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� <br />'fYPE OR PRINT ONLY <br />,�� �« <br />PUBLIC VvJRKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Ceder Street <br />Everett, WA 98201 259-8810 <br />Pudk Works PertnR R <br />Building Pertnft N _ <br />Publb Worla Fea S _ <br />o�nner Meiflno Addmca r'•. -' <br />Plan Check No: B 59861 SEPA <br />Applicat.Date: OB/14/98 <br />ApPlicenl Job Ad�ner: GOODR`IC9NKENST <br />Ma <br />Tenant: <br />Pro osed Uee: SINGLE FAMILY RESIDENCE <br />DescNbe Proposed Work <br />PROJECT ADDRESS Qf known) _ <br />Deecp of Work: <br />REPLACE FLAT ROOF WITH NEW PITCHED ROOF <br />OFFICE SET JOB SfiT <br />APPROVED FOR PERMIT: DATE_/_I_ BY <br />Attech four (4) topiea of plans for proposad wak - Draw to seale and rate the blbwing H ipplkabie: <br />Phone <br />Rroperty Lines �putline and dimenaions ot all existing and p'oposed sWeturoa on the bt •ExlsUnp and proposed utflRles <br />`Centerllne of street 9ndicate North 5how eny proposed gredinp chenpes 5how meesu�emanb <br />PERMIT CONDITIONS: <br />1. All cails for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be perfortned in accordance with this pertnit and curtent City of Everett Design and <br />Construction Standards and Speciflcations. <br />3. Call Location Underground Service 4B hrs. before you dig. TOLL FREE NUMBER 1-800-4246555. <br />Approved for Construalon Date <br />FINAI INSPECTION Date <br />Approved as Constructed <br />�:1pLli: WORKS �ERM�� <br />k0'r q UIRE� <br />�r�_ O' �,�q <br />+AT fi - -- — -- --U�Z1L .� . <br />� <br />��/� <br />V/ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Tha undersigned owner/applicant hereby agrees to hold and seva harmless <br />the City of Everett fram any end ell clalms for damagu, costs, expenses, or <br />causas of aMbn thet may arise because of Installatlon and meintenance of <br />the improvement a other rigM-of•wey use herto epplied for and turther aprees <br />to removr same upon notlea from the Cky and to replace publie property <br />damaged thereby. <br />Signatura of Appikant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMR IS ISSUED AND THEREAFfER IS TO BE DIUGENTLY PURSUEDTO <br />COMPLEf10N. THIS PERMIT MAY BE CANCELLED BY THE CRY UPON ANY STOPPAGE OF WJRK ON THIS PR0.IECTOVER 8Q DAYS WRATION• <br />