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—, Pu01ic Work�Parmil• <br /> '`-ite <br /> . aiea oeo�• <br /> pppliealion For <br /> PUBLIC WORKS PERMIT PuoTo�IFeeF�a = <br /> l�af AOG�FN V�10 � <br /> BabnC�Du� S <br /> Print or Type Only <br /> Plan Check No: B 47986 SEPA <br /> AppLicat.Date: 04 06/95 <br /> Job Addreee: 49 6 SOUND AVE <br /> Owner: LYCKLAMA HIENZ 6 GERDA .�P Phone � <br /> Owner Tenant: <br /> Propoeed Uee: SINGLE FAMILY RESIDENCE <br /> Deec. of work: <br /> NEW DECK — <br /> Applieant :iP Phone <br /> OFFICE SET JOB SET <br /> Describe Froposed Work _ APPROVED FOR PERMIT: DATE_/_/_ BY <br /> W <br /> Project Address(if known) � <br /> Altach tour(4)coptes of Plans tor proposed work•Draw lo scale antl note the foilowing as appl(cable: � <br /> • Property Unes • Centerline of s�reet � <br /> • Outline and dimensions ol all exisling and • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements M <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS � <br /> 1.All calls for tnspection shall be made 24 hrs.in advance-phone 259•881 O. <br /> 2.All work shell be performed in accordance wilh lhis permit and curtent Cily of Everett Design and ConstNclion <br /> Standerds and Speciflcatlons � � <br /> 3.Call Location Underqround Service 4B hra belore you dig.TOLL FREE NUMBER 1•800-424•5555. <br /> O <br /> �'UBLIC WORKS PEPMIT � <br /> 1:0� REOUIREP � <br /> •�T_E-__5`/�/� O <br /> / / <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/appiicant hereby agrees to hold and save harm- <br /> Iess Ihe City ol Everett from any and all ctafms for damagea costs, <br /> expenses, or causes of action lhal may arise because of installalion <br /> � and maintenance ol ihe improvement or olher riahl•of-way use herefo <br /> applied tor and further agrees to remove same upon notice trom the <br /> Approved lor Construction Oate City and to replace public property damaged thereby. <br /> FINAL INSPECTION Date Date <br /> Approved as Construcled SignaWre ol Applicanl <br /> pp WORK AUTHOFIZED BY TtiIS PERMIT MUST BE STARTED WITHIN <br /> ���I�7� PUBLIC WORKS DEPARTMENT 1B0 DAYS OF OATE PERN�IT IS ISSUED AND THEREAFTER IS .TO <br /> 3200 Cedar Slreet BE OILIGENTLY PUFSUED TO COMPIETION.THIS PERh11T MAY BE <br /> Everett WA 98207 CnNCELLEO BY THE CITY L'PON ANY STOPPAGE OF WORK ON 7HIS <br /> Phone:259�8870 PROJECT OVER 90 DAYS DURATION. <br />