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5606 EVERGREEN WAY 2016-01-01 MF Import
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5606 EVERGREEN WAY 2016-01-01 MF Import
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Last modified
2/9/2017 8:50:01 PM
Creation date
2/9/2017 8:49:48 PM
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Address Document
Street Name
EVERGREEN WAY
Street Number
5606
Imported From Microfiche
Yes
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( w``a'b"F« i 1-5-99 <br /> � PUBLlC WORKS PERMIT °a1e __ <br /> PUBLIC WORKS DEPARlMENT Public Wa.ks PertnR• <br /> 3200 Cedar Street <br /> Everett.VJA 98201 259-8810 Building Pertnit M 61260 __ <br /> TYPE OR PRINT ONLY Pubtic Works Fee S <br /> STEVEN KLEIN PO BOX 3630 EVERETT WA 98208 355-7�00 <br /> Owner Mailing Address City Zip Phone <br /> JACR :.EE AllTO SALES JACK LEE 425-353-7155 phone <br /> Applicant Mailing Address ���Y Z�P <br /> Describe Proposed Work DETACHF.D GARAGE W <br /> � <br /> �� <br /> _ Y/ <br /> PROJECT ADDRESS(ifknown) 560G EVERGREEN WAY /� <br /> W <br /> Atlach four(4)copies of plans for proposed work-Draw to scale and note the tollowing If applicabie: O <br /> •�ropeAy IJnes 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utillties <br /> •Centerline oi streel •Indicate NoAh •Show an/pmposed gra�fing�hangas 5how measurements � <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: <br /> 1. Ali calls for inspection shall be rtiade 24 hours in advance- phone 259-8810. O <br /> 2.All work shall be perfortned 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• H <br /> � <br /> � <br /> a <br /> �uo�ir, w�Ri<s �ENM11 <br /> �ror ace,uiR�� <br /> ��Y�� <br /> ,�u►Tc__ G 1B <br /> �Y----- <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undereigned owner/applicant hereby agrees 10 hold and save hartnles* <br /> the City ot Evereri hom any and all cfeims for damages,casts,expenses,a <br /> causes of action thet may arise beceuse o(Ins7allatia:and malntenarae of <br /> qpprovedtorConsiruction Date theimpovemontwotherrlgMro(-wayuseheretoappliadforardtuAheregrees <br /> to remove same upon notke hom tha Ciry and to replace puW�c proP�Y <br /> darnagad thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> ' Signature ot Applicant Date <br /> WORK AUTHORIZEG BY THIS PERMIT MUST BE 3TAHTED WITHIN 180 DAYS OF DATE PERMR IS ISSUED AND THERFJ�TER IS TO BE DIL1G[NTIY PURS�JED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STnPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />
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