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^'ppllcahon For <br />PUBLIC r✓ORKS PERMIT <br />TYPE OR PRINT ONLY <br />Owner <br />Applicant <br />Describe Proposed Work _ <br />PROJECT ADDRESS (if known) <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259.8810 <br />Plan Check No: B 54470 <br />Applicat.Date: OU10/97 <br />JJob Addreee: 18 0 2ND PL SE <br />Owner: KUPER GREG <br />Tenant: <br />Proposed Use: SFR/DECK <br />Deec. of Work: <br />DECK WITH SWIM SPA <br />OFFICE SET JOB <br />Da — <br />Public Works Permit N <br />Building Permit 0 _ <br />Public Works Fee $ _ <br />SEPA <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following If applicable: <br />Phone <br />'Properly Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br />'Centerline of street "indicate North "Show any proposed grading changes •Show measurements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours In advance - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424.8555. <br />I 1 Rijb(, c wof V-S <br />Approved for Construction Data <br />FINAL INSPECTION Date <br />Approved as Constructed <br />�'Mi � 7l,L�Q�JIY�C <br />W <br />� <br />M <br />W <br />0 <br />M2 <br />Z <br />L0 <br />CO3,i^ <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save ham!ess <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />cau: s of action that may arise because of Installation and maintenance of <br />the Improvement or oth tt right-of-way use hereto applied for and further agrees <br />to remove some upon notice from the City and to replace public property <br />damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />