravement or other rig�Po4woy ase�erelo <br /> apP��ed br entl Wrlher agrees lo remove same upon natice Irom I�e <br /> npnroved tor Conslmclion Da�e Ciry and to replace OubGc pm0etly tlamaged ihereby. <br /> 1'INAL INSPECTION Date <br /> ApPmved as Construtled SignaNre ol Applitan� Dale <br /> %1BI.IC WORKS DEPARTMENf �M1'ORK AUTMOFIZED BY THIS PERMIT MUST 9E STAPTED WITMIN <br /> 9200Ce0arStreel 180 DAVS OF DATE PERMIT IS ISSUED AND iNEREAPTER IS TO <br /> Everet�WA98201 BE DILIGENTLV PURSIIED TO COMPLETION.THIS PERMIT MAY BE <br /> F�one:259�B8f0 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />