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� <br />�, <br />TYPE OR PRINT ONLY <br />Applicant <br />>liwtion For <br />PUBLIC WORKS PERMIT <br />DescribP Proposed Work _ <br />PROJECT F�DDRESS (if known) <br />?UBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />Plan Check No: B 52189 <br />Applicat.Date: 07/03/96 <br />Job Address: 7308 LOWER RIDGE RD <br />Owner: GRAMS MIKE <br />Tenant: <br />Proposed Use: GARI.GE/SFR <br />Desc. of Work: <br />NEW DETACHED GARAGE/CARPORT <br />OFFICE SET JOB SET <br />Date <br />Public Works Perm�t a <br />Building Permit # _. <br />•ks Fee S _ <br />SEPA <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />Attach four (4) copies of plans tor proposed work - Draw to scale and note the falowing it applicable: <br />Phone <br />•Property Lines •Outline and dimensions of all existing and proposad sln,:!ures on the lot •Existing and proposec utilities <br />'Centedine of street •Indicate North •Show any proposed gr5ding changes •Show measurements <br />DO NOT WRIT[ BELOW THIS LINE <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 Everett De�ign and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL F6iEE NUMBER 1-800-424-5555. <br />)�o �JI�I� ��v�k.s �.��.r�- ���;� <br />,: <br />�::, <br />{�� `� `�'— <br />r,.. <br />Appruved lor Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />W <br />■ <br />w <br />Y / <br />1�1 <br />O <br />� <br />Z <br />O <br />i//� <br />V ♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owneNapplicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of actlon that may arise because of installation and mainienance of <br />the improvement or other right-o(-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace public property <br />damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 �AYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLEf10N. THIS PERMIT MAY BE CANCELLED BY THE CIN UPON AN'! STOPPAGE OF N�ORK ON THIS PROJECT OVER 9G DAYS DURATION. <br />