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_Alv. __ " ' —_ _ . . <br /> �'at� � PUDIic Workt Germ11• <br /> Applicetion For eiac.oeo�.• <br /> PUBLIC WORKS P�RfiAIT P�biicWorWFee <br /> Tow Pes S <br /> Le���ecl Fee Faid S <br /> Bal�ncs Due S <br /> Print or Type Only <br /> Plan Check No: B 46831 SEPA <br /> App licat.Date: 01 25 95�36oS <br /> Owner 3ob Addreea: -^ ._.— ����� Phone � <br /> Owner: INGRAM BILL <br /> Tenant: MINIT LUHE <br /> Proposed Use: AUTO SERVICE <br /> Applicant Desc. of Work: Phone <br /> ADDITION AND MODIFY ROOF <br /> Describe Proposed Work OFFICE SET JOB SET _ <br /> _ APPROVED FOR PERMIT: DATE_/_/_ BY <br /> -.- W <br /> Project Address(if known) � <br /> Altach four(4)copies ol plans for proposed work• Draw to sc::le ard note the loilowing as applicable: � <br /> • Property Lines • Centerline of streel � <br /> • Outline and dimensions ot all exisling ana �� Indicate Norih <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Ex�sting and proposed utilities • Show measurements � <br /> � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shell be made 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shall be performed in accordance with th',s permit and current City of Everett Design and Construdion <br /> Stendards and Speciticetions <br /> 3.Call Location Underground Service 48 hrs.betore you dig.TOLL FREE NUMBER 1-800-424•5555. � <br /> O <br /> PUBLIC WORKS PERMIT H <br /> N'OT EOU�REt1 � <br /> �1Y <br /> UATE �� �' — O <br /> a <br /> ACKNOWIEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> � less the City ol EvereU Irom any �nd ail claims tor damages, costs, <br /> . expenses, or causes of action that may arise because of installation <br /> and maintenance of the improvement or other iighhof-way use hereto <br /> applied for and further agrees lo remove same upon notice from the <br /> ppproved for ConslrucUon �a�e Cily and to replace public propmty damaged Ihereby. <br /> FINA� INSPECTION Date <br /> Approw:d as Constructed Signature ol Applicant Date <br /> � PUBLICWORKSDEPARTMENT WORK AUTHORI'LED EY THIS PERMIT MUST BE STARTED WITHIN <br /> 180 DAYS OF DATE PERMIT IS ISSt1ED AND THEREAFTER IS �1'O <br /> 3200CedarStreet BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Everett,WA 98207 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON 7HIS <br /> Phone:259�8810 PROJECT OVEF 90 DAYS DUFATION. �i <br />