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Date-- ��o�,��•�o,�,r�,m�, — <br /> Applicalion Por eia9.oec�.+ _ <br /> ; PUBLIC WORKS PERM �T PuOTolaFeeFee S <br /> �esa noo�r'ee aam S <br /> Balunte�ue $_ <br /> Print or Type C)nlj alan check No: a 47628 SEPA <br /> ApplicaL.Date: 03/02/95 <br /> Job Addrs: 510 47TH ST SE <br /> Owner: CUMMINS/DIRE <br /> Tenant: <br /> Ownrr Proposed Use: SFR/CARPORT <br /> Desc. of Work: Zip Fhone <br /> REMODEL FOR P.DDED LIVING SPACE k A CARPORT <br /> Applicant OeFICE SET JOB SET Z�p Phone <br /> APPRVD FOR PERMIT: DATE_/_/_ BY <br /> �escribe Proposed Work <br /> � <br /> Project Address(if known) _ � <br /> Attach (our(4) copies ot plans fo� proposed work- Draw to scale and note the lollowing as applicable: � <br /> • Property Lines • Centerline of sireel � <br /> • Outline and dimensions o�all existing and • Indicate North � <br /> proposed structures on the lol i Show any propose�f grading changes <br /> • Existing and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS � <br /> 1.All calls for inspection shall be made 24 hrs.in advance-p!�one 259•881 O. � <br /> 2.All work shall be per(ormed in accordauce wilh this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before yo�dig.TOLL FREE NUMB[R 1-800-424•5555. � <br /> � <br /> - '.JBiJC !'�ORic^ F:=i�fA�-; � <br /> ?�;�1 R�;jUIRE:� <br /> / <br /> ' y _.. ).�— — — - <br /> ��'- j�� -`!_% � <br /> � <br /> ACICNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees lo hold and save harm- <br /> less the City of EvereU Irom any and all claims for damages. wsts, <br /> expense5. or causes of action that may arise because of installation <br /> and maintenance of �he improvement or other right-ohway use herelo <br /> Approved tor Construction Date applied for and further agrees to remove same upon nolice from the <br /> Ciry and to replace public property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature ol Applicant Date <br /> ���� PU�LIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarSireet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> �'T�' Everelt,WA98201 BE DILIGEN7LY PURSUED TO COMPLETION. THIS PERMIT MAY PE <br /> Phone:259�8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON TiIS <br /> PROJECT OVER 90 DAYS DURATION. <br /> _.r <br /> �,—�--.;�,--Y^ . <br /> T' - _ . i.+rm+�'fi, �s i � �' � . <br /> ����a-.=_ _ . . .. . . � �� ��p. +� S. .. �,i <br /> ^M rrr+aY.N:�� : . �� ��� �G <br /> . �* r ati / <br /> F?..' � �c "` rd^ �L�7�...� t �'*1�*�' C t "3ro � '.A'4!4e� <br /> i 1 S � '�"�"'�.�'R R � �ij;r"� t P C 1�r �t+`T^ � �� , , � `�� • <br />_1��� .__ - _ -x `_s3 :."'..-F �p�y t 7 t . �.� —i ;�� .. 't� <br /> _ ..--� ,.�, <br />