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i <br /> � Applkatlon For D�'�� <br /> � PUBLIC WORKS PERMIT public Works Permil N <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett,WA 98201 (425)257•8810 Building Pertnit N <br /> TYPE OR PRINT ONLY Public Works Fee$ <br /> Plan Check No: B 62489 86PA <br /> Owner Applicat.Data: OS/17/99 <br /> 3ob llddras�: lOB2� 18T AVi 86 <br /> Own�rs HUNTIHGTON D11t1 —' <br /> Applicant Tenant s <br /> Proposed Dses SINGLS TAMILY RESID6NCE <br /> Dasc. of Work: � <br /> Describe Proposed Work Naw naTrcHED cuuaa <br /> OFFICB SET JOB SET � <br /> APPAOVED FOR PBRMIT: DATB_/_/_ HY ` , ■ <br /> \// <br /> PROJECT ADDRESS (if known) � <br /> O <br /> Atmch lour(4)coples plans for pioposed work•Draw M scale end note the lollowing it applkable: � <br /> •properry IJnes •Outline and dimensions ol all existing and proposed structures on the lot •Existing and proposed utilitles <br /> •CenteAlne ol street •Indieate North •Show eny proposed greding cherges •Show measuremenb -� <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: O <br /> 1. All calls for inspection shall be made'24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be perlormed in accordence with this permit and curcent City of Everett Design end � <br /> Construction Standards and Specifications., <br /> 3. Call Location Underground Service 48 hrs. before you dig.TOLL FREE NUMBER 1-800-424-5555. ♦A <br /> �i/♦ <br /> O <br /> •UQLIC WOqKS �ERMil � <br /> n0T(�j�EpUIREI� <br /> t y.____`�"� _ <br /> •ATE.----����- ._ <br /> ��j,�ap .�S ��C(/✓1 . <br /> ��v� �_. <br /> _� � <br /> J <br /> �s.�h AS <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersignetl owner/epplicent hereby egrees to hoid aM save hartnless <br /> Ihe City of Everett irom eny and ell claims for damages,msts,ezpenses,or <br /> causes of actio�that may erise beceuse ot installadon antl maintenance of the <br /> pprove or ons ruc ion a e improvement or other righl-0l-way use hereto eppiied for antl lurthar agrees to <br /> rertwve same upon noNce irom Me Ciy end to replace public prope�ty dam- <br /> aged thereby. <br /> FINAL INSPECTION Date <br /> Approved es Constructed . <br /> gna re o icari a e <br /> WOfiK AUTHORIZED BY THIS PERMR MUST BE STl�HfED WRFIIN 180 DAYS OF DATE PERMT IS ISSUED MD T}EREAFIER IS TO B���'B'RLY RIRSUFp 70 <br /> COMPlFf10N.hIIS PERMfi MAY BE CANCELLED BY7HE CRY UPON ANY ST7PPAGE OF W�OFi(ON THIS PRO�ECTOVER 90 DAYS DUFiAiION. <br />