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� .Vpliwticn For <br /> PUBLIC 1►. JRKS PERMIT °�,<<- <br /> PUBLIC WORKS DEPARTMENT Public Woiks Pemit M <br /> 3200 Cedar Street —' <br /> Everett,WA 98201 259-8810 <br /> Buiiding Pertnit N <br /> NPE OR PRINT ONLY F�$ <br /> Plan Check No: E 52517 SEPA <br /> Applicat.Date: 08/07/96 <br /> Job Addrees: 34Y8 24TH ST <br /> Owner Ownet: CHURCH OF DIVINE MAN phone ' <br /> Tenant: SLUSHER/FLORA <br /> Propoeed Uee: SINGLE t+AMILY RESIDENCE <br /> Deec. of work: <br /> Appifcant CONSTRUCT DECK Phone <br /> Describe Proposed Work_ oeFtce SET_ JOB SET <br /> APPROVED FOR PERMIT: DATE_/_/_ BY W <br /> � <br /> � <br /> �/ <br /> PROJECT ADDRESS(if known) � <br /> Attach tour(4)copies of plans for proposed work-Draw to scale and note the following if applicable: O <br /> •Property Lines "Outllne and dimensions oi all existing and proposed siructures on the lot •Existing and proposed utilities <br /> 'Centerline of street •Indicate North •Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspection shall be made 24 hours in advance-phore 259-8810. O <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 /> � ' _I <br /> t <br /> . O <br /> a <br /> �'UBUC WORNS �6RA41T <br /> ti07 REaWA6� <br /> dY�� <br /> s AT E__"[.B��J� ; <br /> � ..-.� <br /> ACKNOWLEDGEMENT OF CONDITIONS . <br /> Tha undersigned owner/applicant hereby agrees to hold and save harmless <br /> the City ot Everett from any and all cla(ms for damages,costs,expenses,or <br /> Approved tor Constructlon Date cawes of action ihat may arise because of Installation and maintenance of <br /> the improvement or other right-of-way use hereto applled for and further agrees <br /> to remove same upon notice from the City and to replace public properry <br /> damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> Sigr�ature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTE�WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CRY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DUR,4TION. <br />