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� <br /> � � . 'calbn Fa <br /> PUBLIC W.1RKS PERMIT Date� <br /> PUBLIC WORKS DEPARTMENT Publlc Nbrke Permit N <br /> 3200 Cedar Sireet <br /> Everett,WA 98201 259-BB10 Buildinp Permlt M <br /> TYPE OR PRINT ONLY public Worka Fee S <br /> Plen Check Noi B 56939 SEP11 <br /> Appllcat.Date: 10/29/97 <br /> Ownar Job Addreeet 6927 CARSON RD phone <br /> Owner: ELLEROACK CARY <br /> Tenant: <br /> Propoeed Uees GARACE <br /> Appllcant Deec. of Wo[ks Phone <br /> NEW DETACHED GAAACE <br /> DeScflbB ProposBd Wofk _ OFFICE SET JOB SET — � <br /> APPROVED FOR PEAMITt DATE_/_/_ BY � <br /> � <br /> � <br /> PROJECT ADDRESS(if known) � <br /> Atlach lour(4)coples o1 plens for proposed work-Drew to acale end note the lollowing 11 appllcable: O <br /> •Property Llnes �'Outlina and dlmenslone ol oll exlsting and proposed strueturea on the lot •Existing and proposed utllNlea <br /> •Centerlina of street •�ndicete Nonh •Show eny proposed greding changes •Show measuremente � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1. All calls for Inspection shall be made 24 hours In advance- phone 259-8870. O <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specificatlons. <br /> 3. Call Locatlon Underground Service 48 hrs. before you dlg. TOLL FREE NUMBER 1-800-424-6666. � <br /> � <br /> O <br /> ,, 1 a <br /> ` � �,. /'- �'��u,2�� q.�i�. �/�"�- <br /> /- <br /> ��y�7 <br /> ACKNOWLEDOEMENT Of CONDITIONS <br /> The underalpnxd owner/epplicanl hereby agreee to hcld end eave harmless <br /> the Clry o!Everett from eny and ell clalms lor damages,coate,axpensee,or <br /> Approved fo�Construction Date �auxs ol acllon thal may erlse baeauea a/Inatelietbn and malnlanarica of <br /> the Improvement or ott�ripht-of•way use herato epplied 1w and lurther aprees <br /> to remove aeme upon rwtice from the Clry end to replaee publk property <br /> d�aaed thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> Slgnature of Applleant Date <br /> WORK AUTHOR12ED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PEHMR IS ISSUED AND THERFAFfER IS TO BE DILIOENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPA6E OF WORK ON THIS PROJECT OVER 90 DAYS WRATION. <br />