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r <br /> � ' yication For <br /> PUBLIC V. JRKS PERMIT Date. <br /> PUBLIC WORKS DEPARTMENT Public Works Permit M <br /> 3200 Cedar Street <br /> Evrrett,WA 98201 259-8810 Building Permit N <br /> T�PE OR PRINT ONLY Public Works Fee$ <br /> Plan Check No: B 56135 SEPA <br /> AppLicat.Date: OB/06 97 <br /> Job Addreas: Blb4 PPER RIDGE RD <br /> Owner Owner: ANDERSON DENNIS Phone <br /> Tenant: <br /> Propoaed Use: SINGLE FAMILY RESIDENCE <br /> Desc. of Work: <br /> Applicanl � GAAACE ADDITZON� VINYL SIDING & REROOF Phone <br /> Describe Proposed Work_ oFeic� sE2 Joe seT ■ , ■ � <br /> APPROVED FOR PERMIT: DATE_/_/_ BY W � <br /> � I <br /> � <br /> � <br /> PROJECT ADDRESS(if known) M <br /> Attach four(4)copies of plans for proposed work-Draw�� de and note ihe following if applicable: O <br /> •Property Lines •Outline and dimensions of all exis��,.g and proposed slructures on ihe lot •Existing and proposed utilities <br /> •Ceniciline ot street •Indicate North •Show any proposed grading changes •Show measurements � <br /> �O NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1. All cails tor inspection shail be made 24 hours in advance-phone 259-8810. O <br /> 2. All work shall be performed in accordance with this permit 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. � i <br /> V♦ <br /> ' a� (��� � �'�'��'� <br /> ��;,G�`' � 0°�'� ; <br /> /�/� `��'' <br /> �� �, � .� / ; <br /> ; <br /> ; <br /> i� <br /> ACKN0INLEDGEMENT OF CONDITIONS ; <br /> The undersi�netl ownedappiicant hereby agrees to�old and save harmless <br /> the City of Everetl irom any and all claims lor damages,costs,ex�enses,or ? <br /> Appmved tor ConsWction Date causes of aclion that may anse because of installation and maintenance of j <br /> theimprovementorothernghFof-wayuseheretoapplied(orandturtheragrees � <br /> to remove same upon notice fmm the City and to replace public propeny y <br /> damaged thereby. � <br /> FINAL INSPECTION Date � <br /> Approved as Constructed � <br /> Signature ol Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE�IIIGENTLY PURSUED TO <br /> COMPL6?ION.THIS PERMIT MAY DE CANCEILED BY THE CIN UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS�URATION. <br /> 4 <br />