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� <br />TVPE OR PqINT OtJLV <br />� '4STING �`�''' ' ' ""'' <br />Ann�icalion For - . . <br />PUBLIC WORKS PERl1AIT ���e <br />PUBLIC WORKSDEPARTMENT <br />3200 Cedar SVeel <br />Everett, WA 98201 259-8810 <br />Public Works Pertnit p <br />10-15-96 <br />�f(0�4a� <br />Building Permit • 53219 <br />Public Works Fee S !�/J <br />_ Borseth Conatruction 1241 State Ave Marysville WA 98270 359—I034 <br />Owner Mailing Atldress Cll -- <br />Y ZIP nhone <br />Owner <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />Gty Zip Phone <br />new houc�e <br />19 93rd St SE Lot lfl Mt View Villa <br />Attnch lour (4) copies ol plans Inr proposed work - Draw to scale and note ihe following If nppllcable: <br />•Property Llnes •Outline nnd dimenslons o( nll azlstiny ond proposed structures on ihe lot •Exisling and proposed ulilitles <br />�Centedine ol street •Indicat� North •Show any proposed gradinp changes •Show measurements <br />PFRMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be pertormed 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•6555. <br />lirr�, cily cp�r�, ilran al all hru�•. <br />('UIL RtuUr� �ud �idcw;ill� W Ila �4,i1 �ui ur�� ;uul uud,uwn., �l. ,u:1 �iaucipe Ihaclu >Irdl Lc �qila�ed 'ni iL <br />discietion ol thr Cubli� Nbrk� Imp:ctoi <br />Adl�ist wnlr� bnxes lo ��inde ai cnd ol con�rrucnun <br />UIIY�R'8)', ,hull bc complctcly cmcd bzfmc dii�v�k un tLcm. Il/Ob/96 12:53PM 001'�Hr','.. <br />� ^��flop di'tin��c ch�ll bc di�ch�r�cd' / <br />�+OQ053219 <br />ioi, I-12 io ,m a��pio�-rd ndilm�uon u;nrli ,n ��ci plan :uiplcd io �hi.�i�l f7^5.?0 <br />I �.� 13 'I �, th; �oiui diaiu e nib pi.,•.id d nt ih: t_,u ; i Ilc Int FLEG f^0.00 <br />MFCH tb0,pp <br />SFCHRG fk.50 <br />^�� z�w,� s^o. o0 <br />AD00091'�9 <br />WqT�F� i' O5. [)f' <br />HOOD �087. � <br />� <br />" "� S�_WE5' t7C'�)f� <br />ACKNOWLE�iQ�:yf pf�.�ppJDIT70N5 <br />/�%G�/ � �//�/w� The underslgned owner/appli[gnl e/ a eeg�o tpld antl save harmloss <br />/' ( C.Ci � Y Ihe Ci 1 Everet� Iro an an "� `� � ��' <br />�' �__ Y �.fyr.4�lims fpr�{jy�agy�s. costs. ewpenses, or <br />Appro rfo� Consuuction p�1e caus o �c ion that i y arise�8fe[��se ofSnkt�IlahCrh antl mainlenance ol <br />� thei prov n oro e righl oyuseheietoxppliedlo�nndfurihei agrecs <br />� // � <br />/�� "� � � d3 r A o v e m p o� fro I he �ty end to replac F �blir. p�operty <br />—�/�� , g. re <br />FINAL IN :PECTI � ���� �� � '(p;�'p ^ � <br />Approved ns Conslmcted � , —� ^ //�/ ^ <br />lY� -- J// / <br />"—� —� � Sig eture f1 plica t Di�(/ > <br />l/ <br />WOFK AUTHORIZED BV THIS PERMIT MUF� OE STARTED WITHIN 1P0 DAYS OF DA7E PER S ISSUFD D THEREAFTER IS TG AE DILIG[NTLV PURSU[D 10 <br />COMPLETION 7HI5 PERMIT MAV UF CAN!'[LLF.D �Y THE C17V UPON ANI STOPPAGE OI V�'ONK ON THIS PROJfCT OVFR A(1 p,\VS UURATION <br />