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� '�PPIicaHon For �.. . <br /> PUF3LIC .. ORKS PERMIT °� <br /> PUBLIC WORKS DEPARTi`rcNT Public Works Permil N <br /> � � 3200 Cedar Street <br />�>(',.; ".', . Everett,WA 90201 759-8810 Building Pennit ri <br /> i.�.'.�'�.. . <br />�. ,, . •; ; � NPE O, 'RINT ONLY Public Works Fee$ <br /> Plan Check Nos B 53147 SEPA <br />� A plicat.Date: 10/Q8/96 <br /> PJob Addreee: 5931 25TH AVE W LOT 1 phone <br /> Owner Owners CJUNTRYWOOD HOMES <br />� . � Tenant: <br />�`,��;�..,,',;'. � �. Propoeed Uee; SINGLE FAMILY RESIDENCE <br />� � � Deec. of Work: <br />� Appllcant DECK phone <br />'� i '. ��:�. <br />��} ` � Describe?roposed Work_ °FFICE SET_ JOB SET <br /> � . APPROVED FOR PERMIT: DATE_/_/_ gy � <br />�{ i� � <br /> � !�' � <br /> t� —/� o-.. ,'�,_ . , <br />�f ,� � �?' PROJECT ADDRESS(if known) � <br />��r��,� +�, � � Attach four(4)coples of plans for proposed work-Draw to scale and aote the}ollowing if applicable: O <br />�`�� •� � , •Property Lines 'Outline and dimensions of all exist�ng and proposed structures on the lot •Existing and proposed utilities <br /> � , � 'Centerline of street •Indicate North •Show any proposed grading changes 'Show measurements � <br />' ' DO NOT WRITF BELOW THIS LINE <br />� PEFMIT CONDITIONS: � <br />� ' 1.All calls for inspection shall be made 24 hours ii i advance- phone 259-8810. O <br /> I � , 2. All work shall be pertormed 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 1-800-4245555. � <br /> I v/ <br /> I <br /> f ': <br /> N� ��I�z ��� Pr�w�r� ��n-�. O <br />,' �.. G. <br />� _ <br /> F <br /> l <br /> I <br />, i <br />�� ��� � � <br /> � ACKNOWLEDGEMENTOFCOND(TIONS - <br /> , . The undersigned owner/applicant hereby agrees to hold and save hartnless � <br /> I� � - the City of Evereri from any and all claims for damages,costs,expenses,or . <br /> r,auses of action that may arise because of installalion and mai�tenance of <br /> � , ApprovedforConstruuion Date theimprovementorotherright-of-wayuseheretoappliediorandmrtheragrees <br /> . to remove same upon notice trom the City and to replace public property <br /> damaged thereby. <br />� FINAUNSPECTION Dale +'' <br />� Apprcved as Constructed <br /> Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED 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 CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />