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Wica��on Fa +f <br /> ��p�p�� PUBLIC 1►�ORKS PEIRMIT Dal�. _ <br /> / PUBLIC WOFKS DEPARTMENT Public Works Permi�M _ <br /> 3200 Cedar Straet <br /> Everett,WA9B201 259�8810 Building Permit N <br /> TYPE OR PRINT ONLY Public Works Fen E__.__ —. <br /> Plan Check No: B 55933 SEPA <br /> Appllcat.Date: 07/15�9'l <br /> 3ob Addreee: 25Y0 P.ICER AVIi <br /> —pW�e� Owner: TORCESOti TINA Phona <br /> Tenante <br /> Propoeed Uees CARPOAT/SFA <br /> Deec. of Works <br /> Applicant NEW DETACHED CARPORT phone <br /> Desc,-iba Proposed Work __ oeFice SET .1�p SRT � <br /> — APPROVED FOR PF.RMIT: DATE_/_/__ BY — � <br /> � <br /> — � <br /> PROJECT ADDRESS(i(known) /y� <br /> Attach lour(4)coples ol plens}or proposed work-D�aw lo scale and note the lollowing If appllcn6le: ,i+ <br /> •Propertg Lines 'OWline and dimnnslons ol nll eelsting end proposed stmctures on the lot •Exlsting and proposed utllities O <br /> •Centedine of street •Indicate North •Show any proposed grad�ng changes •Show measuremenls � <br /> DO NOT WRITE: BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1. All calls for inspection shall be made 24 hours In advance -phone 259-B810. O <br /> 2. All work shall be performed In accordance with this permit and current City oi Everett Design and <br /> Construct:on Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs, before you dig. TOLL FREE NUMBER t-800-424•5555. H <br /> Au+H47��ek�• �pn�„ � <br /> ^^�Qlf IAF"� O <br /> �Y �•ATE�`_.. <br /> � / 7�— <br /> � ACKNOWLEDCEM[NT OF CONDITIONS <br /> The undersigned owner/applicant hereb� agrees to hold end save harmless <br /> t�e City of Everetl from any end all claims for damages,costs,e:penses,or <br /> rovetl for Construction Da�e ceuses of actlon thal may erlse because ol Installation and maintanance ol <br /> �P ihe Improvemenl or ot�er riphl-of-way use hereto applioA Icr and lurther agrces <br /> to remove same upon notice Irom Ihe City end to rep�ate public property <br /> damaged thereby. <br /> FINAL INSPECTION Oa�a <br /> Approved as Construded <br /> Slgnature of F,pp!Icanl Date <br /> WONN AUTHORIZED BV THIS PERMIT MUST BE STARTED WITHIN 100 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTEH IS TO BC DIf IGENttV PUFSUED TO <br /> COMPLETION.THIS PERMIT MAY BI:CANCELLf.D BV THE CIlY UPON ANY STOPPAGE OF WORK ON THIS PFOJECT OVER 90 DAYS DURATION. <br />