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_ __....�.. _. .__ _ <br /> ication For � � <br /> � PUBLIC WORKS PERMIT Date <br /> PUBLIC WOflKS DEPARTMENT Public Works Permit# <br /> 3200 Cedar Streel <br /> Everelt,WA 98201 259-8810 Guilding Permit N <br /> IYPE OR PRINT ONLY Plan Check No: B 51119 SEPA /orks Fee$ <br /> Applicat.Date: 03�18/96 <br /> Job Address: 58 3 lOTH DR W <br /> Owner: HEDGES MILO <br /> Tenant: Phone <br /> Owner proposed Use: SINGLE FAMILY RESIDENCE <br /> Desc. of Work: <br /> NEW DECK <br /> Applicant Phone <br /> OFFICE SET JOB SET <br /> Describe Proposed Work APPROVED FOR PERMIT: DATE_/_/_ BY � <br /> r <br /> � <br /> V♦ <br /> PROJECT ADDRESS(if known) m <br /> Attach four(4)copies of plans for proposed work-Draw to scale and note lhe following if applicable: O <br /> •property Lines 'Outline and dimensions of all existi�g and proposed structures on the lot •Existing and proposed utllities <br /> . •Centerline of street •Indicale North 'Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BF.LOW THIS LINE � <br /> PERMIT CONDITIONS: <br /> 1.AII calls for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and <br /> Construction �tandards and Specifications. � <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br /> V♦ <br /> 0 <br /> a <br /> 'URLIC N�ORKS PEPM�` <br /> r;0�ry/9EUUIRE�� <br /> 'Y—_.%�� <br /> zAT�_ T?J����O-----_ <br /> � ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless <br /> � the City o(Everett from any and all claims for damages,costs,expenses,or <br /> --- causes of action that may arise because of installation and maintenanca of <br /> AppmvedtorConsimction Date iheimprovementorolherright-of-wayuseheretoappliedforandfurtheragreas <br /> to remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date <br /> qpproved as Constructed <br /> Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS f ERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE Cltt UPOtJ ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />