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� ( 'Pliwtion For <br /> PUBLIC 1irORKS PERMIT Da� <br /> PUBLIC WORKS DEPARTMENT Public Works Permit# <br /> 3200 Cedar St2et <br /> Everett,WA 98201 259-8810 <br /> Building Permit# <br /> TYPE OR PRINT ONLY Public Works Fee$ <br /> Owner Plan Check No: C 60602 SEPA Phone <br /> Applicat.Date: 10/22/98 <br /> Job Addreee: 407 4`7TH ST SE <br /> Owner: KELLY DON <br /> Applicant Tenant: <br /> Proposed Uae: SINGLE FAMILY RESIDENCE Phone <br /> Deec. of Work: <br /> Describe Proposed Work___ AD�ITION TO HOUSE AND SHOP <br /> OPFICE SET JOB SET � <br /> APPROVED FOR PERMIT: DATE_/_/_ BY <br /> � <br /> PROJECT ADDRESS(if knowr�) � <br /> Attach four(4)copies o(plans for proposed work-Draw to scale and note the following if applicable: �i <br /> •Properiy Lines •Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilitles o <br /> •Centerline o(street •Ina�cate North •Show any proposed;7reding changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE � <br /> F'ERMIT CONDITIONS: � <br /> ?. All calls for inspection shall be made 24 hours in advance- phone 259-8810. <br /> 2. All wurk 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 7-800-424-5555. � <br /> V♦ <br /> � <br /> :'UiiLfE: VlOt"sKs Wr:itio;li � <br /> h.UT GUINt?� <br /> �Y,�� _��. <br /> folATfi__..I��y�.._._.--- <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees to hold and save hartnless <br /> the City of Everett 1rom any and all claims tr mages,costs,erpenses,or <br /> Approved for Construction Date — �auses of action that may arise because of,n,tallation and maintenance cf <br /> the impmvem=nt or other right-of-way use he2to applied lor and turther agrees <br /> to remove�sartie upon notice from the City and to replace public property <br /> damaged ihereby. <br /> fINAL INSPECTION Date <br /> Approved as Cons�n:cted <br /> Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTEfl IS TO BE DILIGENTLY PURSUED TO <br /> COMPLFION.THIS PERMIT MAY BE CANCELLED 8Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />