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� _..�ication For . <br /> PUBLIC IhJRKS PERMIT Date <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Sireet Public Works Pertnit p <br /> Everett,Wq g8201 259-8810 <br /> Building Permit 8 <br /> TYPE OR PRINT ONLY <br /> Public Woiks Fee$ <br /> Owner � Plan Check No: B 51596 SEPA <br /> Applicac.Date: OS/O1/96 Phone <br /> Job Addrs: 1406 LOMBARD <br /> Owner: BULATOVIC ROBERT <br /> Appiicant I proposednU3e� GARAGE <br /> Desc. of Work: Phone <br /> Describe Proposed Work N�W DETACHED GARAGE <br /> OFFICR SET-_JOB SET Y� <br /> APPRVD FOR PERMTT: DATE_�_�_ � <br /> � <br /> PROJ�CT ADDRESS (if known) V♦ <br /> ACach four(4)copies of plans(or proposed tvork-Draw to scale and note the following if appllcable: m <br /> •Property Lines •Oufline and dimenslons of all ex!sting and proposed structures on the lot •Existing and proposed utilities O� <br /> 'Centedine of street •Indicate North •Show any proposed grading changes •Show measurements q, <br /> DO NOT WRITE BELOW THIS LINE i <br /> PERMIT CONDITIONS: <br /> 1. All calls for inspection shall be made 24 hours in advance- phone 259-8810. � <br /> 2. All work shall be performed in accordance with this permit and current City of�verett Design ar�d � <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs, before you dig. TOLL FREE NUMBER 1-800-424-G555. <br /> � <br /> 'URLIC NipR!<S PEpM�? � <br /> �`�01. 9EOUIREW O <br /> . {_�� a <br /> •ATE_S'6 —'�'-- <br /> .�y�-- <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless <br /> the City o(Evereri from an and all claims(or damages,cosis,expenses,or <br /> Approved for Construction Date causes of action ihat may ari;e because of installation and maintenance of <br /> the improvement or other nghbof-way use hereto applied for and furthei agrees <br /> to remove same upon notice from the Ciry and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Conshucted <br /> Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAy gE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />