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ripllrstiou For <br />PUBLIC & KS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />TYPE OR PRINT ONLY <br />Plan Check No: C 61222 SEPA <br />Applicat.Date: 12/30/98 <br />Owner JJob Address: 7909 13ROADWAY <br />Owner: BEN HOLT INDUSTRIES <br />Tenant: PEOPLES STORAGE <br />Applicant <br />i <br />Dare <br />Public Works Permit R <br />Building Permit N <br />Public Works Fee $ _ <br />Phone <br />Proposed Use: OFFICE/CARETAKER RESIDENCE <br />Deac. of Work: Phone r <br />REMODEL EXISTING RESIDENCE TO RESIDENCE AND 1 <br />OFFICE <br />Describe Proposed Work _ OFFICE SET JOB <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />PROJECT ADDRESS (if known) <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable; <br />•Property Lines •Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br />•Centerline of street •Indicate North 'Show any proposed grading changes •Show measurements <br />Mr. <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-81310. <br />2. All work shall be performed 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 1-800-424-5555. <br />�{aQLlt; WORKS IPERMI1 <br />Mnl R&NUIRtile <br />sATE_L�J�99 --- <br />Approved for Construction Date <br />W <br />FM <br />'slw�' <br />C/ <br />�i <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arise because of installation and maintenance of <br />the improvement or other right-of-way use hereto applied for and further agrees <br />to remove'same upon notice from the City and to replace public property <br />damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 18o DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BF. DILIGENTLY PURSUED TO <br />COMPLETiON. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />