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TYPE OR PRII�fT ONLY <br />"�ikatbn For <br />PUBLIC �. JRKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Streel <br />Everett, WA98201 259-8870 <br />Owner Mell <br />Applicant Mail <br />Describe Pro�osed Work <br />PRWECT ADDRESS Qf known) <br />Plan Check No: C 50346 <br />Applicat.Date: 12/19/95 <br />Job Addreae: 715 RbCKER AVE <br />Owner: SCODELLER REG <br />Dat� <br />Publlc Nbrks Permit R <br />Building Permit 11 _ <br />Public Nbrks Fee E _ <br />SE2A Phone <br />Tenant: <br />Propoeed Uae: SINGLE FAMILY RESIDENCE <br />Deec. of Work: <br />BATH UTILITY ADDN <br />OFFICE SET JOB SET <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />Atteoh four (4) wpies of plans tor pmposed work - Draw to seale and note the folbwing if applicable: <br />'PiopeAy Lines `Outline and dimenslons of all ezist!ng and proposed shuctures on the bt •Existing and proposed utilltles <br />�CentMine ot street 'Indicate Narth ^Show eny proposed grading changes •Show meaaurements <br />PERMIT CONDITIONS: <br />1. All calls tor inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shail be pertortned In accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Locatfon Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-4245565. <br />L�� �i ,C� QOd�TiG6> <br />✓f yfll �/ /� L+ail'7� OtiL i"' <br />S /a'P � �i'�cv�.i—; , <br />��$Gd 4 �/cc C/, e �> <br />Q`�3r S�eCG ^.%'�-r' <br />%'jq�Cvi4� �o <br />�,;�f6 U. P_c <br />co�.,pC� <br />i�-a� �qs <br />Appioved for Const'uctlon Date <br />FINAL INSPECTION Date <br />Approved as Conswcted <br />W <br />� <br />� <br />N <br />��/� <br />V♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/eppli�ant hereby agrees fo hold and sava hamdess <br />the City of Everett from eny and all cleims tor damages, costs, expenses, or � <br />causes ot eetion that may arise 6ecause ot Installetion end melntenance ol <br />the improvement or ather righFof•wey use hereto applied fw and Nrther egiees <br />to remove sama upon notice from the City and fo repiace public properly <br />demaged thereby. <br />Signature of Applicant Date <br />\VORK AUTHORIZED BY THIS PERMR MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGEN7LY PURSUED TO <br />COMPLE710N. THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />