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�ate ' � PuOiie Wo��a Permil� <br /> Applicati0n Fof Bma.Dea�.. . <br /> PUBLIC WURKS PERMIT P�bl¢WorkaFee <br /> ro�.��e� s <br /> �es��oo�Fee va�a s_ <br /> Print or Type Only B�I�neaOue s_ <br /> Plan Check No: B 43863 SEPA <br /> Owner Applicat.Date: 03/23/94 Phone <br /> Job Addre: 530 VIEW RIDGE DR � <br /> Owner: LEESE WILLIAM O <br /> Tenant: <br /> Propoeed Uee: SINGLE FAMILY RESIDENCE <br /> Applicant Deec. of Work: Phone <br /> ADDITION <br /> Describe Proposed Work _ OFk ICE SET <br /> JOB SET <br /> APPRVD FOR PERMIT: DATE_/_�_ gy <br /> W <br /> Project Address(il known) ( <br /> Attach tour(4) copies ol plans lor proposed work- Draw lo scale and note the lollowing as applicable: � <br /> • Property Lines • Centerline ol street � <br /> • Outline and dimensions of all existing and • Indicate Norlh <br /> proposed structures on ihe lot • Show any proposed grading changes <br /> • Existing and proposed ulilities • Show measurements � <br /> DO NOT WFITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> 1.All calls tor inspeclion shall be made 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shall be performed in accordance with lhis permil and current City ol Everett Desipn and Consiruclion <br /> Standards and Specifications. <br /> 3.Cail Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424-5555. � <br /> O <br /> PUBLIC WOq�i� pERMIT � <br /> NOT REOUIRED /_ <br /> 8 Y `- �' V, <br /> D AT E �' 7_i j''��_ O <br /> a <br /> ACKNOWLEDGEMtNT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> IesS Ihe City ol Everett Irom any and all claim, for damages. costs. <br /> ezpenses, or causes ol aclion ihal may arise because ol installation <br /> and maintenance of the improvement or other right-of-way use hereto <br /> applied lor and lurther agrees to remove same upon notice trom the <br /> Approved lor Conslruction Date City and to replace public property damaged iherehy. <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature ol Applicant Date <br /> ��I��� PUBLICWORKSDEPARTMENT WORK AUTHGRIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Pnone�259�8810 CAN(,ELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> rnn i�-r7 nvrR�n �nv¢ �IiRn71nN <br />