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-� <br /> ; <br /> �,� oz 7 <br /> Date 1-14-93 ' I r,�e��wa,.�n��m�.��9764 <br /> uiea oeo� •_—. <br /> ApP�itaGon For <br /> PUBLIC WORKS PERMIT `°°'�'"°'"`.° S-_ - <br /> touir�e <br /> ��� Leai�pP�iee PVJ S <br /> y prirn�n0�e s ��n� <br /> � Print or Type Only � � <br /> a y�C v, DOZ-.a..2S�oi/B3/ <br /> rr+ >3 <br /> y z� Jim Smi[h 7705 E Casino Rd Evere[[ WA 98203 353-5307 <br /> K n Phone <br /> O �O Ownrr Meiling Atltlre55 �Ctly Zip i <br /> � q1 N <br /> Pacific Carages 616 Laurel Dr Everet[ 98201 259-1311 <br /> � z� — qpP�j�a�� Mailing Address Cey 2ip Phone <br /> �=7 l7 <br /> OH <br /> H �g oescribe Pmposed work new garage � <br /> II <br /> 47r Q ___—_ I <br /> H � <br /> � y W � <br /> r+H � <br /> N <br /> n C y Project Address lil knownl 7705 E Casino Rd H ' <br /> � "� <br /> Attxch four(a)copies ol v�ans lor proposeG work� Oraw to scale end note Ine following as applicable�. <br /> �y • Properry Lines • Cenledine ol street � <br /> N � <br /> • Outline end tlimensions ol ell e�isling and • Indicate Norih <br /> proposed slruclures on Ihe lol • Show eny proposed grading chanyes • <br /> • Existing ond O�oposed utilities • Show measuramants M ' <br /> W ; <br /> DO N07 WRITE BELOW 7MIS LINE O � <br /> PERMIT CONDITIONS i <br /> 1.All cells lor Inspeclion shell be matle 24 hrs.in advnnce•phone 259•8870. � <br /> 2.All work shell be pedormed in eccordance with Ihis permit end current City ol Everelt Design nnd Construclion ' <br /> !'� � Stenda�d9 end Specilicelions, � <br /> �� 3.Call Locetion Underqround Service 4B h�s.before you dlg.TOLL FREE NUMBER 1•800•424•5555. � , <br /> �^'rh�t.E . <br /> '�" ; T. C�sr�-ta�j ,C'oh.t/�x-ufi �''✓' 7'!L O�i,=a�`u�.uy O ! <br /> �' ,6eif�,,.� ��'ri� c un6 {��'•w � � <br /> M ,�A � <br /> � � V+--. ._ <br /> 1'�E I O <br /> a <br /> �_ �-, <br /> ACKNON_E�GEMENTOF CONDITIONS <br /> � iJ C — 1 he un0ersigned owneve�pplicnnl hc�eby �grees to holC nnd save harm� <br /> `'_ -- -- less Ihe City ol Everel� Irom any antl e I claims br damages, cosls. <br /> e.nenses, or causes o aclion t�e� may arise beceuse ol inslxllation <br /> ��� o / ?�� and maintenance ol Ihe ���provemen� or �Iher ngh4ol�way use herclo <br /> OD't�Y ❑pplicA lor and lurthor n rees 10 remeve same upon notice Irom Ihe <br /> Approved'or Conslrur,tion ��� CAy and t�e�replace uhhc properry demeged ihereby. <br /> ��%/� 2����� <br /> FINAL IN:iP[f,TION ���� pqle <br /> Apprn�ea is Consbucled Siyn�Nre ol Applicanl <br /> WORK AUTHORIZED BV THIS PERMIT MUST BE STARTED WITHIN <br /> A f'UBLICWORKSDEPARTMENT 180 OA�S OF DAiE PEfiM1T IS ISSUED AND THEREAFTER IS TO <br /> _�'� :1200 Cedar Sireal BE DILIGFNTLY PURSUED TO COMPLETION. THIS PERMIT MAV BE <br /> � I:veretl.WA9P201 CANCELLED BV 7H[GTV L?ON ANY S70PPAG[OF WORK ON THIS <br /> Phnne 259�9l�.10 pqpJfCl OVFf7 90 DAVS DURATION <br />