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l PublicWorksPermd <br />Date — ` <br />Application Fcr <br />Works <br />WORKS PERMIT PublicFe¢ 5 <br />PUBLIC <br />e Paid 5 <br />-7 _�$ <br />Print or Type Only <br />Pla.r Check No: B 44633 SEPA <br />APplicat.Date: 06/10/94 Phone <br />W <br />-- Job Aaowner: <br />_ <br />Ownai WOODARDRTROYE <br />Tenant: <br />Proposed Use: SINGLE FAMILY RESIDENCE _ <br />— <br />Desc. of Work: Phone <br />Applicant NEW DECK <br />OFFICE SET JOB SET <br />Describe Proposed Work _. <br />APPROVED FOR PERMIT: DATE_/—/_ BY <br />—_—.-- <br />Project Address lit known! ----`---_--- <br />Attach four 141 copies of Plans tot proUoseJ work Dray. ta-'.fl.t ana note th,!'ollowmg as applicable: <br />•Centerline of streetCD <br />• Property Lines • Indicate North <br />• Outline and dimensions of all existing and • Show any proposed grading changes <br />proposed structures on the tot • Show measurements <br />M <br />• Existing and proposed utilities <br />W <br />DO NOT WRITE BELOW THIS LINE <br />O <br />PERMIT CONDITIONS <br />24 hrs. in advance- phone 259.8810. <br />1. All calls for inspection shall be made <br />with this permit and current City of Everett Design and Construction <br />2. All work shall be performed in accordance <br />Standards and Specifications. <br />Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-555 <br />3. Call Location <br />0 <br />;'UBLIC WORKS PERMIT <br />NOT EOUIRED <br />♦^ <br />9Y <br />� <br />OGATE <br />Date <br />Approved for Construction <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Thy rindersigned owneriappllCant hereby agrees to hold and save harm. <br />I,ss :he City of Everett from any and all claims for damages, costs. <br />expenses. or causes of action that may arise because of installation <br />- and maintenance of the improvement or other right-of•way use hereto <br />apphr;d for and further agrees to remove same upon notice from the <br />City and to replace public property damaged thereby. <br />FINAL INSPECTION Date I — Date <br />Slgnalure of Applicant <br />Approved as Constructed WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />Everett, WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />Phone: 259 8810 PRO.IECT OVER 90 DAYS DURATION. <br />