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[+7M� <br />O � x <br />C." N <br />�Hxtn <br />HxH <br />�H� <br />Ox0 <br />�fA H <br />[a0� <br />HC <br />O F-i <br />��g <br />�� C� <br />Zy'N3 <br />t�H2 <br />HH <br />g �' <br />f) C7 fn <br />��r <br />en � <br />zHcn <br />HOfn <br />� <br />Date <br />Application For <br />PUBLIC WnFrKS PERMIT <br />Print or Type Only <br />Plan Che_k No; B 36078 SEPA <br />Applicat.Date: 03/23/92 <br />Job Addreea: 4925 WES'i VIEW DR <br />Owner: HUTH CAR1. <br />Tenant: <br />Proposced V^.:: SINGLE F1IMILY RESIDENCE <br />qppncan� Deec. of Work: <br />4205F AD[ITION — FAMIL`: AOOM <br />Descri6e Proposed Work O'rFICE SET JOB SET <br />APPROVED FOR PERMIT: DA1'E_/_/_ gy <br />Projeci Atldress �il known) <br />Pu=bc worxa Permit • <br />plaQ OeO�� • <br />Fuebc .vorY� f<s <br />tou�Fee g <br />Lesa AoOI Fee Pa�G $ <br />P.11dncP��Je 5 <br />Attach lour (4) copies ol plans lor proposed work • Drew lo scale and no�e ihe lollowing as applicable: <br />• Property Unes • Centedine ol street <br />• Oulline and dimensions ol all exisling and • Intlicate Norih <br />proposed siruCtures On ihe lot • Show any propoSeA grading chanqe5 <br />• Enisting antl pro0osed utililies • Show measi.�emenls <br />Phone <br />Phone <br />PERMIT CONOITIONS <br />1. All calls for inspection shall be made 2a hrs. in ativance • phone 259•8810. <br />2. All work shall be pertormed in accordance with Ihis permit antl current City ot Everelt �esign and Cunstruction <br />Standartls and Specifications. <br />3. Call Localion Underground Service 48 hrs. bebre you tlig. TOLL FREE NUMBER 1•800•424•5555. � <br />Approve0 tor Construr,tion <br />FINA� INSPECTION Date <br />AopravEtl a5 COnS�fuLICC <br />�P�c�PUBLIC WORKS DEPARTMENT <br />_ 3200CetlarSlreet <br />Everetl. WA 98201 <br />Phone:253�9B10 <br />J <br />W <br />� <br />� <br />� <br />Z <br />Q <br />� <br />� <br />� <br />a <br />ACI:NOWLEDGEMENTOP ,ONOI710N5 <br />7he undersigned owner/applicant herP�� agrees to hold and save harm� <br />Iess the City of Everett irom any an,, all Uaims for tlamages, cosis. <br />expenses, or causes of action that may arise because ol installalion <br />and maintenance ot the improvement or olher rich4obway use hereto <br />applied for and lurther agrees to remove same upon notice Irom Ihe <br />City antl to replace public property damaged ihereby <br />Signature ol Applicant Date <br />WORK AUTHORIZ[D BY THIS PERMIT MUST BE STARTED�IVITHiN <br />180 DAVS OF DATE PERMITISISSUED AND THEREAFTEF IS TO <br />BE �ILIG[N7LY PURSUED TO COMPLETION. TI;IS PERMIT MAY BE <br />CANCELLED �V THE CITY L'PON ANY STOPPAGE OF WORH ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />