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� 'iWiion For <br /> PUBLIC 1hJRKS PERMIT Date�. <br /> PUBLIC WOAKS DEPARTMENT Pubiic Works Pcrmit M <br /> 3200 Cedar Slmet <br /> Everett,WA 98207 259-8810 Building Pcrtnit M <br /> lYPE OR PRINT ONLY Public Works Fee S ' <br /> Plan Check No: B 55280 SEPA phone <br /> Owner Applicat.Date: OS 28/97 <br /> Job Addre: 231 COLUMBIA AVE <br /> Owner: HOLTHUSEN RAYMOND <br /> Tenant: <br /> Applicant Propoeed Uee: GARAGE Phone <br /> aeec. of Work: <br /> DETACHED POST FRAME GARAGE � � <br /> Describe Proposed Work _ <br /> OFFICE SET_ JOB SET � <br /> ------ APPRVD FOR PERMIT: DATE_/_/__ BY � <br /> �I/ <br /> PROJECT ADDRESS(if known) M <br /> Attach four(4)copies of plans for proposed work-Draw to scale and note the tollnwing if applicable: O <br /> •Property Lines `Outline and tlimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br /> •Centerline of street •Indicate North •Show any proposed grading changes •Sho�,v measurements � <br /> DO NOT WRITE BELOW THI� !INE � <br /> PERMIT CONDITIONS: <br /> 1. All calis for inspection shail be made 24 ho�rs in advance - phone 259-8810. O <br /> 2. All work shall be performed i�i accordance with this permit and current City of Eve:ett Design and <br /> Construction Standards and Specifications. <br /> 3. CaII Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. ` <br /> r <br /> � <br /> a � <br /> ��uauc woreKa �ew,��• I <br /> Moi � 4»w�r. <br /> 3 Y_�._... / ���,.._ <br /> yq7E.._._ J��,lh�-.s.. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless <br /> the City of Everett trom any and all claims lor damages,wsts,expenses,or <br /> Appmved for Constmction Date causes ot action that may a�se because of installation and maintenance ot I <br /> tha improvement or other right�oFway use hereto applied for and furtiier agrees <br /> to remove same upon notice (roii� the City and to replace public property <br /> damaged thereby. <br /> f�.VAL INSPECTION Date <br /> Appmved as Constructed <br /> Signature ot Ap�'i.ant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 OAYS OF DATE PERMIT IS�SSUED ANC THERGFTER IS TO BE DIUGENTLY PURSUED TO <br /> COMPLEfION.THIS PERMIT MAY BE CANCELLED�Y THE CIN UPON ANY STOPPAGE OF WOAK ON THIS PROJECT OVER 90 DAYS DUFATION. ' <br /> r <br />