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�6'.�'��Y�n�a� i r�.�� <br /> � �liCation For ; <br /> �w�� PUBLI� ��3RKS P�RMIT Date <br /> PUBLIC WORKS�EPARTMENT Public Works Pertnit# <br /> 3200 Cerlar Street <br /> Everett,WA 98207 259-8810 Building Perm?t N <br /> IYPE OR PRINT ONLY Public VJorks Fee$ <br /> Owner Plan Clieck No: C 59841 SEPA plione <br /> Applicat.11ate: 08/13/9A <br /> Job Addrs: 315 47TH ST_ SE <br /> Owner: POWELL SERRY & KAYLENE <br /> Tenant: — <br /> Applicant Proposed Use: SINGLE FAMILY RESIDENCE Phone <br /> Desc. of r7ork: <br /> KITCHEN ADDITZON <br /> Describe Proposed Work_ I p 1 <br /> OFr^ICE SET JOB SET �+� <br /> A'2PRVD FOR YERMIT: DATE_/_/_ BY � <br /> — � <br /> PRUJFCT ADURESS (if known) _ _ _ _ � <br /> Attach tour(4)copies of plans for propor,eC work-Draw to scale and note the following if applicable: <br /> °Property Lines •Outline and dirnensions of all existing and proposed structures on the lot 'Existing and propo,ed utilities o <br /> •Centerline of street •Indicate NoAh •Show any proposed grzding changes •Show rtieasurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDI"i IONS: � <br /> 1.All calls for ir,spection shall be made 24 hours in advance - phone 259-8810. � <br /> 2.All work shail be performed in accordance with this permit and current City of Everett Design and <br /> Constructicn Standards and Specifications. <br /> 3. Call Location Undergrour.d ServicE 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> � <br /> 'UpLIC Ia�OHKS PERPdI� � <br /> f:0'f REUUIRE� � <br /> n Y._ /� /,��� <br /> oATE____ V/JLJ` <br /> � <br /> � .yUQ��� �.r.....,.. r.-n.ill � <br /> ��. <br /> iGY.�-- - _. <br /> •ATr�--------"- �-- � . <br /> � <br /> ACKNOWLEDGEMENT OF CON�I1lON5 <br /> The under.igned owner/applicant hereby zgrees to hold and save harmless <br /> the City ol Everett trom any and all claims tor damages,costs,expenses,or <br /> A mved for Construction Date causes of action that may arise b?cause of installation and mainten�ice of <br /> PP the improvement or other right-of-way use hereto applietl for and fuAher agrees <br /> to remove�same upon notice from the City and to replace p�blic property <br /> damaged there6y. <br /> FINP.L INSPECTION Date <br /> Approved as ConsWcted <br /> Signatura of Applicant Date <br />\WORK AUTHORIZED BY THIS PERMIT MUST 8E STARTEO WITHIN 780 DAYS OF DATE PERMIT IS ISSUED 1ND THEREAFfER IS TO BE DILIGEMLY PURSUED TO , <br /> `�CMPLEf10N.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT 6VER 90 DAYS DURA710N. j <br /> ) <br />