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� `._aplication For ^ __ _ _ _. <br /> PUBLIC �. JRKS PERMIT Dat, 5/14/96 <br /> PUBLIC WORKS DEPqRTMENT <br /> 3200 Cedar Street Public Works Permit k <br /> Everett,WA 98201 259-8810 <br /> BuildingPermit#_ S13a6 <br /> TYPE OR PRINT ONLY <br /> Public Works Fee$ <br /> MARLYN SCHIRMER 7803 E GLEN DR EVERETT 98203 353-4235 <br /> Owner Mailing Address <br /> City Zip Phone �-- <br /> ED BURBY CONSTRUCTION 338-0231 <br /> Applicant Mailin9 Address Cit <br /> Y Zip Phone <br /> Describe Proposed Work GARAGE ADDITION WITH LIVING SPACE ABOVE <br /> W <br /> F- <br /> ♦-/� <br /> PROJECTADDRESS (ifknown) �803 E GLEN DR V♦ <br /> Attach four(4)copies of pians for proposed work-Draw to scale and note the following if applicablu: m <br /> •Property Lines �Outline and dimensions of all existing and proposed structures on the lot •�isting antl proposed utilities O <br /> •Cente�line of street •Indicate NoAh •Show any proposed grading changes •Show measurements <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: <br /> 1.All calls fcr inspection shall be made 24 hours in advance- phone 259-8810. Z <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and O <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs, before you dig. TOLL FREE NUMBER 1-800-424-5555. <br /> ♦�/� <br /> V♦ <br /> O <br /> .'�I�U(; WORKS PERM�1 � <br /> �o r q�pU1R5p <br /> :y �'�_ J <br /> 'ATF- � j <br /> �SJl��' <br /> �- <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless <br /> the City of Evereit Irom any and all claims tor damages,costs,expenses,or <br /> Approved for Construction Date cau�es of action that may arise because of installation and maintenance of <br /> �he improvement or olher righbof-way use hereto applied for and turther agrees <br /> to remove same upon notice from the City and to rzplace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfEq�S TO BE DILIGENTl.Y PURSUED TO <br /> COMPLEf10N.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURqT10!J. <br />