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„ Z� .� <br />Date � �� <br />Application For <br />PUBLIC WORKS PERMIi” <br />Print or Type Oniy <br />Plan Check No: B 38185 SEPA <br />Applicat.Date: 09/28/92 <br />Owner Job Addreea: 88b2 8TH AVE W <br />Owner: WYANT, ROBERT & DOIlA <br />Tenant: <br />Propoaed Use: SINGLE FAMILY RESIDENCE <br />Desc. of Work: <br />Applicant TWO STORY ADDN <br />Describe Proposed Work _ OFFICE SET J09 SET <br />APPROVED FOR PERMIi: DATE_�__�_ gy <br />Project Address (if known) <br />Pu01ic Worke Perm'q • <br />Blag. Depl. s _ <br />Pu�Uc WorMs Fee <br />ToialFee $ <br />LessApol. Fee Paitl $ <br />Balar.ca Dua $ <br />Phone <br />�P Phone <br />Atlach lour (4) copies ol plans for proposed work • Draw to scale and nole ihe tollowing ;,s applicabfe: <br />• Property Lines <br />• Outline and dimensions of all existing and <br />proposed structures on the lot <br />• Existing and proposed utilities <br />• Centerline of street <br />• Indicate North <br />• Show any proposed grading changes <br />• Show mezsurements <br />PERMIT CGNDITIONS <br />1. All calls for inspecticn shall be made 24 hrs. in advance • phone 259•8810. <br />2. All work shall be performed in accordance with this permit and current City of Everelt Design and Construction <br />Standar�is and Specifications. <br />3. Cali Loc�tion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800•424-5555. <br />/�U�^ CcJVL� �(/Yy� �a�C /�r�-� <br />Q <br />. �, <br />�/' . � !/% Z. <br />Approved for Construction Date <br />FINAL INSPECTION <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259-8870 <br />ACKhOWLEDGEMENT OF CONDITIONS <br />� <br />� <br />� <br />� <br />0 <br />a <br />The undersigned owner/applicanl hereby agrees to hold �nd save harm• <br />less the City ol Everett Irom any and all claims for damages, costs, <br />ezpenses, or causes of action Ihat may arise because o( insfallation <br />and maintenance of the improvement or other right-ol-way use hereto <br />applied (or and turther agrees to remove same upon notica from the <br />City and to replace public property damaged thereby. <br />Signature of Applicant Date <br />WORY AUTHORIZED BY iHIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED .4ND THEREAFTER IS TO <br />B[ DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVFR 90 DAYS DURATION. <br />