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C� <br />� � 'Dlication For <br />PUBLIC 1r..?RKS P�IRMIT <br />PUBLIC bYGHKS DEPARTMENT <br />320J Gedar Street <br />Everett, lNA 98201 259-BB10 <br />oa�� <br />Public Works Permit 8 <br />Building Permit q _ <br />IYPE OR PRINT ONLY Plan Check No: B 51993 SEPA ; Fee S <br />Applicat.Date: 06/14/96 <br />Job Addreee: Slb7 S 4TH AVE <br />Owner: HOWELS. DIANE <br />Tenant: <br />Owner Propoaed Uee: DUPLEX — <br />Desc. of Work: <br />ADDITION AND REPLACE SUNOECK <br />Applicant pFFICE SET JOB SET <br />GOSCfIbC P�OpOSCd WUfk _ hPPROVED FOR PERMIT: DATE_/_/_ BY <br />PROJECT ADDRESS (if known} <br />Attach (our (4) copies of plans for proposed work • Draw to scale and nota the following if applicable; <br />•Prop=rty Lines •Outlinc and tlimen�inns o� all existing and pn.posed :tructures on the lot •Existing and proposed utilities <br />•Centerline o( street •Indicate Norih •Show any proposed grading changes •Show n,easurements <br />DO NOT WRITE BELnW THIS LINE <br />PERMIT CONDITIONS: <br />1. Ali calls for inspectiun sholl be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance wiih this permit and current City of Everett Design and <br />Construction Standards and Sp=cifications. <br />3. Call Location Undarground Service 48 hrs. before you dig. TOLL FREE NII�SBER 1-8Q0-424-a555. <br />�D {��bl � c IA%kS I��►�� ;+ I�..o��;� ed . <br />-� u ��t��s�� 5ewe�' �'o me�t v('G �ku� �u' <br />�ii?�✓1 �Plum��n� �{it-tfi—' <br />Apprcved for Consiruction <br />FINAL INSPECTION Date <br />Approved as ConsWcted <br />��1��`�- ����ql� <br />W <br />F— <br />— <br />� <br />� <br />� <br />� <br />� <br />O <br />V♦ <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONCITIOKS <br />The undersigued owner/applicam hereby agrees to holtl and save harnles.; <br />the City of Ev=rett Irom any and all claima for damages, c osts, �xpenses, or <br />causes o( action that may arise because oi installation and maintenance of <br />the improvement or oher right-cl crey use hereto appllea tor and frrihei agrees <br />to remove same upon notice irom ihe C�'y �nd to replace puhlic property <br />Camagetl ihereby. <br />Signature of AppiicaM <br />WORK AUTHORIZED B;' TNIS PERMIT MUST BE STARTED WIIHIN �FO DAYS GF DATE PERMIT IS ISSUED AND THEReAFTcR IS T"i dF UiJGENTL:' PURSUED TO <br />GOIdPLETION. THIS P[F�1�. � " �c CANCELLED BY THE CITY U�;��N ANY SWPPAG'c OF N'ORK ON iHIS PROJECT OVLR 90 Dl�VS DURATION. <br />