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Date P�o�,��•ro,k,Pe,m��, <br /> � Blaq.Deo�.+ <br /> Applicatiu�. :or <br /> PUBLIC WO�iKS PERMIT' Pub7o�FeaF�� S <br /> Less AooL Fee Paid Pu <br /> Balance Oue $ <br /> Print or Type Only <br /> � Plan Check No: B 40050 SEPA <br /> Owner Applicat.Date: 03/26/93 Phone � <br /> Job Address: 1306 lOTH ST <br /> Owner: ALLEN LEE J <br /> Tenant: <br /> _ Proposed Use: SINGLE FAMILY RESIDENCE <br /> Applicant Desc. of Work: Phone <br /> REMOVE CGNCRETE PATIO� RECONTOUR BALCONY� <br /> BUILD PORCH <br /> Describe Proposed Work _ OFFICE SET JOB SET <br /> APPROVED FOR PERMIT: DATE_/_I_ BY <br /> W <br /> Project Address(if known) � <br /> � <br /> Attach four(4) copies of plans tor proposed work- Draw to scale and note the following as appiicable: �� <br /> • Property Lines • Centerline of sireel ♦^ <br /> • Outline and dimensions of all existing and • Indicale North V� <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measuremenis � <br /> -��� DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> 1.All calls for inspeclion shall be made 24 hrs.in advance-phone 259-8810. � <br /> 2.All work shall be performed in acwrdance with this permit and wrrent City of Everelt Design and Corstruction <br /> Standards and SpeciFications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> � <br /> PUBLIC WORKS PERMIT � <br /> NOT REQUIRED � <br /> BY � '� O <br /> D.ATE � z : �3 <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less ihe City ol Everett from any and all claims for damages, costs, <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 for snd further agrees to remove same upon notice from Ihe <br /> Approved for Construction Date Ciry and to replace public properry damaged ihereby. <br /> FINAL INSPECTION Date Date <br /> Approved as Constructed Signature of Applicant <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTF.D WITHIN <br /> PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND TNEREAFTER IS �TO <br /> 3200CedarSireet BE OILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259•8810 PROJECT OVER 90 DAYS DURATION. <br />