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�atQ ' Puplic Warka Permit• <br /> Applicalion For eioc.oea�.. <br /> PUBLIC WORKS PERMIT Pu0licWo�ksFee <br /> rolalFee g <br /> Leff ApOI Fee PaiE S <br /> Print or Type Only Ba���=a o�a 5 <br /> Plan Check No: B 39798 SEPA <br /> Applicat.Date: 03/08/93 <br /> Job Addre: 8606 lOTH AVE SE <br /> Owner Owner: WILEY CHUCK AND FRANCES Phone � <br /> Tenant: <br /> Proposed Use: SINGLE FAMILY RESIDENCE <br /> Desc. of Work: <br /> Applicant REC ROOM ADDN AND SHED phone <br /> OFFICE SET JOB SET <br /> Describe Proposed Work _ <br /> APPAVD FOR PERMIT: DATE_/_/_ BY <br /> W <br /> Project Address Qf known) ' � <br /> Attach four(4) copies of pians for proposed work- Draw to scale and note the following as applicable: � <br /> • Proper!y Lines • Centerline of street � <br /> • Outline and dimensions of all existing and • Indicale North <br /> proposed structures on ihe lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Sho�•�measurements � <br /> DO NOT WRITE BELUW"iHIS LINE <br /> PERMITCONDITIONS O <br /> 1.All calls for inspect�on shall be made 24 hrs.in advance-phone 259-8810. � <br /> 2.All work shall be pedormed in accordance with this permit and current City of Everett Design and Construct(on <br /> Standard:and Specitications. <br /> . 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800•424-5555. � <br /> O <br /> PUBLIG �M1'ON.<S PERMIT � <br /> NOT EOUIRED ♦/\ <br /> ♦/♦ <br /> BY (/�' <br /> DATE � � � 3 �/ <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicar.t hereby agrees to hold and save herm- <br /> less the City of Everelt irom any and all claims for damages, cosls, <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 /> applied lor and further agrees lo remove same upon notice from the <br /> 4pproved for Construction Date Ciry and to replace public prop=rty damaged thereby. <br /> =1NAL INSP�CTION Date <br /> 4pproved as Constructed SignaWre ol Applicant Dale <br /> �Atl��� PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreel iB0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS �TO <br /> Everett WA98201 BE DILIGENTLY PURSUED TO COMP!_ETION. THIS PERMIT MAY BE � <br /> Phone:259�8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />