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�ate Pu01ic Work�Perm�it• <br /> Application For Biap Deot• <br /> PUBLIC WORKS PERMIT P�°°<Wo«sF�� <br /> Total Fee S <br /> Le�e Aopl.Fee PaiC S <br /> Print or Type Only e,�,��,o�e s <br /> Plan Check No: C 45605 SEPA <br /> Applicat.Date: 09/19/94 <br /> 3ob Address: 26i8 VIEW CREST AVE <br /> Owner: JOHNSON BILL <br /> Tenant: <br /> Owner Proposed Use: SINGLE FAMILY RESIDENCE p phone <br /> Desc. of Work: <br /> ADDITION <br /> Applicent OFFICE SET JOB SET p Phone ' <br /> APPROVED FOR PERMIT: DATE_/_/_ HY <br /> Describe Proposed Work _ <br /> W <br /> Project Address(if koown) � <br /> Attach four(4)copies of plans for proposed work• Draw to scale and note the following as applicable: � <br /> • Property Lines • Centerline oi street /w <br /> • Uutline and dimensions ol all existing and • Indicate North V, <br /> proposed structures on Ihe lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calla fo�inspection shall be made 24 hrs.in advance•phonP 259•8810. � <br /> 2.Ail work ahall be peAormed in accordance wilh this permit and current City of Everett Design and Construction <br /> Standarda and Specifications. <br /> 3.Call Lxation Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> O <br /> �'UBLIC WppKS PERM�T Q�� <br /> NOT REOUIREt� �/ <br /> 7� O�P.TE <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The underslgned owner/appliwnt hereby agrees to hold and save harm- <br /> less lhe City ot Everett Irom any and all claims for damages, cosls. <br /> e*penses, or causes of action Ihat may arise because ol installation <br /> and maintenance of Ihe improvement or other righl-ol�way use hereto <br /> applied for and further agrees to remove same upon notice Irom the <br /> Approved tor Construc'�on Date Ciry and lo replace public property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signat�ire ol ApplicaM Date <br /> �� PUBLICd,'ORKSDEPARTMENT WORK �\UTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CeearStreet 180 DAYS OF DATE PERMIT IS IFSUED AND TNEREAFTER IS TO <br /> Evere1LN498201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259�8810 CANCELIED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJEGT OVER 90 DAYS DURATION. <br />