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Aqf, x�Fa `�� <br /> � PUBLIC WORKS PERMIT °"° <br /> PUBLIC WORKS DEPARTMENT ���w�� <br /> J200 Cetlu Stroet <br /> EwMt,WA 98201 259-8810 BuNdirp ParmM• <br /> TYPE OR PRINT ONLY R'ab Waw Fw <br /> Plan Check No: C 58650 sap� ' <br /> 1�pplicat.Dst�: 0� 28 98 phone <br /> Omxr Job ]1dd�.�= EB�INSKICMICHAELR <br /> T�nant: <br /> Propos�d Use: SINGLE F1►MILY RESIDSNCS P� <br /> ��� �REMODSL/ADDkACCESSORY UNIT <br /> Describe Proposed Work _. oFFics ssx _Joe ss2 � <br /> APPROVED FOR PSRMITs DATB_/_/_ BY � <br /> �� <br /> N <br /> PROJECT ADDRESS;if known) m <br /> Atlath(our(4)cnpbs u plens for ptopoxd work-Dr�w to xab�tM mb iM tol�'�s on ll»I b�t�.Existinq end propoasd utRltNs O. <br /> •proHerty Linas 'Outline and dknsnsbna ol�II ezlatinq and proposed � <br /> �Centxfine ol slreet •Indkate North 'Show ury ProP�9r°d��9�he^9°� 5h°`"meesuroments � <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: <br /> 1. All calls for inspection shall be made 24 hours in advance-phone 259-8810. O <br /> 2. All work shail be periorcned fn accordance with this permit and curcent City of Everett Design and <br /> Construction Standards a�c Specifications. � <br /> 3. Call Location Underground .iervice 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br /> V♦ <br /> O <br /> . . - a <br /> vUlLlti WORK• �`MYT <br /> ti01 RG�V�R� <br /> 4/Ir• <br /> �Y.......-- -1 <br /> •ATfl..----- <br /> �_ ACKNOWLEDGEMENT OF CONDITIONS <br /> i The undersfgned ownedepplicent hereby agrees to hold and aava h�rtnlas <br /> the Ciy of Everett hom any end eli cl�ims tor damages,eosta,ezp�ns�s,or <br /> causes ol ectbn lhel may erise because of Installation and maintenanca o1 <br /> ApProvedforConsiruction Dale theimprovartienlaotlbrrigM-ol-wayusehe�etoaPPpedlorandlurtherap�ees <br /> to remove aame upon �wtke hom the ChY � to reptece publk pro�xrty <br /> damsysd thereby <br /> FINP.L INSPECTION Date <br /> App�oved as Constructed <br /> Signature ot Applicant Date <br /> COMPLEf10N.RTH S PERMIT MAY BE CANCEBLED BY THE CWITTMYIUPON AANY S�OPPAGE WORK ON THI PR0.IECT OVER 90 DAYS WRATION.Y PURSUEO TO <br />