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TYPE OR PRINT ONLY <br />PUBLIC VCJRKS PERMIT <br />PUBLIC WORKS DEPAf±TMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />Date <br />Public Works Permit N <br />Building Permit M _ <br />Public Works Fee $ _ <br />Plan Check No: B 55464 SEPA <br />Applicat.Date: 06 16/97 <br />Owner Job Address: 15 6 51ST PL SW <br />Owner: HERDLEVAR JOHN <br />Tenant: <br />Proposed Use: SINGLE FAMILY RESIDENCE <br />Applicant <br />Describe Proposed Work _ <br />PROJECT ADDRESS (if known) <br />Deac. of Work: <br />REMODEL OF CRAWL SPACE TO LIVING SPACE <br />OFFICE SET JOB SET <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />Phone <br />Phone <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: <br />•Property Lines 'Outline and dimensions o( all existing and proposed structures on the lot •Existing and proposed utilities <br />•Centerline of street •Indicate North •Show any proposed grading changes •Show measurements <br />PERMIT CONDITIONS: <br />1. AII calls for inspection shall be made 24 hours in advance - pt�one 259-8810. <br />2. All work 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 1-800-424-5555. <br />�uauc WJRKS ��arr�� <br />NG'+' RGGIUIR6• <br />f'�{�___��J <br />i r�'T t� _ �i. / `/� ��..--- <br />_� � <br />Approved tor Construction Date <br />FINAL INSPECTION Date <br />Approved as Consimded <br />� <br />O <br />ACKNOWLEUCEMENT OF CONDITIONS <br />The undersigned owneNapplicant hereby 2grees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arise because of install�tion and maiMenance of <br />the improvement orother right-of-way use here!o applied for and fuAher agrees <br />to remove same upon notice from the City and lo replace public property <br />dameged thereby. <br />Signature of Applicant 02te <br />WOAK AUTHORI'LED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUEO AND THEREAFTER IS TO BE DIL�GENTLY PURSUED TO <br />COMPLEiION. THIS PERMIT MAY BE CANCELLED BY THE CIN UPON AIJY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURAT�ON. <br />