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� <br />TYPE OR PiiINT ONLY <br />Owner <br />Applir,ant <br />catbn Fw <br />PUBLIC RKS PERMIT <br />Describe Proposed Work _ <br />PROJECT ADDRESS (if known) <br />PUBLIC WORKS DEPAR7MENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />Plan Check No: <br />Applicnt.Date: <br />Job Addreee: <br />Owner: <br />Tenant: <br />Propoeed Uee: <br />Deec. of Work: <br />ADDITION <br />Date �� <br />PubUc Works pemit N <br />Building Permit N <br />Public Nbrks Fee <br />C 56453 SEPA <br />09 09 97 <br />29 1 15T ST <br />CASSEL MICHAEL W <br />SINGLE FAMILY RESIDENCE <br />OFFIr,E SET JOS SET <br />APPROVED FOR PERMIT: DATE_/_/_ HY <br />Phone <br />Phone <br />Atlach tour (4) coples of pians for proposed work - Draw tu sca�e and note the following if applicable: <br />•PropeAy Llnes �Outline and dimensions of all existing and proposed structures on the lot •Euisting and proposed utilities <br />•Centerline uf street •Indicate North �Show any proposeci grading changes •Show measurements <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 />'�:fPIIC WORKS �Gf�lli <br />k0� R oUiF6� <br />�i Y.�.. _.�/li� <br />�ATE.__._ �.� <br />Approved for Construction Daie <br />FINAL INSPECTION Data <br />Approved as Constructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby egrees to hold and save hermlesa <br />the City ot Everett irom any and all claims for damages, costs, ezpenses, or <br />causes of actfon that may arise because of Installation and malntenance ol <br />the impravement or other right•of-wey use hereto epplieA for and furtMr agrees <br />to romove same upon noHce hom the Cky and to replace pudk propeRy <br />damaged thereby. <br />Signature of Appikant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1P0 DAYS OF DATE PERMR IS ISSUEO AND THEREAF'fER IS TO BE DIl1GENTLY WRSUED TO <br />COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CIN LrON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />