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� '�'PFlication For . <br /> PUBLIC . . ORKS PERMIT °� <br /> PUBLIC WORKS DEPARTMENT public Works Pertnit# <br /> 3200 Cedar St2et <br /> Eve2tt,WA 98201 259-8810 Building Permit# _ <br /> IYPE OR PRINT ONLY Public tVorks Fee$ <br /> Plan Check No: B 51497 SEPA <br /> Applicat.Date: 04/19/9G <br /> Owner Job Address: 2711 FULTON ST Phone <br /> Owner: NELSON CARL <br /> Tenant: <br /> Proposed Use: SINGLE FAMILY RESIDENCE <br /> Iirant Desc. of Work: <br /> �P NEW DETACHED GARAGE Phone <br /> Describe Proposed Work_ oeFice SET JOB SET _ , � e <br /> W <br /> APPROVED FOR PERMIT: DATE_/_/_ BY � <br /> _._ �/ <br /> PROJECT ADDRESS(if known) � <br /> Atlach tour(4)copies of plans for proposed work-Drew to scaie and nota the foilowing ii applicable: <br /> •Property lJnes 'Outiine end dimansions of all existing and proposed structures on the lot •Exlsting and proposed utilities � <br /> 'Centerllne of street •Indicate NoAh •Show any proposed grading changes •Show measu2ments � <br /> DO NOT WRITE BELOW THIS LINE <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 pertormed 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. � <br /> �/1 <br /> �Ij(/ �(�1'/�9, � /7dl ���C/�lCc� a <br /> �- -�j UPC <br /> �/o f� ; CJf-��.f7+�e �S:c%�. <br /> ��✓Ic�T 9�rr J,� - <br /> � //�� ���.�_ <br /> ✓ <br /> �. ACKNOWLEDGEMENT OF CONDITIONS <br /> ' The undersigned uwnedapplicant hereby a9rees to hold and save harm�ess <br /> � the City of Everett from any and all claims for damages,costs,expenses,or <br /> Approved for Construction Date causes of action that may arise br�use ot Installation and maintenance ot <br /> the improvement or other righ4of-way use hereto applied for and turlher agrees <br /> , to remove same upon notice from the City and to replace public property <br /> 'i damage7 thereby. <br /> � FINAL INSPECTION Date <br /> Approved as Constructed <br /> ISignature of ApF iicant Date <br /> � WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAF7ER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.hflS PERMIT MAY BE CANCELL=D BY THE CI1Y UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> i <br />