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1 <br /> Appl¢alion Fnr �a�e — -------- <br /> � PUBLIC WORKS PERMIT publicWorksPermits _ <br /> PUBLIC WOAKS DFPARTMENT <br /> 3200 Cedar Street <br /> Everett.WA 98201 (425) 257-8810 Building Peimit N __ <br /> TYPE OR PRINT ONLY Public Works Fee S ____--___— <br /> Plan Check Nor C 62747 SEPA <br /> ' App11cat.Date: 06/15 99 �one <br /> Owner Job 11ddc���t 714 1 OTN PL SE <br /> Owner: HE_LMAN JEFF <br /> Tenantf <br /> Applicant P[opoeed Ueet SINGLE FAMILY RESIDENCE ionn <br /> Deec. of Work� <br /> EXTEND CARACE� COVERT AREA OF E%ISTTN6 — � <br /> Describe Proposed Work ___ ___ cAtuae TO LIVING SPACE <br /> OFFICE SET JOB SET_ � <br /> APPROVED FOR PERMIT: OATE /_/ BY -------- � <br /> ----------- - — — � <br /> ------ ------ ---- <br /> -- <br /> PROJECTADDRESS (if known) .____ _____.___—____—_._—-_--_ -- � <br /> Altach lour(A)topies plans lor p�oposnd wak��mw to scale end no�o Ihe lollow�ng il applicable�. O <br /> •Property Lmes •Outimn anA dunensions ol nll oa�sling and proposed slruclures on the lot •Eusting Antl praposed ulil0ies <br /> •Cenleiline ol slreel •Indicnle Norih • Shaw any proposnd gr�Aing chxnges •Show measwemenls � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: O <br /> 1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be pertormed in accordance with ;his permit and current City of Everett Design and � <br /> Construction Standards and Specilications. <br /> 3. Call Location Underground Ser�ice 48 hrs. before you dig. TOLL FREE NUMBER 1•800-424•5555. ♦/� <br /> �/♦ <br /> 7 O <br /> i ��'���r a <br /> f,,. , � � , <br /> �� { �� �� � 1l��,� ,:. � ��� <br /> J , ;�; .�rG� .� ��� <br /> p�T� 1 �� � � � <br /> � ,.� ic w�Flks �eWrei . <br /> no1�IL�ouiaf.- <br /> . __._ . � — <br /> . , L �_ <br /> �r, < < �~� , .._, <br /> ACKNOWLEDGEMENT OF CONDIilONS <br /> The undersigneA owneriepplitant heroUy agree5 to ho�d end save harmlc55 <br /> Ihe C�ry of Everett irom any and all claims lor damages,cocts,expenses, or <br /> pprnvei u� onsVu�ion ;�,� causes ol action t�at mpy eiise because ol installation nnd meintenxnce ol Iho <br /> �mprovemenl or other riyh4of�way use hereto appliea lor antl further agrees lo <br /> remove seme upon notice hom the City nnd to ieplace pubGc property dam- <br /> aged�hereby. <br /> FINAL INSPECTION ���e <br /> Approved as Conslructed <br /> iyna urc o pp�can a e <br /> VVORK AIJT}10FiIZLD�Y THIS PERMR MUST BE STARiED WIh11N 100 DAYS OF DAIE PERMIT IS ISSUED FND THERFAFfER IS TO BE DILIGENRY PURSUED TO <br /> CpMpLET1pN THIS PC-RMIT MAY OE CANCELLED BV 7HF CI7Y UFYNJ ANV STOI'PAGE OF WORK ON THIS PRQIECT OVER 90 DAVS W RATKNJ. <br />