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�: � <br /> �:-..:_ � <br /> K <br /> r <br /> �� + � r , <br /> �p "� p+ a. 'rr r= z <br /> * �` ' <br /> .��� _ _ _ i <br /> p p Date—..— � � PUCIic Wo�ks Permit♦ � <br /> �� �7p��+p ��� Application For eieo.oeo�• , �, <br /> ��� PUBLIC WORKS PERMIT PubllcWorkaFee s <br /> Total Fee <br /> � �,�„ � � Leea�oo�Fee PaIE S li <br /> C Balance Ooe S I <br /> Qpno O ? Print or Type Only i <br /> y Plsn Check No: B 35197 SEPA <br /> Applicat.Date: 12/31/91 . <br /> � ~� � Owner .Tob Addre: 30515 $VERGAEEN WAY Phone '� � <br /> �� M � Owner: DWAYNE LANE CHRYSLER–PLY � ,.., <br /> ��p Tenant: <br /> � Propoeed Uee: � j' <br /> Deec. of Work: Phone <br /> Applicant NEW PREFAB METAL BUZLDING ADDITION – 816SF <br /> �� – 3 SERVICE BAYS ^� <br /> I <br /> � Deacribe Proposed Work _ OFFICE SET JOB SET i � <br /> � APPRVD FOR PERMIT: DATE_/_/_ By I ' <br /> _ . W <br /> � � Project Address(il known) � .� <br /> � Attach four(4)copies of plans for proposed work-Draw to scale and note ihe following as applicahle: � <br /> • Property Lines • Centerline of streel /A � <br /> � • Outline and dimensions of all existing and • Indicate North V� <br /> � � proposed structures on the�ot • Show any proposed 9rading changes <br /> • Existing and proposed utilities • Show measurements M <br /> ,�� �. W <br /> � �. �� DO NOT WRITE BELOW THIS LWE <br /> � PERMITCONDITIONS O � <br /> � 1.All calls tor inspection shail be made 24 hrs.in advance-phone 259•8810. � <br /> a���rrr �' 2.All work shall be pertormed in accordance with this permit and current City ot Everett Design and Construction <br /> _ ��� StendardsandSpecificatlons. <br /> 3.Call Location Underground Service 48 hrs.6efore you dig.TOLL FREE NUMBER 1-800•424•5555. � <br /> I <br /> i //`/�/�� ��f � / y ,,./ /n/ � <br /> _� _ ' [J '1CLP� C:✓("}j'r /�a:�.l��...�( ju�'1 ���iGIiCA-G�t" I <br /> �� L I <br /> r <br /> � �� <br /> �.. � /1 ��--i/ N <br /> 0 i <br /> 1 ��� /�� �/S y � <br /> � � EMENTOFCONDITIONS <br /> ' � `, �/ � nN hereby agrees to hold and save harm- <br /> . _ � � any anC all claims for damages, costs, <br /> , i that may arise because of installation <br /> rvement or other right-ohway use hereto <br /> ���c_.e,L=Q� s to remove same upon notice Irom ihe � <br /> Approved tor Construction � Lp,Ln,_��� �erty dama�ed thereby. <br /> FINAL INSPECTION " '������f '� <br /> Approved as Consiructed Date �� <br /> ��`r'"�y� � �.�.�,u� IS PERMIT MUST BE STARTED WITHIN ' ' <br /> ���� PUBLICWORKSDEPARTMENT (/ IT IS ISSVED AND THEREAFTER IS TO � <br /> 3200CedarSlreet «,y���i �/!-'✓ TO COMPLETION.THIS PERMIT MAY BE � � <br /> Everett WA 98207 r% � /, PON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�8870 �/'�'�- URATION. <br /> I ` <br /> I <br />