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�� <br />TYPE OR PRINT ONLY <br />m�� F« <br />PUBLIC ORKS PERMIT <br />PUBLJC WORKS DEPAFiTMENT <br />32D0 Cedar Straet <br />Everett, WA 98201 259•8810 <br />D� <br />Public Works pertnit p <br />Building Pertnit <br />Public Works Fee $ <br />Plan Check No: B 61517 ggp� <br />Owner Applicat.Date: 02/02/99 <br />3ob Addrees: 5731 SOUND AVE <br />Owner: ALLEN JAHES C G 1WITl� <br />Tenent: <br />Appiicant Propoeed Uee: SINGLE FAHILY R&SIDSNCS <br />Desc. of Work: <br />ADDITION TO RESIDENCE <br />Describe Proposed Work <br />'—' OFFICE SET JOB SET <br />APPROVED FOR PERMIT: DATE_/_�_ gy <br />PROJECT ADDRESS (if known) <br />Phone <br />Phone <br />Attech four (4) copies of plans for proposed work - Draw to scale and note Ihe Iolbwing II epplicable: <br />•PropeAy Lines 'Outline and dimensions of al� existing and proposed str�cturas on the bt •Ezisting and propo,ed utilities <br />•Centerllna of street •Indicate North •Show eny proposed greding changes 5how measurements <br />� --�-��-----'.......�.�.� <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance with thfs pertnit and current City of Everett Design and <br />Construction Standards and Specificatfons. <br />3. Call Location Underground Service 48 hrs, before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />��:tJC )H�CS PERMI�i <br />lOf�EpUiRE� <br />(�i�v\ <br />'� --'Y !,� <br />�^' ---_ �-L� _. <br />� <br />O <br />��/� <br />V♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF C07DI110NS <br />The undersigned owner/applicant hereby agrees to hald and save harmless <br />the Ciry of Everett from any and all claims tor demages, costs, expenses, or <br />causes of actlon that may arise 6ecause of inetall�tio� and malntenance o} <br />the impiovement or other righFof-way use hereto appliad for and lurther agrees <br />to remavg same upon notice from the Ciry and to replaca publtc propeAy <br />damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WIiHIN �180 DAYS OF DATE PEPMR IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br />COMPLEfION. 7HIS PERMIT MAY BE CANCELLED BY 7}IE CIN UPON ANY STOPPAGE OF WORK ON 7HI5 PRQIECT OVER 90 DAYS DURATION. <br />