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� PUBLIC WORKS PERMIT °�" <br /> Pusuc woAics oEaum�Erir wex�w�,�„�« <br /> siao cw.r sf� <br /> Ewrot4 WA 98201 259-8810 g�p��y PmNt� <br /> TYPE OR PRINT ONLY Pudic Nbrke Fea S <br /> Plan Ch�ck No: C 56041 SEPA <br /> Applieat.Dat�: 07 25 97 �� <br /> Ow�sr Job addrees: 17 5 UCKBR AVS <br /> Ownar: COOSlfAtd GBNE/WENDY <br /> T�nants <br /> Plopo�ld Uae: SINGLE FA!lILY RESIDBNCE <br /> qpp��t D��c. of Work: Phor» <br /> ADDITION �!O 7�O <br /> �N/ <br /> D93CfIbB P�OpOSBd W011C_ OFFICS SST JOB SET _ W <br /> _ APPROVED FOR PEAMIT: DJ�TE_/_/_ BY_ � <br /> d ,�,�1 ly use <br /> �/ <br /> PROJECT ADDRESS(f known) � <br /> Atheh four(4)copiea of plans ta proposed work-Draw b acale end nots tha folbwinp H appikable: <br /> 'Properry Lines `Outline and dimensions of alt existing and�voposed atrucNron on the bt 'E�deting and proposed utilkks O <br /> 'Centerline of street 'Indkate North •Show any proposetl grading ehanges •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. O <br /> 2.Ail work shall be pertortned in accordance with this pertnit and curtent City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424555b. � <br /> � ��,�,�.`'� 9�� � <br /> .�,� � � O <br /> (� �`S�, '� G , + � "���bi4ldt ��K, .��* a <br /> I �� �l ' _y!/� �. (J� YpM <br /> Gr � <br /> �,°�' �;� y�, ,� �, ` ��_. <br /> �� � ��� � , � <br /> �`' � o� � �� c�' <br /> ,� �� ��� �� <br /> � 9��,k �r ` 1 A�'U' <br /> A WLEDG UFCONDITIONS <br /> The �o per t hereby agrees to hok and�ve harmless <br /> FE�lRIEfrom any and all ciaims for damapes,cotH,ezpa�saa,or <br /> Approved lor Constructlon Data eauses ot ectbn thet mry arise beeausa ot InstsllaUon md mdnbn�ncs M � <br /> ihe Improvement or other rlghtrof-way use herato applisd for�nd hxtlwr pnes <br /> ro�emove sama upon notice from the Cfty and to ropl�e�pubMc propMy <br /> damegcd thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed � I <br /> Sipmture ol Appikant Date � <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STAHfED WRHIN 180 DAYS OF DATE PERMR IS ISSUE�AND T}IEREAFfER IS TO BE DIUGENTLY F'URSUED TO <br /> COMPLEf70N.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPA6E OF WORK ON THIS PRQIECT OVER 90 DAY$OUMTION, <br />