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Date 1-8�3 9j O� <br /> � Pubbc Werha Permii�• <br /> Applica�ion For eiea oeo� • 39209 <br /> PUBLIC WORKS PERMIT Pu�to�TFecFee s <br /> -_.('f/ LessAoo� FeePeio $ <br /> Print cr Type Only TO POSTI NG_J—��_ /�? a,,,���o�e a ,�� oU <br /> ODZ-32Z `�o//43/ <br /> Kelvin Barton 506 E View Ridge Dr Everett WA 98203 339-8081 <br /> Owner Mailiny Adaress City Zip Phone <br /> Owner <br /> Applicant Mailing Address City Lp Phone <br /> Describe ProHosed work SFR addn of carport S office <br /> �� <br /> Projec'Address�ifknown� 506 E View RidRe Dr � <br /> Atlach four�4�copies of plans lor proposed work- Oraw to scale antl nole Ihe Ioliowing as applicable: � <br /> • Prcperty Lines • Centerl'ne ol street � <br /> • Outline and dimensions oi all existing and • Indicate North <br /> p�oposed siructures on ihe lot • Show any proposed gratling changes <br /> • Exisling anA proposed utilities • Show measuremenis � <br /> DO NOT WRITE BELOW THi� �INE <br /> - PEflA71TCONDITIONS O <br /> � L All calls for inspection shall be made 24 hrs.in advan::e-i�ncn=259•8810. � <br /> ' 2.All work shall be pertormed in accnrdance with this psrnil ai,d current City of Everett Design and Construction <br /> Standerds snd Specificalions. <br /> 3.Call LocaHon Underground Service 48 hrs.before you dig.�i OLL FREE NUMBEq 7-800•Q2Q•5555. � <br /> O <br /> � <br /> � <br /> � <br /> a <br /> �(�,, ACKNOWLEDG[MENT OF CONDITIONS <br /> The unde,igned owner/appliwn�hereby agrees to hold anA save harm- <br /> — less the City ol Everelt Irom any and all claims for damages, costs, <br /> ---------`r�= A� ezpenses. or causes ol acp n that maY arise because of installation <br /> � /,� y� and maintenance ol the im rovemen! or other righbol-way use hereto <br /> � applied lor and lurther a rees to remove same u on notice hom Ihe <br /> Approved for Cons`u�"n �� Date City and to replace pubGo property Aamaged thereby. <br /> ; �, �,.��: - �-�—.�z.��L_ /I/�-�, (�• �`— <br /> FINAL INSPECTION Z� � <br /> Approved as Constructed Signa�ura ol Applicero Da!e <br /> �ArI� PUBLIC WORKSDEPARTMENT WOFK AUTHORIZEO BY THIS PERAIIT MUST BE STARTED 1NITHIN <br /> 3200CetlarStmet 180 DAVS OF DATE FERMIT IS ISSUED AND THENEAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAV BE <br /> Phone:259�8810 CANCELLED BY THE CITY UPON AN"STOPPAGE UF WORK O�J THIS <br /> PROJECT OVER 90 DAYS DUf7ATION. <br />