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� odKaua,Par Dal.. <br /> PUBLIC �JORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT Publie Works Partnk N <br /> 3200 Ceder Street <br /> Everett,WA9B201 259•8870 <br /> Building Pertnk N <br /> IYPE OR PRINT ONLY Public Works Fee E <br /> — Plan Check No: c 60693 SEpA <br /> Owner M 7�pplicat.Dates il/03/98 Phone <br /> Job Addreae: 14Y5 kBTMOR6 11VE <br /> Owner: NURPHY MARY <br /> Tenanta <br /> App!icant M Piopoeed Ueat SINGLS FANILY RSSIDBNCB Phone <br /> Desc. of Works <br /> REMOVE CARPORT, REBUILD SOUTH WALL� REPLACE <br /> Describe Proposed Work EAST FOUNDATION� REPLACE ROOF� REPLACE � <br /> OFFICE SET JOB SET � <br /> APPROVED FOR PERHIT: DATE_/_/_ BY _ <br /> � <br /> PROJECT ADDRESS(if known) � <br /> Ariach four(4)copies ol plans for proposed work-Draw to scale and note the lollowing H applicable: <br /> •Property Lines 'Outline antl dimensio�s of ali existing and proposed structures on the lot •Fxisting and proposed utilitles O <br /> •Centerline of street •Indicate North •Show any proposed grading ehanges 5haw measurements � <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. O <br /> 2.All work shall be performed in accordance with this pertnit and cuRent City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 4B hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. ` <br /> r <br /> � <br /> ''UDLIC WORKS PERMI�� O <br /> �90i EUUIR[� � <br /> .�T�-- -.Ll./_�_9�__ <br /> _ I � <br /> I <br /> ACKNOWLEDGEMENT OF CONDIT70NS <br /> The undersigned ownedappllcant hereby agrees to hold and seve harmless <br /> the Ciry of Everett from any and all claims lor damages,costs,expenses,or <br /> causes of action that may arise because of Installation and melntenanee of <br /> ApprovedforConstruction Date Iheimprovementorotherrightrol•wayusaheratoappliedforandlurtheragiees <br /> to remove seme upon notice from the City end to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Consiructed <br /> Signature ol Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTE�WITHIN 180 DAYS OF DATE PEP.MIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLEf10N.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WURK ON THIS PROJECT OVER 90 DAYS DURATION. <br />