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'(R � � 1 ,. , <br /> _ . ;��^ — ��.�`'�= <br /> s �' ;�� _ :: - ; ... � - "_ 'w=� =-=" '- "�r---- -� �#e1 <br /> `S -Cr.�, .v,x.� , . -`-�"'i � s .-``�: .w�p-,".'� r--- w, a .�X"'y.����� � � <br /> `r �...::av.,vfy-»:�`^W��7es]18Xw"+h�S" �c._<.� „�'.-.a--�,,,.x�,� r.,�r,-�X ��X,",L.^'-°�+,+s� �A,.* ,8A-a� •�ime��°�.th�#.,.�.''Mw„ �.ey�,r�«.c}�:r,r.�.�«-'X''cX�r,�/"'�M"f++a�4%FY .. 1 S <br /> ,��q�.. y <br />,°�2i'M . .. . ' .. ,.'+1. .et�.a6X�� �:".r�r'..,..�:.:` ._.a,. �. . . _ - ..� ... ._ _ ' _ -. �- -- '- ' � � � -- 'Y� <br /> .. .....�� . ... •.�•- ���. <br />� � . .�...�r .. - -.. .. . _,l_� _ _ '" <br /> � .�_.�ti_ _ .. . �� _ ._. .. . <br />'oiLib <br /> �ate �� - ' , PuOi�c Worka Perm11• <br /> t_ <br /> Application For o�a9 oeoi.s � <br /> PUBLi� WORK� i�ERMIT �°b°�Wo,ksFae <br /> Tolal Fee g <br /> lessAuO�Feo PaiO 3 <br /> Print or Type Only e��a�«o�, S <br /> Plan Check No: C <�4357 SBF:� <br /> A�plicat.Date: OS '12/94 <br /> Job Address: 12�7 47T:i ST SW <br /> Owner Owner: ANDERSON LOUISE Zip Phene <br /> Tenant: , <br /> Proposed Use: SINGLE FA.MILY RESIDENCE <br /> Desc. of Work: <br /> Applicant ADDITION Z; <br /> P Phone <br /> OFFICE SET JOB SET <br /> Describe Propo�;ed Wo� <br /> APPRO'iED FOR PERFfIT: DA'tE_/_/_ 9Y <br /> - — � <br /> Project Address(if known) _ � <br /> AUach tour(4) copies of plans lor proposed work- Draw to scale and note the tollowing as applicable: t� <br /> • Property Lines • Cenfe�line ol street � <br /> • Ou�line and dimensions ol all exisling and • Indicat� North <br /> proposed�tructures��n the lot • Show any proposed grading changes <br /> • Existing and proposed utiiilies A Show measurements � <br /> � <br /> DO NOT WRITE BELOV:�THIS LINE <br /> FER��11T CONDITIONS � <br /> 1.All calls for inspeclion shall be made 24 hrs.in advance-ph�ne 259-8810. � <br /> 2.All work shall be peAormed+n accordance with this permil and current City cf Everett Design and Construction <br /> Standards and Speciticatiens. <br /> 3.Call Lccation Underground Service 48 hrs.before you dig.TOLL FREE NUNIBER 1-8Q0•424•5555. � <br /> PUBLIC WORKS PERMIT � <br /> NOT REQUIRED � <br /> BY._-- �' /P� <br /> oATE � '3 _9� �/♦ <br /> _ �^ <br /> i.l. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm• <br /> less Ihe Cily of Everetl irom any and all cla�ms for damages, costs, <br /> expenses, or cau,es ol action Ihat may arise bec2use of inslallalion <br /> and mair,tenance of the improvement or olher righi�oFway use hereto <br /> Approved for Construction Date applied for and further agrees to remove same upon notice from the <br /> City and to replace public property damaged therehy. <br /> FINA: INSPECTION Date <br /> Approved as Constructed Signature of Applicant Date <br /> ��r� PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> , 3200CedarStreet 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PEFMIT MAY BE <br /> Phonr.:259�BB10 CANCELLEU BY 7HE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> rnn ir�T nvc{7 �n �nY, �I iRnT1r1N <br /> � �.�,x.�, a`��..h. <br /> �l .T'e .- � � _ . . A* .,�Y..�� :Ty � � � *LNh� �: <br /> .4. / 1 - '^�� 'i! t <br /> ... ' �_ �� � ,'�..:A���y i��! ._ . - . ��1* -.+�y _ <br /> �. _ . <br />