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7YPE OR PRINT ONLY <br />� ��ICi[IOfI fp <br />PIiBLIC 1{.�JRKS PERMIT <br />Pueuc woaKs oEwwrnter�r <br />3200 Gedr Stnat <br />EverMt, WA98201 259-8810 <br />���` 3-20-97 <br />PueNc worlo PenMt t <br />a�iamq a«mn • <br />Public works Fee S 54572 <br />Barry/Kerry Chrieman 5106 Wilmington Ave Everett 98203 252-7201 <br />owr�er Mamr,� ndare55 car z�a anone <br />Owner <br />llpplkant Ualling Addrass City Zip phqie <br />Describe Proposed Work <br />remodel <br />PROJECT ADDRESS (if known) <br />5106 Wilmington Ave <br />Attach four (4) copies of plans tor proposed work - Draw to sca�e and note the following M epplicable: <br />'Property Lines 'Outline and dimenslons of all existing and proposed structures on the bt `Exislinp and proposed utllities <br />'CeniMlne o1 street •Indicate North 5how any proposed grading chanpes 5how meesurertients <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in adva�ce - phone 259-8810. <br />2. All work shall be perfortned in accordance with this pertnit and current City of Everett Deslg� and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-6666. <br />��� �Z ll%✓' I r-5 ���'`'► � '�" �e�..� �'�. <br />� <br />Appioved for Construction Date <br />FINAL INSPECTION Date <br />Pppmvecl as Constructed <br />� <br />� <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby apraes to holA and save harmlws <br />the Clty W Everett M1om any and all clalms lor dertwp�s, costn, expenep, a <br />causes of action that may arise becauee of instellatbn enC maln'ranos p� <br />ttie inproven�enl aolher righbol-way we hwMo appNeC laarld fiRtf!er apass <br />to renwva same upon notice han the Clly and to iaplew qiblie propMy <br />Aemaged there6y. <br />sb�n,� a n�i�� o.0 <br />WORK AUTHORIZED 8Y hIIS PERMIT MUST BE STAqTED WI7HIN 180 DAVS OF DATE PERMfT IS ISSUED AND THEREAFfER IS TO BE dLl(iEMLY PURSUED TO <br />CAMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CIT' UPON ANY STOPPA(3E OF WORK ON 1HIS PROJECT OVER 80 DAYS DUMT1pN. <br />