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� <br />NPE OR PRINT ONLY <br />Owner <br />Appifcant <br />�n For <br />PUBLiC W�RKS PERMIT <br />Describe Proposed Work _ <br />PUBUC WORK.°� DEPAHTMENT <br />3200 Cadar Street <br />Everett. WA 98201 25&8810 <br />�.y <br />Date <br />PuElic Wbrb Pemiit � <br />Buib6g Pertnit � _ <br />Public Wbrks Fes S . _ <br />Plan Check No: B 58153 SEPA <br />Applicat.Date: 03 11/98 <br />Job Addreea: 71 34TH ST <br />Owner: NEEL PATRICIA <br />Tenant: <br />Propoeed Uee: SINGLE FAMILY RESIDENCE <br />Desc. of Work: <br />ADDITION TO KITCHEN <br />OFFICE SET JOB S&T <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />PRO;IECTADDRESS (if known) <br />Attaeh (our (4) copies of plans fw proposad work - Oraw to scale and note the tolbwing H applknble: <br />Phone <br />Phone <br />•Property Llnes 'Outllne and dlmensions of all existing and proposed structures on tha lot •Existing and proposed utilkles <br />•Centerline o1 street •Indicate North •Show any proposed grading changes •Shaw measu�aments <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 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 />+JOLIC WORKS �ERMI'� <br />NOi F�OUIREI� <br />•Y--- �;0� <br />RATE _ �----�-�L�-�--- <br />Approved far Construction Date <br />FINAL INSPECTION Date <br />App�oved as Constructed <br />� <br />� <br />r�A <br />v♦ <br />O <br />a <br />ACKNOWLEDGEMENTOFC7NDRlONS <br />The underaiyned ownaNeppYeant Mroby eprea to hold and save harmbas <br />the City of Everstt hom ury �nd aH c4ims for dunx�ss� costa� expans�s, a <br />causes ol actbn that rtwy uW baewss of InstaYatbn and mdntenann of <br />the knpowment w other ripM-of-way us� Mnto a�pNed fa and hatl�apees <br />to romove sams upon notke Irom ths Gry and to roplxa pubAc property <br />dama9ed theroby. <br />Signaturo o( Applkant � Oaro <br />WORK AUTHORIZED BY THIS PERMIT MUST BE S'TAHTED N7THIN 180 DAYS OF DATE PERMR IS ISSUED AND 7HEREAFIEH IS TO BE DILIGENRY PUHSUED TO <br />COMPlEfION. THIS PERMIT MAY BE CANCELLED BY THE GTY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER BO OAYS DUNA710N. <br />