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\_.-s �wr `• .�e <br /> PUBLIC WORKS PERMIT <br /> Public works Permit N <br /> PUBLIC WORKS DEPARTMENT <br />�' 3200 Cedar Street <br /> Everett,WA 98201 (425)257-8810 Building Pertnit# <br /> TYPE OR PRINT ONLY Publ�c Works Fee S <br /> P1+a Ch�ck Not C 62586 ggp� <br /> 11pp11cat.Dat�= OS/Z6/99 <br /> Job Addr���� 2304 5TIi !T <br /> Own�st BROlt1►i► MICEi116L i, p�ppy P� <br /> Owner T�naRt t <br /> Propo�b 0��: 8IN6L8 lAMILY RBSIDENCB <br /> D�tc. o! Wozk� <br /> Applicant 11DDITION/A8lWDSL Tp RITCI�N i g11TH Phone <br /> Describe Proposed Work �FgICE SST ,7oe s8T W <br /> APPROVED FOR P3RMITs DATS_/_/_ BY � <br /> - �� <br /> � <br /> PROJECTADDRESS (if known) 1i1 <br /> Attach tour(4)copbs plans for proposed work-Draw to scele and rote the followiny if epplicable: O <br /> •Property lJnee •OWine end dimensiona of all exiatlnp and proposed sWcturea on the lot •Exisdng and proposed utNitles � <br /> •Centadine of sheet •Indicate North •Show eny propoeed greding changas •Show measurementa <br /> DO NOT WRITE BELOW THIS LINE Z <br /> PERMIT CONDITIONS: O <br /> 7. All calls for inspection shall be made 24 hours in advance- phone (425) 257-8810 <br /> 2. All work shall be performed in accordance with this pertnR and current City of Everett Design and � <br /> ConstrucUon Standards end Specifications., <br /> 3. Cali Location Underground Service 48 hrs. before you d(g.TOLL FREE NUMBER 1-800-424-5555. ♦A <br /> V♦ <br /> ?U�LIC WORKS PERd.9!� O <br /> fiOT OUTAE?! <br /> •Y_��{� a <br /> lATF..��.jL__� <br /> �(j'� '. '��U�r► YJin� �m� (`CQv�I^Pc� � v�c�fz,c�Z <br /> �ic�e SeuX� �J��G n'►��r.z ( �v rn�� U� <br /> w�u.,�c vv�dcr new �� � . <br /> ACKNOWLED6EMENT OF CONDITIONS • <br /> The undersipned ownedepplkant herehy agrees W hold and saw hartrdass <br /> tlie Gry of Everett hom eny and dl claims for damepes,cats,ezpenaas,ar <br /> prove or ns ruc on a e ceusea of actlon Ihat mey arise beceuse of InataNation end maNiEanance W the <br /> ImprovemeM or other�iyhtof•way use henro epplled br and lurihsr proe9 to <br /> rertave sems upon rarice from ths City and b replace P��P�PONN�- <br /> aged thereby. <br /> FINAL INSPECTION Date <br /> /lpproved as Constructed <br /> re <br /> WOFlICAUT}KJFi�D BY THIS PERMR MUST BE STAFlTID V171HIN iB0 DAYS OF DATE PEfi�i IS SSL�D/ND hEi�AFTER IS l0 BE DLN3B�IILY PURSUm i0 <br /> COI+PLE�ION.TWS PERMtT MAY BE CANCELED BYhE CfTY UFON ANY STOPPA('aE OF WOfi<ON iHIS PHQECTOVHi YO DAYS OURATION. <br />