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Gat�� -_ <br />APPI�c:�tinn f,v <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Ownr.r Plapn Check No: 8 4/0874 <br />SEPA <br />APJobcAddreee: 24Y086TATE <br />Owner: FORBES PATRICK O <br />Tenant: <br />�ooi�can� Proposed Use: SINGLE FAMILY RESIDENCE <br />Deec. of Work: <br />REPLACE 12' SECTION OF FOUNDATION <br />Describe Pr000sed Work _ JOH SET <br />OFFICE SET�� <br />APPROVED FOR PERMIT: DATE_/_I� <br />Prolea Adtlress lif known) <br />A;tach `our ia1 copies ol plans lor proposed work � Draw ro scale antl note the toilowing as apphcable: <br />• FwGcrt; Lmos <br />• Outline and dimensions ol all existing antl <br />proposetl struC[ure5 On the l0� <br />• ExlsGng and proposed utili�ie5 <br />�•,�.�,. ,,.,,..�...,.,., <br />ni.i,� o..,,i . <br />,..,,.�,, ;,,,;...,..:. <br />�..�:,� �,.. a <br />�.,..,.�,�,� �....,..,,,� s <br />�.,�:,�,..�>�„ : <br />• Centerline ol street <br />• Icdicate North <br />• Show any proposetl gratling changes <br />• Show mexsurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259•8810. <br />2. All work shall be performed in accordance with this permit and current City ol Everetl Design and Construction <br />Slandards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800-424•5555. <br />nPurovetl ra Cunsui�ction <br />PUBIIC WORKS PERMIT <br />NOT REOUIRED <br />BY � <br />DATE � �• 9.j <br />Date <br />FINAL INSPf_CTIUN DM� <br />AUu�Ovra .�5 CJn::ituf.tod <br />PIIHLIC WORKS DEPARTMENT <br />��;2U0 Cr.doi $�rec� <br />Eveieit WA 9tl::01 <br />phono. .� ti!)-tIH 10 <br />ACKNOINLEDG[MENT OF CONDITIONS <br />u <br />H <br />� <br />a <br />C <br />� <br />� <br />C <br />� <br />Y <br />C <br />c <br />The undeisiqned uwnei �,lppliCanl neiP.by,lqrees �o nUld dn� Save hei <br />I�!ss Ihe Gty ol Everett Irom any dnq all Cl�ims lor A.lmaqe5, co:�� <br />�%�lUC5p1 Ot C3�5�'S J� .1CIi0� Ihdl may anse Uecause J� R15I.l11;11i <br />a�A maintenince ut ihe improvement or o�her riyh4ut-w:ty use hen <br />d{lpbe•d IOr dnd lurih0� dQfCOS Io ieinove SaInB upon r10hCB hOrlt t <br />G;Y .tnA to ��UlaGe PubliC P�oUertY d:lm.lyeA therC�V. <br />5iqnatwe al iuPlir.�n1 D.11r <br />WOFh AUiHORI.iED 9Y iHIS PENMIT MUST BE 5TARTED WI11+ <br />INU C�1YS OF DAiE P[RMIT IS 15SUED AND iHERE\FTEF Iti <br />DL DIIJI;flNiLY PUFSUHD �O COAIPLETION. THI5 P[RMIi M�Y <br />CANCL'LLED BV fHE CITV UPON ANY STOPPAIiH OF WOHK �)N i I� <br />PNOJEC f OVf-R'IU DAYS DUFATII�N_ <br />