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��� PUBLIC C�ORKS PERMIT °�" _ <br /> PUBUC WORXS DEf'ARTMENT Public Works PermN N <br /> 3200 CedarStreet <br /> Everetl,WA 98201 259-8810 Buliaing PertnN N <br /> TYPE OR PRINT ONLY PuWic Wwks Fea S <br /> Plan Ch�ck No: B 62153 SspA <br /> rpp11cst.Datet 04/13/99 <br /> Job Addraa�: 607 vYEN RID6E DR <br /> Owner OMner: FMVENNOLTZ BRI11N �e <br /> Tanent: <br /> P=opoeed U�as SINGLE F1IMILY R88IDSNCE <br /> Dasc. of Wock: — <br /> Appllcant ADDITION 11ND RSMODEL Phone <br /> Describe Proposed WorF OFFICE SET Jug S�T W <br /> APPROVfiD FOR PERMITs D11TH_/_/_ BY � <br /> � <br /> � <br /> PROJECT ADDRESS(if known) /� <br /> Attach four(4)wplas oi plans for proposed work-Drew W scale end note the following if applicable: �++ <br /> �proparty Lines 'Outline and dimensions of all ezisting end proposed structures on the lol •E+clsling end proposed util0ies O <br /> 'Centerline of stieet •Indicata Noth 'Show any proposed Brading chenges •Show measurements � <br /> DO NOT WRiTE BELOW THIS LINE � <br /> PERMIT CONDITIONS: <br /> 1.All cails for inspection shall be made 24 hour:,in advance-phone 259-8810. O <br /> 2.All work shall be performed in accordance with this permit ar,d curtent Ciq�of Everett I1Asign and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. brNore you dig. TOLL FREE NUMBER 1-800-424-5555• � <br /> �'UDLIC WURKS PERMI-� � <br /> ^OT caFQUIREN O <br /> 2 Y-_—j � Y� <br /> •ATE.__.-.-� ��-.---- <br /> PCKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/noplicant here6y agiees to hoM and uve hartnless <br /> the City ot Everett fiom any end ell claims fcr demages,costs.expenses,a <br /> causes of action that may arise beceuse of Inataliatbn end malntanance ot <br /> ApprovedforConstruction Date try��mp���taothx�9htof-wayuxl�ereloeppliedforandfurtheregiees <br /> to remuve w�me upon noti�e hom the City nnd to replace public propeity <br /> ' dameged thereby. <br /> FINALINSPECTION Date � <br /> Appm��ed as Constructed <br /> Signature oi Applkant Date <br /> WORK AUTHOR12ED BY THIS PERMR MUST BE STARTED WITHIN 1B0 DAYS OF DATE FERA7R IS ISSUED AND 1NER�FTER IS TO BE D�LIOENTLY PURSUED 1 J <br /> COMPLE710N.THIS PERMIT MAY BE CANCELLED BY 1HE CITY UPON ANY STOPPAGE OF WORK ON 7HIS PRWECT OVER 90 DAYS W RA?ION. _ <br />