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nan For � ' <br /> PUBLIC W�RKS PERMIT °"° _ <br /> � PUBLIC WORKS DEPARTMENT Publie Nbrks Permit t <br /> 3200 Cedar Street <br /> Everetl,WA 98201 259-8810 BuAding PartnN N <br /> lYPE OR PRINT ONLY a���:v+ork+Fee f <br /> Plan Check No: C SB715 SEPA <br /> Applicat.Date: 05/OS/98 , <br /> Job Addreee: 35i0 SHOAB AVS <br /> Owner Owner: KINC FREDERICK/RAORUYO Phone <br /> Tenent: <br /> Propoeed Uee: SINCLE FAMILY RESIDENCE <br /> Deec. of Hork: <br /> Appliunt ADDITION OF LIVINC SPACE AND GAR11G6 phone <br /> OFFICE SET .70B SfiT � <br /> Describe Proposed Work_ <br /> AYPROVED FOR PERHIT: DATE_/_/_ BY � <br /> �� <br /> �/ <br /> PROJECT ADDRESS(f knovm) M <br /> Attach four(6)copies of plans for pn�posed work-Drew to scale and mte the folbwing if applicable: ��+ <br /> 'Foperty Lines `Outltne and dimensions ot all existing and pioposeE structures on the bt •Existi�g and proposed utilities O <br /> 'Canteriine o1 street •IrWiwte North •Show any proposed greding chenges •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDIl'IONS: Z <br /> 1. All calls for inspection shall be made 24 hours in advance-phone 259-BB10. O <br /> 2. All work shall be performed in accordance with this 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. H <br /> CWYLIB W011K! �QRMIT ♦t1 <br /> AOf FOUIR�� 1�♦ <br /> lY._._. _ - O <br /> MTa._,`. . _ a <br /> . . ` <br /> ACKNOWLEDGEMENTOFCONDRIONS <br /> . The undersigned owner/applicanl Mrehy egrees to hold and saw harmlesa <br /> the Ciry of Everett from any and all ciaims for damages,costs,expenses,or <br /> roveC lor Canstniction Oate �uses of action that may arise because ot Instailation and maintenance of <br /> AFP the improvement or otMr rlgMwhway use hereto applied for and IuMer agrees <br /> co remave same upon ratice from the City arW to replaca publk property <br /> damaged Ihereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> Signeture o1 Applicant Data <br /> NORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PEHMR IS ISSUED AND THEREAF"fEfl IS TO BE DILIGENTLY PUfiSUED TO <br /> COMPLEf10N.THIS PERMIT MAY BE CANCELIED BY THE CITY UPON ANY STOPPAGE OF WORK ON TNIS PROJECT OVER 90 DAYS DURATION. <br />