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� PUBUC 11�JRKS PERMIT Date� <br /> PUBLIC WORKS DEPARTMENT Public Works Permit a <br /> 3200 Cedar Streel <br /> Everett,WA 98201 259-BB10 Building Permit N �' <br /> IYPE OR PRINT ONLY Public Works Fee 5 <br /> Owner plan Check No: B 55777 SEPA Phone <br /> Applicat.Date: 06/27/97 <br /> Job Addrese: 68Y1 COMMERCIAL AVE <br /> Owner: KARBO SALLY <br /> Applicant Tenant: Phone <br /> Proposed Uae: SINGLE FAMILY RESIDENCE <br /> Desc. of Work: <br /> DBSC�IbB PfOpOSEd WOfI( _ CONSTRUCT ATTACHED GARAGE � <br /> OFFICE SET JOB SET � <br /> APPROVED FOR PERMIT: DATE BY '�^ <br /> _�_�_ �/ <br /> PROJECT ADDRESS(if known) M <br /> Attach tour(4)copies of plans for proposed wo�k-Draw to scale and note the tollowing if applicable: �i+ <br /> •Property Lines 'Outline and dimensions of all exicting and proposed stnictures on the lot •Existing and proposed utilities O <br /> •Centerline of st2et •Indicate NoAh •Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1. All cails 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 FREC �UMBER 1-800-424-5555. � <br /> I <br /> r�+1 O <br /> r�^"��r � ~ a <br /> M1,r1�w�tp� n�o <br /> iC �a ti .�- <br /> �'� Y s r �..- ,,.• <br /> '' . J1� ` � .^-' ...-. <br /> �`\ o�����\� _ �^J�`,�iyrltrQ�.,,}�t��--; .. r�M,� <br /> � / �.. <br /> l ,- ` �;.eAr`����: <br /> ..J r+ , /� , ���e" 3�1� • . yUy�`�1 ��� _��-� <br /> (��- ?'v' � tifi�.' w....�^ � <br /> ?��l/ ` .�'' ! +•(/l ..- � <br /> s ,�t,;- v I <br /> � �1'�Ct,. � <br /> ACKNOWLEDGEMENT OF CONDI110NS �y� <br /> The undersigned ownedapplicant hereby agrees to hold and save harmless � <br /> the City ot Everett from any and all claims for damages,costs,expenses,or '� <br /> Approved lor Constmction Date causes of action that may arise because of installation and maintenance of , <br /> the improvement or other righ4of-way use hereto eoplied for and further agrees <br /> to remove same upon ootice Irom the Ciry and to replace public property <br /> dama9ed thereby. i <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 OATE PERMIT IS ISSUED AND THEREAFfER IS TO Be DILIGENTLY PURSUED TO <br /> COMPLE710N.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. � <br /> � <br />