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fa <br />��H <br />Q y <br />H�� <br />�HM�!� <br />� 1"1 � <br />Hy <br />xp <br />oHd <br />n <br />��� <br />H <br />g�y <br />C1 � N <br />�O� <br />y <br />Date _ <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Owner <br />Applicanl <br />Desc�ibe Proposed Work <br />Project Address �il known) <br />Plan Check No: B 35548 SEPA <br />Appllcat.Date: 02/04/92 <br />7ob Addreee: 7478 bEVERLY LN <br />Owner: OLSON JOANNE fi TYLER <br />Tenant: <br />propoeed Uae: GARAGE <br />Deec. of Work: <br />CONSTRUCT 4805F GARACE <br />OFFICE SET JOB SET <br />APPAOVED FOR PERHIT: DATE_/_/_ <br />Pu01¢ WorAt Perm�l � _ <br />Bbp Deoi • <br />O�ex� woi,.F�, <br />TolalFee 5 <br />Lev Appl Fee Pu0 $ <br />8,�.��eo�. s _ <br />P�one <br />P�one <br />Attach four (a) copies ol plans lor proposed work � Draw to scale and note the I011owinS <br />• Property Lines • Centerline <br />• OutGne and dimensions ol all ezisting and • indi�_ate !J <br />proposed slructures on the lol • Srn•.� an� <br />• Existing and proposed utilities • Snow mea INITIAL �NSPECTION <br />DO NOT WRITE BELOW THIS LINE KIRK BROOKS <br />PERMIT CONDITIONS <br />1. All calls for Inspectian shall be made 24 hra In advance • phoiie 25�•881 � <br />2. All wark ahall be perlormed in accordance with ihis pe•mit and current Cily <br />Standerds and Specilicatlona <br />3. Call Location Underground Service 48 hrs. belore you dlg. TOIL FREE pIU <br />/`"U�� .��,0_��,.,.F' /ri�f /�g�. <br />�� <br />Z-7�Z l <br />4pproved lor Constmclion Date <br />=1NAL INSPECT�ON Dala <br />approved as Constmcted <br />PUBUC W09KSDEPARTMENT <br />3200 Cedar Street <br />Everetl, WA 9B201 <br />Phone: 25B•8810 <br />DATE — = — �" %�= <br />� <br />J <br />7 <br />�(J %C� �%l�+e� l<- � <br />�.F� ffi;s? 1 <br />/��� �_�� �_� Ki��. '� <br />r <br />�� <br />Q ! <br />a; <br />, <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The untlersigned owne�/appiicant �ereby agrees (o hold anG save harm• <br />�less the City of Everetl Irom any antl all claim3 lor Camages, costs, <br />eMpenses. or causes ol accion that may arise Cecause ot inslallation <br />and mainlenance ol Ihe improvement or other righl•ol�way use hereto <br />applied lor and luhher agrees to remove same upon nolica Irom the <br />City and to replace public property damagetl ihereby. <br />SigneWre o� Applicant Date <br />WORK AUTHORI2ED BV THIS PERMIT MUST BE STARTED WITHIN <br />1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE OILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BV THE CITY UPON ANY S70PPAGE OF WORK ON THIS <br />PROJEC70VER 90 DAVS DURATI�JN. <br />