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�atQ PuClic Woiks Permi�r <br /> Applicalion For BIE9.DepL+ <br /> i'U�LIC WORKS PERMIT PublieWorksFee <br /> Total Fea $ <br /> less Apo�Fee Paia $ <br /> Print or Type Only ealance Due s <br /> Plan Check No: B 45yUtl SEPA <br /> Owner Applicat.Date: 10/20/94 Phone <br /> Job Address: 190i LOMHARD AVE <br /> Owner: PAP.KER JERRY C <br /> TenanY.: <br /> Applican: Proposed Use: GARAGE Pho�e <br /> Desc. of Work: <br /> NEW DETACHED GARAGE <br /> Describe Proposed Work <br /> OFFICE SET JOB SET <br /> APPROVED FOR PERMIT: DATE_/_/_ BY <br /> _ W <br /> Pioject Address(if kno�.vn) � <br /> Attach four(4) copies of plans for proposed work• Draw to scale and note the following as applicable: � <br /> • Property Lines • Centerline of sireet /^ <br /> • Outlinr and dimensions ol all existing and • Indicale North M� <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show mea .uremenls � <br /> DO NOT WRITE BELOW THIS LINE o <br /> ' PEFMITCONDITIONS <br /> 1.All calls for inspection shall be made 24 hrs.in advance-phone 259•8810. � <br /> 2.All wurk shall be performed in accordance with this permit and current Cily of Everett Design and Constructicn <br /> Siandards and Specifications. <br /> 3.Call Location Underground Service�18 hrs.before you dig.TOLL PREE NUM1IBER 1-8W424-5555. � <br /> ,�Il�✓S�,{,.l'%"i � <br /> C�',%,, :������d � � <br /> :'UBLIC WORKS PERM�T � _ �,v� <br /> IrOr REOUIRE� tl��'v✓ �,,,, P.e�+".� Jl '^ <br /> �` �`,� °a` Y/ <br /> . .. +Y 'Y�+�= /�,,,,., �o-'-`� O <br /> •)ATE / /�/ 9 S� �o�-� ' -ie� s,`�1L � /� <br /> So �e� ii <br /> v <br /> �, �� D� a/^^�ker °�w<< c„� <br /> � vL�' '�AM L/ I <br /> ACKNOWLcDGEMENT OF CONDITIONS <br /> The undersigned owneqapplicant hereby agrees to hold and sove t.�rm- <br /> less lhe Ciry oF Everett Irom any and all claims for damages, costs, <br /> expenses, or causes oi action that may arise because of installation <br /> and maintenance of the improvement or other right-o(-way use hereto <br /> applied for and further agrees to remove same upon notice from the <br /> Approved for Construction D�te City and to replace public property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature o(Applicant Date <br /> R' pUBLIC WORKS DEPARTMENT WORK pUTNORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 18Q DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Ev�rett,WA 98201 CANCELLED 8Y THE CITY UPON ANY STOPPAGE OF'JJORK ON THIS <br /> Phone:259-8810 PRO.JECT OVER 90 DAYS DURATION. <br /> ... <br />