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�er,�� 'dkel�on For Dat�. 11/26�95 <br /> PUBLIC �. JRKS PERIWIT , <br /> PUBLIC WORKS DEFAf;TMENT Public Works Pertnit p <br /> 3200 Cedar Streel <br /> Everett.WA 98201 259•8810 Building PermN N 50156 <br /> TYPE OR PRINT ONLY Public Works Fee S <br /> GREENSPACE INC 11215 19TH AVE SF. EVERETT 98208 745-7700 <br /> Owner Mailing Address City Zip phone <br /> ALAN CLARK 743-1500 <br /> Applicant Mailing Address City Zip phpne <br /> Describe Proposed Work REMODEL/ADDITION TO SFR _ � <br /> � <br /> s <br /> PROJECT ADDRESS(if known) 4729 vIEW DR � <br /> Attach four(4)copies of plens for proposed work-Draw to scale and note the followinfl il applicable: � <br /> •Property Lines 'Outline and dimensions of all ezisting and proposed siructures on ihe lot •�_zlsting anA proposed utilities O <br /> 'Centerline of street •Indicate North �Show any proposed grading changns 5how measurements � <br /> DO NOT WRITE BEIOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1. All calls for inspection shall be made 24 hours in advance-phone 259-8810. O � <br /> 2. All work shall be pertormed in accordance with this pertnit and current City of Everett Design and I <br /> Cunstruction Startdards and Specifications. i <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-�300-424-5566. � I <br /> r ,�R�aJru,�.dr�r�� V� i <br /> �� ryJ- � k� ��,rcd a � <br /> � � , <br /> �Z S/q,s ; <br /> ; <br /> ����� ' <br /> ;, <br /> ��= <br /> ACKNON/LEDGEMENT O�CONDITIONS <br /> Tnc undereigned owr�er/applir.ant hereby agrees to hold and save hartnless <br /> the G"j of Everett trom any and all claims tor damages,costs.expenses,or <br /> Approved br Construction Date — wur:es of action that may arise because o(histallatbn and maintenance o1 � <br /> theimprovementorotherright-of-wayuseheretoapplied'orandlurttieragrees i <br /> to romove.^,ame upon notice hom the City end to repixe public property <br /> damaged ihereby. � <br /> FINAL INSPECTION Date � <br /> Appmved as Constructed � <br /> Signature of Applicant p�{e <br /> WORK AUTHORIZc'D BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DAlE PERMfT IS ISSUEO AND iHEHti�FTER IS i0 BE DIUGEN7LY PURSUED TO <br /> COMP�Ef10N.hilS PERMIT MAY BE CANCEILE�BY iHE Cl7Y UPON ANY STOPPAGE qF WORK ON 7HIS PR0.1ECf OVER 90 GAYS DURA710N. <br />