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�� <br />TYPE OR PRINT ONLY <br />pplitation For <br />PUBLIC �ORKS PERMIT <br />PUBLIC WORKS DEPAHTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />D� <br />Public Works Pertnit M <br />Building Permit N _ <br />Public Works Fee S _ <br />Owner Plan Check No: C 56086 SEPA <br />Applicnt.Date: 07/30/97 <br />Job Ad�ner: KORENOVSKY PAUL <br />Applicant Tenant: <br />Propoeed Uee: SINGLE FAMILY RESIDENCE <br />Deec. of Work: <br />REPAIR FOUNDATION� DAYROT� INSTALL ROOFING <br />Describe Proposed Work VENTS, STAIRWAY� PLUMBING� MECHANICAL <br />OFFICE SET JOB SET <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />PROJECT ADDRESS (if known) <br />Phone <br />Phone <br />Attach four (4) copies of plans for proposed work - Oraw lo scale and note the following il applicable: <br />•Property Lines 'Outline and dimensions of all existing and proposed structures on ihe lot 'Existing and proposed utilities <br />•Cenlerline ol street •Indicate North •Show any proposed grading changes •Show measurements <br />PERMIT CONDITIONS: <br />1. All cails for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. Ail work sha!I be pertormed in accordance with this pertnit 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 />'Up�O r �,yORKi �6M+ui � <br />RipU6�i• <br />5 y._� <br />•aTF 7 � --- <br />~- �/ 9 7 <br />Apprcved tor Cons W ction Date <br />FINAL INSPECTION <br />Appmved as Consiracted <br />ACKNOWLEDGEMENT OF CON�ITIONS <br />The undersigned owner/applicant hereby ag�ees to hold and save harniless <br />the City of Everett Irom a�Y and all claims fo� damages, cosis, ezpenses, or <br />causes of action that may arise becausa ol installation and maintenance ol <br />the improvement or other right-of-way use hereto applied for and tuhher agrees <br />to remove same upon notice 1rom ihe City and to replace public property <br />damaged therehy. <br />Signature o1 Applicant Date <br />6VOP.K AUTHORIZED 0Y THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND iHEREAF�'EF IS TO 8E DILIGEN7LY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />