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Date_ - <br /> � -�, PUEIIe Workt Pnmit� - <br /> Applieatlon For eiao.o.w.. <br /> PUBLIC WORKS PERMIT ����CWe�.F.. <br /> To1aIF�a S-- <br /> L�u AOoI Fa�VaIC S <br /> Pfi�t of Type Only ApplicatcDatee 06%12/95 SEPA e,u�c.o�. S <br /> Job Addrese: 32b6 WAVE DR <br /> Owner: BALDWIN LARRY/DONNA <br /> Tenant: <br /> Propoeed Uee: SINGLE FAMILY RESIDENCE <br /> Owner Deec, of Work: <br /> SUNROOM ADDN, REROOF Z'P Phone � <br /> Appllcant �FFICE SET JOB SET <br /> APPROVED FOR PERMIT: DATE Z'P Phone <br /> _/_/_ BY <br /> Descr(be Proposed Work <br /> Project Addresa(if known) � <br /> Attech four(4)copies of plana for proposed w•ork-Draw to scale and note the following as applicabie: H <br /> • Property Lines • Centerlfne of atreet <br /> • Outline and dimensions of all existtng and • Indicate North � <br /> proposed structures on the lot • Show any proposed gradfnp changes <br /> • Existing and proposed utilittes • Show measurementa <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS O <br /> 1.All calls fo�fnspeqbn shall be made 24 hrs.in advance-pAone 259•881 O. <br /> 2.All work shall be peAormed in accordance with this permlt and current City of Everett Design and ConatNction � <br /> Standarda end Specificationa <br /> . 3.Call Location Underpround Servtce 4B hra betore you dig.TOLL FREE NUMBER 1•800�424•5555. <br /> � <br /> O <br /> .'UBUC WORKS PERMIT � � <br /> t�01' REQUIRE� � <br /> �Y � O <br /> vATE /j yS <br /> a <br /> � ACKNOWLEDGEMENTOFCONDITIONS <br /> The undersigned owner/applicant herehyagrees to hold and save harm- <br /> . less the City ol Everetl irom any and all claima for damages, costs, <br /> expenses, or causes of action that may arise beeause nl 'nstallation <br /> and maintenance of the improvement or other ridht•of•way use hereto <br /> Approved for Construction Date applied lor and lurther agrees to remove same upon notice trom the <br /> City and to replace public property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Consiructed Si9nature ol Applicant <br /> Date <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet . 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTEFi IS .TO <br /> Everell,N'A 98201 �E DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259�8870 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DUFATION. <br />