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'Appllomt on For <br />PUBLIC`viORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />Pubk Worlds Permit If <br />3200 Cede Street <br />Ewell. WA 98201 259-8810 <br />Btldi ng Permit 4 <br />TYPE OR PRINT ONLY <br />Publc World Fee $ <br />Plan Check Not B 61161 SEPA <br />Applicat.Date: 12/21 9B <br />AVE <br />Job Address: 3416 ERAL <br />Owner: DANIELSON KURT 0 EAROLYN <br />Zip Phone <br />Owner Tenants <br />Proposed Uses GARAGE ON LOT N/SFR <br />Demo. of work: <br />840 SQ FPhoneT ATTACHED GARAGE <br />Applaud <br />ZIP p <br />OFFICE SET JOB SET <br />Describe Proposed 1 APPROVED FOR PERMIT: DATE!/_/_ BY <br />W <br />cc <br />PROJECT ADDRESS Of Iv:own) <br />M <br />Attach four (4) copies of pins for proposed work - Draw to scale and rote the blowing N epplcebW <br />•proposy Lines mouttins and dknensiors of al existing and proposed structures on t o lot eExleting and Proposed utilities <br />O <br />ecentworm of serest %x2cats North 'Show any proposed grading changes eSlow messumnnts <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance -phone 259-8810. O <br />2. All work shall be performed 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 14800-4244MM. <br />co <br />0 <br />)ORLIC WORKS rirRMf+ <br />NOT UUIRkA <br />&ATE.--- r <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owrw/applkant husby agrws to hold and am hannim es <br />to City of Em a from any and of ddms for dnrSse. 00012. GXPWM °a or <br />cusses of actin that may ales because of kwtdWon end mYnfunuoe of <br />the knnpmvsmamorotherright-d-wyuse am appledlorandfurtfnsra7w <br />to rerraw sung upon notice horn the City and to replace prsblc property <br />dernaged thereby. <br />Signsture of APPIomrst Date <br />COMPLETION. THUS BPERMIT MAY BE CANCELLED STARTED <br />� E CITYIUPON ANY STOPPAGE OF WOIK� ON TNI3µPROJECT OVER 90 DAYS OtN41TI0N. QED TO <br />