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� �9'� <br />A �v s <br />> Hin <br />r <br />y �H <br />O x0 <br />� V1 H <br />� O� <br />O �+ <br />��g <br />� V (� <br />�yy� <br />r ri y <br />gy <br />CO C7 N <br />yb� <br />Date__ <br />Appl¢alio. . or <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Ovmer <br />Appficanl <br />Describe Proposetl Won. <br />Prolect Address (if known� <br />Plan Check No: <br />Applicat.Date: <br />Job Addres3: <br />Owner: <br />Tenant: <br />Froponed Use: <br />Desc. of Work: <br />t7EW DEF.TACHED <br />OFFICE SET <br />� 40005 SEPA <br />03/24/93 <br />41b N CABOT <br />HAMMER MIHE <br />GARAGE <br />GARAGE - 5765F <br />JOB SET <br />APPROVEO FOR PERMIT: DATE_/_/_ gy <br />n�ei�c wnna ve�mn . <br />O�ep Decl � �_ <br />n�ei¢ WorW c�e <br />.o�.� «s s <br />�e.. �ooi v.� vno S <br />11n�nce Due S <br />l�P Pnone <br />Z�p Phone <br />Atlac� IOur (4� copies ol plans for pioposetl work � Dr,aw lo sca�e an� note tne lollowmg as apP6cab�e�. <br />• Fmperty Lines • CenlerLne ol str�el <br />• Oulline anA dimensions o� ail c.�shny ,inc • ind�cate North <br />propased Siruc�wCs on Ihe lol • Sl+ow �ny prpposed 9radinq �hanqes <br />• ExiSting and p�o�o5etl uhlihes • Show mr.tsurements <br />NOi WRI7F HLLOAY i11i5 �I <br />PERMIT CONDITIONS <br />'� + 1. All cnlls lor inspec�ion s�all be matle 24 hrg. m aAvance � phone 2SQ•881 O <br />' 2. All work s�all be perlormed in nccordanee wilh this permit xnd wnent Cily of Everett Desipn antl Conslruction <br />� � Stondnrtls and Specillwtions <br />3. Call Location llndcrground Scrv�ce 4B hrs bnlorc yo�� A�9 TOLL FFEE NUMBER i•800-4'1�i•5rJ5$. <br />�_ _ <br />�� � <br />� � � <br />�� � <br />� <br />, ' � <br />:�F3UC WpHKS PERMIT <br />NOT R�OUIRED <br />UV_� ."���' <br />DATE�'/���f •�''_ <br />1 <br />Appiovetl lor Cons�rucli0n Dntc <br />FINAL INSPECTION <br />Approvetl os Cons�rucled <br />�PUDLIC WORKS DEPARTMENT <br />3200 Cetlar Slroet <br />Evorett, WA gB201 <br />Phone:259�8810 <br />Date <br />nCKNOIVL�CGCh7FN7 OF CONDITIONS <br />W <br />� <br />_ / <br />Thc untlersipned ownrr/app; canl hereAy apreas lo hold and snve hann� <br />Iess Iho City ol Everett Imm eny entl all claims lor 4amFlyes. cosls. <br />CapCn5C5, 0� Cd�I5C5 OI nction Ihat mny qriso bCC3�5B OI inslPllalion <br />nnA miintennnto ol the improvement or other nghl�o4way use herelo <br />nppLeA lor anA furiher n�rees lo remove same upnn notice Irom Ihe <br />Crty and lo replaco public property damaged I�ereby. <br />Siynnturc ol Applicant Dale <br />4VORN AUTHORIZ[D BV ThIIS P[RMIT MUST BE STARTED WITHIN <br />100 DAYS OF OATE- PERMIT IS ISSUED AND THEREAPTEH IS TO <br />�E DILIGENiL\' PURSUED 70 COMPLETION THIS PERMIT L1AV BE <br />CANCELLGU E7V iHG CI7VUPONANV S�OPPAGE OF WORKON THIS <br />PROJFCT OVCR 90 DAVS DURATION. <br />.H "��},+��='. <br />