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� "' . . <br /> f � ' <br /> � �aau�uo�F« Date 8/10/99 � <br /> PUBLIC WORKS PERMI7 public Works Permit k � 9 � <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Sireet . <br /> Everett,WA 98201 (425)257-8810 Building Permit# B9908-018 <br /> O <br /> TYPE OR PRINT�JNLY TO POSTlNG �aN o 4 pub�lic Wo�s Fee$ �3O(� � <br /> �//"�'�c� /3� 78(n.�_ <br /> NORTHSHORE CHRISTIAN CHURCH 1410 80TH ST SW F.VERETT 98203 425-290-9015 <br /> Owner Mailing Address Ciry Zp phpie <br /> Applicant MailingAddress Ciry Zip prip�e <br /> DeScribe Proposed Work CONSTRUCT NEW CLAS�ROOM/NURSERY BUILDING W <br /> — L,L/��tYir /I�G iri S �.n a� ,('o�.�-�-- � <br /> � <br /> � <br /> PRQIECTADDRESS (if known) 5700 23RD DR W � <br /> AMach four(4)copies plans for proposed work-Draw to scaie and note the Idbwing il applicable: � <br /> •PropeAy IJnes •Outline and dimensions of all existing and proposed stnictures un the bt •ExisNng antl proposed utilitles � <br /> •CeMerline of street •IrWicate North •Show any proposed grading changes •Show measurements <br /> DO NOT WRITE BELOW THIS LINE Z � <br /> PEFMIT CONDITIONS: O <br /> 1. All cails for inspection shall be made 24 hours in advance- phone (425) 257-8810 <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 /> \/♦ <br /> 7 �—hr a��r������s � 1�� t3-a3 -� 9 � <br /> a <br /> � <br /> � ACKNOWLEDGEMEN�� OF CpNDITIONS <br /> i <br /> � The underaigned ownedeppllcant hereby agrees ro hoW end seve t�eim�ess <br /> �3' the City of Everetl from eny end all cla(ms h�r dernepes,costs,expenses,or <br /> e or s ion e — c&uses of action thet may arise because of ii,stallatlon erW meN�bnence p�yie <br /> / improvemenl or oUrer rightof•way use herelo .�pplied tor antJ(uMer aprees y <br /> l �'� remove same nodce from the Ciry and�replace P�ProPlMN dam. <br /> '� � " u• ihe <br /> FINAL INSPECTION Oate ( <br /> Apprwed as Constructed <br /> STgnaTro o <br /> WOFiKAUTFIOR�D BY h11S PERMR MUST BE STAHTED NRTHIN 18Q DAYS OF Q47E PEFiMfT IS ISSUEDMA 7FiEFEAFIER IS 70 BE�LJOB�fILY PURSU�70 <br /> OOIyPlETI0N.7HIS PERMfT MAY BE CANCELLED BYTHE CRY UPOWANI'5iOPPM3E OF VYUfi(ON 1HS PFiQECTOVEFi 90 DAYS ODU1l10N. <br />