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Date <br />Application For <br />PUBLIC �ll/ORKS PERMIT <br />Print or Type Only <br />Plan Check No: C 48059 SEPA <br />Applicat.Date: 04/13/95 <br />Job Address: 2415 8TH ST <br />Owner: JASPER CHARLES <br />Owner Tenant: <br />Propoaed Use: SINGLE FAMILY RESIDENCE <br />Desc, of Work: <br />ADDITION, CARPORT TO LIVING SPACE, REMODEL <br />Applicant <br />Describe Proposed Work _ <br />Projec; Address (it known) <br />Or'FICE SET JOB SET <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />Pu01ic Works Pe�mit ♦ <br />BIEp. Deo� + _ <br />PuOlic Worka Fee <br />TalalFae � <br />Lasi AOD� Fee PaiO � <br />Balance Ouv $ <br />ip p <br />�P Phone <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the tollowing as applicable: <br />• Properly Lines <br />• Outline and dimensions ot all existing and <br />proposed slructures on the lot <br />• Existing and proposed utilities <br />NOT <br />• Centerline of street <br />• Indicate North <br />• Show any proposed 9rading changes <br />• Show measuremenis <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance • phone 259•881 O. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Locatlon Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />UBLIC N;ORI<S P�NAti? <br />h07 R�E+OUIR�� <br />'Y__..... 'Z�iC.-_ _ <br />'AT_- .—y�? /!s—.. <br />Approved for Construction Date <br />FINAL INSPECTION <br />Approved as Constructed <br />�'`� PUBLIC WORK� DEPARTMENT <br />3200CedarStreet . <br />Everett, WA 98201 <br />Phone: 259�p870 <br />ACKNO'NLEDGEMENT OF CONDITIONS <br />W <br />H <br />�/ <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the City of Everett Irom any and all claims for damages, costs, <br />expenses, or causes of aclion that may arise because of installation <br />and maintenance ol the improvement or olher right-of-way use hereto <br />applied tor and further agrees to remove same upon notice from the <br />Ciry and to replace public property damaged ihereby. <br />Signaiure ol Applicant Dale <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS �TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 UAYS DURATION. <br />