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�� <br />TYPE OR PRINT ONLY <br />pliwlbn For <br />PUBLIC 1�rORKS I�ERMIT <br />Owner 1 <br />Applicant I <br />Describe Proposed Work <br />PROJECT ADDRESS (f known) <br />PUBLIC WORKS DEPARTME�T <br />3200 Cedar Stmet <br />Everett, WA 9E201 259•BB1 J <br />DaA`. _ <br />Public Works Pertnit B <br />Bulltling Pertnit M _ <br />Publlc Works Fee S _ <br />Plan Check Nos 8 60229 SEPA <br />Applicat.Date: 09/15�98 <br />7ob Addreeu: 6508 EVERLY BLVD <br />Owner: JONES TOH <br />Tenants <br />Propoaed Uees GARAGE <br />Deec. of Works <br />NEW DETACHED GARAGE/WORKSHOP <br />OFFICE SET JOB SET <br />APPROVED FOR PERMITs DATE_/_�_ gy <br />Phona <br />Phone <br />Attach four (4) copies o1 plans for proposed work - Draw to scale and note the Ioliowing it applicable: <br />•Property Llnes 'Outline and dimensions ol all exisling and proposed structures on the lot •Exlating and proposed utilRles <br />•Centerllne of street •Indicate North •Show any proposed grading ehanges •Show measuroments <br />PERMIT CONDITIONS: <br />1. Atl 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 Dasign and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dfg. TOLL FREE NUMBER 1-800-4245555. <br />it411iL1L' 3HOFlKS rERMIl <br />roor �UIREI� <br />iY._„� ,_ �j <br />•AT F . __._._._ G1 Z� _ .,�. <br />Approved for Construction Datc <br />FINAL INSPECTION Date <br />Approved as Constructed <br />W <br />� <br />�I <br />� <br />� <br />O <br />� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The underelgned owner/applicant hereby agrees to hold and save harmiess <br />the City ol F.verotl from any and all clalms lor damages, costs, expenses, or <br />causes ol action that may arlse because ollnstalletion and mafntenance of <br />ihe impravement or other right-of•way use heralo appliad lor and fuMer agrees <br />to remova same upon notice trom the City and to replace publlc property <br />damaged thereby. <br />Signeture of Applicent Date <br />WORK AUTHORIZED BY THIS PERMR MUST BE STARTED WITHIN 1B0 DAYS OF DATE PEHMR IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLEftON. THIS PERMR MAY BE CANCELLED BY THE CRY UPON ANY STOPPAGE OF WORK ON THIS PR0.IECTOVER BO �AYS DURATION. <br />