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�er`���� 'ica;ion For '� - <br /> PUBLIC �JRKS PERMI�' D�te'_ <br /> PUBLIC WORKS DE�ARTMENT Public N�orks Permit a <br /> 3200 Cedar Slreet — <br /> Everett,WA 98201 2og-8870 Building Permit N <br /> Tl'PE OR FRINT ONLY Public Works Fee S <br /> Owner plan Check No: B 567R7 SEPA Plione <br /> Applicat.Date: 10/14/9� <br /> Job Address: 5718 C!)MMERCIA' AVE <br /> . Owner: FRENCH OIANc <br /> Applicant Ten an t: Phone <br /> 3i�oposed Use: GARAGE <br /> Desc. of Work: <br /> DeSCrIbB PfOp058d WOfk _ DETACHEL GAAA�>E WITH STORAGE SPACE ABOVE � <br /> OFFICE SET JOB SET <br /> APPROVED FOA PERMIT: DATE_/_�_ 8Y � <br /> � <br /> PROJECT ADDRESS (if knnwn� � <br /> Atiach four(4)copies ot plans br proposed work-Draw to scale and note the following i1 applicable: <br /> •Prouerty Lines •Outline an�dimensions�f all existing and proposed structures on the lot •Existing and proposed utilities O <br /> 'Centc�line of sireet •Indicate North •Show any proposed grading changes •Show measurements <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: Pj � <br /> 1. All calls for inspection shall be mada`�11'��in��vgr��pl�q�,259-8810. <br /> 2. All wor�:shall be performed in accordance�g��L is� permit ahf�{.�rent City oi Everett Design and ^ <br /> Construction Standards and Specitications�. MCKEE L/ <br /> 3. Call Location Underground Service 48 hrs. before yo�� dig. TOLL FREE NUMBER 1-500-424-5555. � <br /> �AT6 -_-�-,_ <br /> � r^ <br /> ';1R��L �„�GFF.S ?r V� <br /> �� ' U� �1 O <br /> ��/�i�1�1� � <br /> � �_` ` <br /> �-:T� _ ; �����__.. a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> Tlx undersign��tl ownedapplicant hereby agrees to hold antl save harmless <br /> tlio City ol Evere�t from any and all claims lor damages,costs,expenses,or <br /> Approvetl lor Consiruction p�1z -- causes of acticn that may arise 6ecause of installation and maintenance of <br /> ihz improvement or other right-ol-way use hereto applied 1or and furiher agrees <br /> to remove same upon nntice from the City and to replace public pmperty <br /> damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Con;tructed <br /> Signature of Applicant Dale <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAF7ER IS TO BE OILIfiENTLY PURSUED TO <br /> COMPLETION.7HI5 PLRMIT h1AY BE�4rJCELLED DY THE CIN UPON ANY S10PP4GE OF WOf�,{ON THIS PROJECT OVER 90 DAYS DURATION. <br />