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PUBLIC W�RKS PERMIT Data �� <br /> �CA��� PUBUC WORKS DEPARTMENT Publk Nbrks PermN� <br /> 3200 Cedar Stroct <br /> Everett.WA 98207 259•BB10 BuiMing PermO M <br /> TYPE OR PRINT ONLY PuUlic Nbrks Fee S <br /> Plan Ch�ak Noe C 57974 SBPA <br /> Appllcat.Datoe 02/23/98 • <br /> ��e� Job Adde�s 3701 SHORS AV6 �o� <br /> Own�rt RUB7►TINO ED/lURIL71lU1 <br /> Tan�nti <br /> Propo�ed U�a: SINOLS TAMILY RESIDBNCB <br /> o, ilcant D��c. of Work: <br /> PP ADDITIONS OF DININ6� �l1lIILY RN, B6DROOM, phone <br /> STORAGE <br /> Describe Proposed Work _ oFFICa SBT .7oe SET ■ � ■ <br /> }1PPRVD FOA PERMITt 011TB_I_I_ BY � <br /> � <br /> �/ <br /> PROJECT ADDRESS(if known) � <br /> 4tlaeh four(4)copies o}plans for proposed work-Draw to scab and note the following il applieable; O <br /> �Property Lines 'Outllne end tlimensions of e�l existing and proposed structures on lhe lot •Existing and proposed utilities <br /> 'Centerlire of street •InOicate Nort� �Show any proposed grading changes •Show measuremenis � <br /> DO NOT WRITE BELOW THIS I.INE <br /> PERMIT CONDITIONS: Z <br /> 1. All calls for inspection shall be made 24 hours in advance-phone 259-8810. O <br /> 2.AII 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 /> V♦ <br /> W• �� �8�r� a <br /> � <br /> �� Z��f�yv <br /> � <br /> � <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/epplicant hereby yroee to hold end save harmless <br /> the Ciy of Everefl from any end all oldms tor damagx,costs,expanses,w <br /> i Approved for Construction Date ' causes of actlon that may adse beeause o1 installatlon and malntenancs oi <br /> � the improvement or other right-ol-way use hareto appiied ta rW hxthsr p'sa <br /> to remove same upon notice hom Ihe City ar,d to repleca pubNc piop�rtv <br /> damaged lheraby. <br /> FINAL INSPECTION Date <br /> , Approved as Constructed <br /> Slgnature ot Applicaot D�t� <br /> NORK AUTHOflREO BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMR IS ISSUED ANO TNEREAfTER IS TO BE dL10ENTLY PURSUED TO <br /> COMPLEf10N.THIS PEfiM1T MAY BE CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS WRATION. <br />