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� Applkatlon For l.a�e <br /> � �UBLIC WORKS PERMIT public Works Permit M <br /> PU6LIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett,WA 98201 (425)257•8810 Building Permit N <br /> TYPc OR PRINT ONLY Public Works Fee$ <br /> Owner Plan Chedc No.: 89909-005 Phone <br /> Job P�dress: 412 E VIEW RIDGE DR <br /> O�.ner: MCELROY MIKE <br /> Applicant Tenant: Phone <br /> Appli:aGon Date: 9/:�/99 <br /> Describe Proposed Work _ Proposed Use: SFR/ DECK � <br /> Type af work: CONSTRUCT IVEW DECK � <br /> Office Set ]ob Ser Fre/Planning Set <br /> — � <br /> Approved For Permit: Date: By: 'w <br /> V� <br /> PROJECTADDRESS (if known) W <br /> Attach tour(4)coples plans for proposed work•�raw to scale and nole the lollowing If eppliceble: O <br /> •Properry Lines •Outline and dimensions of all existlng and proposed s[ructures on the lot •Existing antl proposed utilitles <br /> •CenteAine ol slreet •Indical�Norih •Show any proposed grading changes •Show measurements <br /> DU NOT WRITE BELOW THIS LINE Z <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 performed in accordance with this permit and current City o( Everett Design and � <br /> Construction Standards and Speci(ications., <br /> 3. Call Localion Underground Service 48 hrs. before you dig.TOLL FREE NUMBER 1-800-424-5555. /A <br /> ♦/♦ <br /> 'UCLIC WORKS �CRMI� O <br /> KOT UTAE� ( � <br /> _Y--- - - <br /> •�TF _ _ -.� � — <br /> ACKNOWIEDGEMENT OF CONDITIONS <br /> The untlersigned ownedepplicant hereby agrees to hold end save.�armless <br /> the Ciry ol Everett trom any a�d xll claims for damages,costs,ezpenses,or <br /> pprove or .onstruc ion ate �uses ot acUon:het may arise because of instellation and maintenence of tha <br /> improvement or oU�er right-o6way use hereto applied tor and lurther agrees to <br /> remove same upon notice from the Ciry and to replace public pmpery dam- <br /> eged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> igna ure o pp icant a e <br /> VJORK AUhIOR�D BY THIS PERMfT MUST BE STAHIED WfTHIN 1B0 DAYS OF DATE PERMIT IS ISSUED PND T1iEREAF7ER I570 BE DIL16EN1LY PURSUEDTD <br /> COMPLE710N.iHIS PERMIT AMY BE CMICELLED BY 1HE CfTY UPON ANY S7UPPAGE OF WOfiK O�`11tA$PRQ�CT OVEFl 90 DAYS WRAiION. <br />