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� <br />TYPE OR PRINT ONLY <br />Owner <br />Appllcant <br />,6pplication For �--� <br />PUBLIC �. JRKS PERMIT Dal <br />PUBLIC WORKS DEPARTMENT Public Works Permtt N <br />3200 Cedar Street <br />Everett, WA 98201 259-BB70 Building Pertnit N <br />Public Works fee $ <br />Plan Check No: C 51447 SEPA <br />Ap licat.Date: 04/16/96 <br />�ob Addresa: 606 WETMORE AVE Phone <br />Owner: MACAULEY CHARLES R <br />Tenant: <br />Proposed Uee: SINGLE FAMILY RESIDENCE <br />Desc. of Work: phone <br />ADDITION AND KITCHEN REMODEL r� <br />DBSCflbB PropOSBd WOfI( _ OFFICE SET JOB SET <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />PROJECT ADDRESS (if known) <br />Attech four (4) coples of plens for proposed work • Drew to scale and note ihe following if applicab�e: <br />�property Lines 'Outline and dimenslons o1 all exlsting and pioposed structures on the lot 'Existing nnd proposed utilitles <br />�Centerllne ol street •Indicale NoAh 5how any proposed grading changes •Show measurements <br />PERMIT CONDITIONS: <br />1. All calls for (nspection shall be made 24 hours in advance - phone 259-BB10. <br />2. All work shall be performed in accordance with thfs permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />Q� �� � G wu��kS f G'r'rn �� �I b-� ���J';r� <br />, <br />�� ��� <br />�/' 7/� <br />Approved tor Consiructian Data <br />FINAL INSPECTION Data <br />Appmved as Constructed <br />� <br />O <br />�♦^ <br />V♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby egrees to hold end save harmless <br />the Ciry of Everett from any and all claims tor damages, costs, expenses, or <br />causes ol action that may arise because of installatlon and maintenance ot <br />the improvement or other right-of-way use hereto applied tor and furlher agrees <br />to remove same upon notice 1rom the City and to replace public pmperty <br />damaged thereby. <br />Signature of Applicanl Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 780 DAYS OF DATE PERMIT IS ISSU[D AND THEREAFfER IS TO BE DILIGENRY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 30 DAYS DURATION. <br />