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�,. <br />ihcaUon For <br />PUBLIC WORl�S PERMIT <br />PUU�IC WORKS DEP�RTMENT <br />5200 Cedar Slreet <br />Eveiett, WA 98201 259-B810 <br />Date <br />Public YVorks Permit k <br />Building Permll R <br />TYPE OR PRINT ONLY <br />`v Fee $ <br />Plen Check No: B 54562 SEPA <br />App11cat.Date: 03/19 ?7 - <br />Owner Job Addreeet 21-20-�$��F!–AL�C– nl1C�„� ������Q��t <br />Ownert SAVORY SUSANNE Phone <br />Tenant: <br />Propoeed Uees SINGLE FAMILY AESIDENCE <br />Deec. of Works <br />Applicant POST 6 PIEA FOUNDATION llNDER EXISTINC HOUSF. — _. <br />Describ0 P�oposed Work _ OFFICE SET JOB SET_ <br />APPROVED FOR PERMITs DATE_/_�_ gy <br />PROJECT ADDRESS (if known) <br />Attach lour (4) copies of plens for pmposed work • Draw to scale and note tho loliowing if applicable: <br />`Pmperty Lines "Outline and dimensions ol all oxlsting and proposed structures on Ihe lot •Existing and proposad utilitles <br />•Centedme ol sireet •Intlicato North •Show any proposed grading changes •Show mensuroments <br />� .......�vr�.v�• ��IWLIIYC <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. AII work shali be performed in accordance with this permit and current f':�y �f Everett Design and <br />Construction Standards ind Specifications. <br />3. Call Location Underground Service 48 hrs. b�fore you dig. TOLL FREE NUMBEH 1-80U•424-5555. <br />I VG 1 L'�li C ���U���f l�l'�/11�-� �✓� �C <br />v �,,� <br />Approved lor Constmdion • - Dale <br />FINAL INSPECTION p��p <br />Apprpved as Constructed <br />W <br />� <br />� <br />/�� <br />V♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The untlersigned ownedapplicant hemby agrees to hold antl save harmlr,s <br />the City ol Everett from any and all claims tor tlamages, costs, expenses, or <br />causes ol acNon Ihat may ariso tecnuse of Installatlon and maimanancn ol <br />ihe impmvement or olher right-obway use hereto applletl br and further a3rec; <br />to remove same upon notice Irom ihe City and to replace public property <br />tlimaged thereby. <br />Signature of Applicant Dalo <br />WOflK AUTNORIZED �Y THIS PEAMIT MUST BE STARTE� WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO �E OILIGENTLV PURSUED TC� <br />COMPLEfiON. TNIS PEh1AlT MAY �E CANCELLED OV THE CIN UFON ANV S70PPAGE OF WORK ON THIS PROJE('T OVER 90 DAVS DUWITION <br />