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s/�/as � � as/isz�e <br />Date I PuOuc Warks Permil • <br />AppliCaliOn For Bmg. oeu�. • <br />�UBLIC WORKS PERMIT PubTOIaIFeaFeo $ <br />Less Aoo�� Fee Paia $ <br />BalanceDue $ <br />Print or Type Only <br />Timothy Knopf 932 Wetmore Everett 98201 252-2410 <br />Owner Mailing Address City Zip Phone <br />Same <br />Applicant <br />Describe Proposed Work <br />Project Address (it known) <br />Mailinp Address <br />Construct 209 Sq. Rlf�� Foot deck <br />932 Wetmc <br />Attach four (4) copies ol plans for proposed work - Draw to scale and nole ihe following as applicable: <br />• Property Lines • Centerline ol street <br />• Outline and dimensions ol all existinc� and • Indicate Norlh <br />proposed structures on �he lot • Show any proposed grading changes <br />• Existing and proposed utililies • Show measurements <br />Phone <br />P[RMIT CONDITIONS <br />1. All calls lor inspection shall he made 24 hrs. in advance - phone 259•88� 5. <br />2. All work shall be perlormed in accordance with this permit and current City ol Everett Design and Construclion <br />Standards and Specifications. <br />3. Catl Localion Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1•S00•424-5555. <br />� /. <br />7 , <br />`�7�:�=.G� / � ���C%f /%'�.�-� /��G/ ,/—%L7� � <br />!"��.' ��J'7'"-'�� ..'L.�CJ^�s /r'<,�'�a�,i _ ;<��r,� •'.��'`:/� <br />i.� �'%' � , ii `... ' /��='� <br />--,, / _ /j ; � -•. �-: � y . <br />Approved for Construction Dale <br />FINAL INSPECTION �� �� <br />Approved as Constructed <br />everclt PUBLIC WORKS DEPARTMENT <br />� 3200 Cedar Street <br />Everelt. WA 98201 <br />Phone:259�8875 <br />� <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />ACKNOWIEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less ihe Cily of Everett irom any and all claims for damages, costs, <br />expenses, or causes of action �hat may arise because ol installation <br />and maintenance of the improvemenl or other right�oFway use hereto <br />applied lor and further agrees lo remove same upun notice from the <br />Ciry and to replace public property damaged ihereby. <br />Signa�ure of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />1B0 DAYS OF DATE PERMIT IS ISSUED AND TNEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PEHMIT MAV 6E <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />