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Date 3 cI <br /> PuCl2 WPax Parmn• <br /> Application For Bldg door. <br /> PUBLIC WORKS PERMIT Pubu Vro,*:Fes <br /> TPlxl F. f <br /> Lose APPI Fee Pad S <br /> Print Or Tyoe Only Plan Chnck Not B 35838 SEPA e416i,ce N, S <br /> Applica1; Dates 03/05/92 — <br /> JJob AddreeB• 329 60TH ST SE <br /> Owner, HOYDEN, MIKE <br /> Tenant: <br /> Proposed Uses POOL <br /> Owns, Desc. of Work: <br /> SWIMMING POOL Zip Phone <br /> Applicant OFFICE SET JOB SET <br /> Ph <br /> APPAJVED FOR PERMITt DATE_/_/_ By ZIP one <br /> Describe Proposed Wei <br /> Project Address(if known) —— W <br /> Attach four(4)copies of plans for proposed work-Draw to scale and note the following as applicable: r` <br /> • Property Lines <br /> • Outline and dimensions of all existing and • Centerline of street <br /> • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Eristing and proposed utilities • Show measurements <br /> DO NOT WRITE BELOW THIS LINE ca <br /> PERMIT CONDITIONS <br /> 1.All cells for inspection shall be made 24 r.•a.In advance-phone 259.8810. <br /> 2.All work shall be performed in accordance v.lth this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hre.before you dig.TOLL FREE NUMBER 1.800.424-5555. <br /> 0 <br /> i J h <br /> a Cn <br /> I 3/S�Z <br /> O <br /> Lam. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the City of Everett from any and all claims for damages. costs, <br /> expenses. or causes of action that may arise because of Installation <br /> and maintenance of the improvement or other right-of-way use hereto <br /> Approved for Construction applied for and further agrees to remove same upon notice from the <br /> Date City and to replace public property damaged thereby. , <br /> FINAL INSPECTION Dale <br /> Approved as Constructed Signature of Applicant Date <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200 Ceder Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> rrr Everett WA 98201 BE DILIGENTLY PURSUED TO COMPLETION,THIS PERMIT MAY BE <br /> Phone!259.8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> non IcrT nierp on nAY4 nl IRATION <br />