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Date � � PuCIIc WO�kf Permil• <br /> Application For eiay.oaoi, <br /> PUBLIC WORKS PERMIT PuOTOI�FeeFae S <br /> Lese ADoI Feo Paitl $ <br /> Print or Type Only 9alance0ue S <br /> Owner Plan Check No: B 48962 SEPA Phone <br /> Applicat.Date: 07/17/95 � <br /> Job Addreae: 71b EbWARDS <br /> Owner: PETZOID HORST <br /> Applicant Tenant: <br /> Propoaed Uae: GARAGE (SFR) Phone <br /> Desc. of Work: <br /> NEW DETACHED GARAGE <br /> Describe Proposetl Work <br /> OFFICE SET JOB SET <br /> APPROVED FOR PERMIT: DATE_/_/_ BY <br /> Prolect Address(if known) � <br /> Altach lour(4) copies of plans for proposed work- Draw to scale and note the following as applicable: � <br /> • Property Lines • Centerline of street � <br /> • Outiine and dimensions of all existing and • Indir.ale North <br /> proposed siructures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements <br /> 00 NOT WRITE BEIOW THIS LINE � <br /> PERMIT CONDITIONS O <br /> 1.All cails for inspection shall be made 24 hrs.in advance-phone 259•881 O. � <br /> 2.AII work shall be periormed in accordance with this permit and current City of Everelt Design and Consiruction <br /> Standards and Specificatlons. <br /> 3.Call Localion Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-500•424•5555. � <br /> S�.LL ��1� V <br /> 'UBLIC WORK3 PEHMIi <br /> t;Gi qEUU1REn H <br /> t���__ � <br /> �+ATE_, L�7 `l_S O <br /> � _ <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicanl hereby a�rees to hold and save harm- <br /> less the Cily ot Everell Irom any and all claims lor damages, cosls. <br /> expenses, or causes of action that may arise because of inslallation <br /> and maintenance ol Ihe improvement or olher righbol�way use hereto <br /> Approved lor Conslruction applied lor and further agrees to remove same upon notice irom Ihe <br /> Date City and to replace public property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed Sic�nature ol Applicant Date <br /> �A��!'� PURLIC WORKS DEPARTMENT N'ORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet lA0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS d0 <br /> Evereti,6VA9E1201 DE DIL�GENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone 259�8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />