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F{ nlion For <br />PUBI.!C WORKS PERMIT <br />PUBL�C WORKS DEPAFlTMENT <br />3200 Cedar Sireet <br />Everett, WA 98201 259-8810 <br />f <br />Date <br />Public Woiks Permit N <br />BuilAing Permit p _ <br />TYPE OR PRINT ONLY public Works Fee S <br />Plan Check No: C 57372 SEPA • <br />Owner �— Applicat.Date: 12/08�97 Phone <br />3ob Addreee: 17b9 OTH ST <br />Owner: PENNA ANTHONY <br />Tenant: <br />Applicant Proposed Uee: SINGLE FAMILY RESIDENCE <br />Deec. of Work: Phone r� <br />REBUILDING FIRE DAMAGE FROM FLOORING UP <br />Describe �roposed Work _ <br />OFFICE SET JOB SET <br />APPROVED FOR PERMIT: DATE_/_�_ BY <br />PROJECT ADDRESS (if known) <br />Attach four (4) copies of plans for pmposed work - Draw to scale and note ihe following if applir.able: <br />•PropeAy Lines •Outline and dimensions et a�l existing and proposed structures on the lot •Existing and proposed utllities <br />•Centerline oi street •Indicate North •'ohow any proposed greding changes •Show measurements <br />PERMIT CONDITIONS: <br />1. AII calls tor inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be periormed 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 />�Uk�lt, WfiMki M6Maj11 <br />kUr R�t4uIRf-:.� <br />e�� �-� <br />�-..._.:t,._..... <br />♦nrt�-- - 12 ,�'�""'l `-�,- <br />..ti.>-....__y�� �v <br />Approvetl lor Consimction Da�e <br />FINAL INSPECTION � Date <br />Approved as Constructed <br />W <br />� <br />� <br />� <br />� <br />O <br />♦�� <br />V♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arise because of installation and maintenance of <br />the improvement or other right-of-way use hereto applied for and further aqrees <br />to remove same upon notice from ihe City and to replace public property <br />damaged thereby. <br />Signature of Applicant Date <br />��'JRK AUTHORIZED BY THIS PERMI7 MUS7 BE STARTED WITHIN 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLEfIOtJ. THIS PEFMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DUHATION. <br />