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� �'Plicatlon For <br /> PUBUC IrvORKS PERMIT �e�e <br /> PUBLIC WORKS DEPAqTMENT <br /> 3200 Cedar Straet �blic WorW Permit N <br /> Everett.WA 98201 259-0870 <br /> Buildlnp Permit N <br /> TYPEOFPRINTONLY plan Check No� B 52q04 <br /> Applicet.Dater 07/26/96 SEPA '�gFeeS <br /> Job Addreeet 914 E CASINO RD <br /> Ownere PATHBUN ROGER <br /> �'^Q� Tenant: <br /> Ptopoeed Ueai GARAGE Phone —' <br /> Deec. of Worki <br /> CONVERT CARpORT TO GARACE <br /> Appllcant <br /> OFFICE SET JOB SET ���� <br /> Describe proppsed Wprk_ APPROVED FOR PERHITs DATB_/_�_ gy <br /> W <br /> �- <br /> ♦-/� <br /> PROJECT ADDRESS(If known) Y♦ <br /> Attach lour(4)coplee ot plene lor proposed work-pr�W�o��a and�wte the folbwing M eppliceble: � <br /> 'P�Pa1y LJnea �putline aM dimenalone of ail existing end proposed atructursa on tM bt •Exlsting and proposad utilitles O <br /> 'CentMine of etreat ■Indicate NoAh 5how any propoaed gredlnp ehenyee •Show maeauraments � <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: <br /> 1.All calls far Inspectlon shall be made 24 hours In advence-phone 259-8810. � <br /> 2.AII work shall be perfomied in accordance with this pertnit and current City of Everett Deslgn an�t O <br /> Construction Standards and Speciflcatlons. <br /> 3. Call Location Underground Service 48 hrs, before you dig. TOLL FREE NUIkBER 1-80p-424-ESS6, <br /> � <br /> � <br /> ,C.>d 1�6i;��-,� ,��,f ,�, a <br /> � �y�� <br /> 7�6/� <br /> ACKNOWLED(iEMENT OF CONDITIONS <br /> The undersigned owner/applicent haraby agrees to hold and eava hartnlase <br /> the City of Everetl Irom eny and all clalms for demaqes,costs,expenses,or <br /> Appoved Iw Conatruction pe�e causes ol aetlon that may arix beeeuea of Inatallatlon end malntenance of <br /> the ImprovemeN a other rlght-ol•way uu I�ereto applied fw and furlhe/egraen <br /> to remove same upon nollee hom tM City and to replace public propMy <br /> damaped thereby. <br /> FINAL INSPECTION Date <br /> Appr�ved as Constructetl <br /> Signature of Appllcant Deta <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE Di:lOENTLY PURSUED TO <br /> COMPLEf10N.THIS PERMIT MAV 8E CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DUAhTION. <br />