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� PUBLIC�.✓OfiKS PERMIT °�- � <br /> PUBLIC WORKS DEPAHIMENT wa�v�aw�,nn• <br /> 3200 Cedar Strsst <br /> Eve'stt.WA 98201 259-8810 BWy�p�k R <br /> TYPE OR PRINT ONLY p�y�k���_ <br /> Ownx Plan Check No: C 60437 SGP11 �� <br /> Applicat.Date: 10/06/98 <br /> Job Addreee: 84Y0 $ %AVIfiR WAY <br /> Owner: JACKSON RICHARD/JILL <br /> q����� Tenent: <br /> Propoeed Uee: SINCLE FAMILY RESIDENCE Phona <br /> Desc. of Work: <br /> D@SC�bB PfOpOSBd WOrI(_ ADDTION OF MASTER BEDROOM 6 BATH <br /> OFFICE SET JOB SET � <br /> APPROVED FOR PEAMIT: DATE_/_/_ BY <br /> � <br /> PROJECT ADDRESS Qf known) � <br /> Attach four(4)copies of plens fa proposed work• haw to aeale and note tM folb � <br /> whW II ePPUcaMs: <br /> 'ProPertY IJnes �putline and dimensions of aIl existinp and propoaed stnx.yures on the bt 'Fxletinp end qoposed utilHies O <br /> 'Centerli�e of street �ndkate North 5haw any piopoaed gredirp d�enpea 'Show me�surnnenh � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. <br /> 2.All work shall be pertortned in accordance with this pertnit and current City of Everett Design and O <br /> Construction StandaMs and Specifications. <br /> 3. Call Location Underground Service 48 hr�. before you dig. TOLL FREE NUMBER 1-800-424-6556, � <br /> V/ <br /> pw ���� � r���� a <br /> � <br /> I�/� <br /> ACIQJOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownx/applicant hereby agrees to Mid and sava hartnisss <br /> the Ciy of EverMt from any and atl clalrtu}or demayes,cosls,expeness,a <br /> Approved for Construction Date ceusas of actbn thet may arisa beeauee ot installatbn dxf md�tenance of <br /> tha hnpovement orotherrigM-of-way use heieto applied lorand further prsea <br /> to ramove�same upon notica from the City end to replaea puWic property <br /> damaged thereby. <br /> FINAL INSPECTION Date <br /> Appmved as Constructed <br /> Signature of Applicant peb <br /> WORK AUiHORIZED BY THIg PERMIT MUST BE STAHTED WfTHIN 1B0 DAYS OF DATE PERMR IS ISSUED AND THEREAFfEq IS TO BE DILI6ENR.Y PURSUED TO � <br /> COMPLEf10N.1HIS PERMR MAY BE CANCELLED BY T}iE CI1V UPON ANY STOPPAGE OF WORK ON THIS PR0.IECTOVER 90 DAYS WRATION. <br />