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� �9 � <br />A7tlx <br />> H U�"�i <br />4 �>C <br />HZI-�i <br />Ox0 <br />'�1 N h1 <br />W M <br />H <br />zo <br />ONd <br />H�g <br />QY Q <br />Cy� <br />�yH <br />H <br />C] Cqy V� <br />R]�+ <br />O f�ii <br />� <br />1 <br />I �� <br />� <br />L� <br />Date , <br />Application ror <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Plan Check No: C 39920 SEPA <br />Applicat.Date: 03/18/93 <br />Job Address: 521 WINTON AVE <br />Owner Owner: FALKNER JAMES ='p <br />Tenant: <br />Proposed Use: SINGLE FAMILY RESIDENCE <br />Desc. of Work: <br />Applicant ADDITION WITH DECK ;�p <br />OFFICE SET JOB <br />Describe Proposed Work _ <br />APPROVED FOR PERMIT: DATE_/_�_ BY <br />Proiect Address �il known) <br />vuoi�c wor.s ve�m�i . <br />eiao� o�c�. • _ <br />PuOLc Wprts Fee <br />TaiaiFee S <br />Leff A00� Foe PaiU $ <br />Baiance Dae $ <br />Attach lour (4) copies ol plans lor proposed work � Draw lo scale antl note the tollowing as appliwhle: <br />• Property Lines • Centerline ol street <br />• O�tline and dimensions ol all exisling and • Indicatc North <br />proposed structures on Ihe lot • Show any proposed gratling changes <br />• Existing and proposed utilities • Show measurements <br />Phonc <br />Phonc <br />PERMIT CONDITIONS <br />1. All calls tor inspection shall be made 24 hrs. in advance - phone 259•8810. <br />2. All work shall be pedormed in accordance with this permit and current Ciry of Everett Design and Conslruciion <br />Standards and Specifications. <br />3. Call Location Underground Service 4B hrs. belore yci. dig. TOLL FREE NUMBER 1•800-424•5555. <br />PUBLIC WORHS PERMIT <br />NOT REQUIRED <br />BY <br />onTe 3 z .j 9 � <br />Approved for Consiruction Date <br />FINAL INSPECTION <br />Approved as Consiructed <br />PUBLIC WORKS DEPARTMENT <br />� 3200CetlarSlreet <br />�T Everett, WA 98201 <br />Phone: 259�8810 <br />W <br />� <br />�w <br />_ / <br />Z <br />O <br />F- <br />Y / <br />O <br />a <br />ACKNOWLEDGEMENT OF CON�ITIONS <br />The undersigned owner/applicant hereby agrees to hold and save h�rm- <br />less the City of Everetl Irom any and all claims lor damages, costs, <br />ezpenses. or causes of aclion Ihat may ariso because of installation <br />and maintenance of lhe improvement or other right-ohway use hereto <br />applied lor and Iurihet agrees IO remove 5ame upon nolice Irom ihc <br />City and to replace public pmperry damaged thereby. <br />Date <br />Signaturc ol AOPlitani Date <br />WOI �.K AUTHOF12ED BY THIS PERMIT MUST BE STARTE� \NITHIN <br />1B0 UAYS OF DAT[ PERM1tIT IS ISSUED AYD THEREAFTER IS TO <br />EiE DILIG[NTLY PURSUED TO COMPLETION. THIS PERMIT M11AY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON 7HIS <br />PROJECT OVER 90 DAYS DURATION. <br />