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� C � <br /> C-7 <br /> > H <br /> ,� zx <br /> C H <br /> 9 H (n <br /> 4 <br /> H � <br /> y H 4 f'•-�'� <br /> � �—] � 5�2$�92 � ' ,�Olic Works Parmit��. <br /> Date <br /> "p+] H �'�+] BiOe.oaot._— — <br /> � F.y ApPlication Fcr <br /> � o � PU�LIC VI/ORKS FERMIT °°°'"""°""eO — <br /> ToialFee S- <br /> H C7 �essaooi vrean�o S <br /> OH <br /> HL�7 O o,,e,,.��.,o�,� 5 = <br /> �„ n Print oi Type Only <br /> zyH � <br /> r H y Jay Corey 2330 ltoward Avc Lvereit 98203 <br /> g � Owner fdailin9.l�dress C�D/ Zin Phone <br /> H <br /> C'� C7 U7 <br /> �� r Alpine Custom Bldgs 9[9 N 130th ll8 Seattle 98133 362-5025 <br /> Z y y Applicant Mailino Address Ci�y Zip Phone <br /> HOVi <br /> New garage - 968sf <br /> Describe Proposed Work <br /> . C� <br /> Prolect Address lil known� __ 2330 Noward AvP � <br /> Attach four(41 copies ol plans lor proposed work� Draw�o scale and note ihe fotlowing as applicable: � <br /> • Property Lines • Genterline of street /^ <br /> • Outline and dimensions ol all exisling and • Indicate North d� <br /> pioposed strucW res on Ihe lot • Show any proposed grading chan9es <br /> . . • Existing anA pr000sad utililies • Show mecawemenis � <br /> i � <br /> �. �� DO NOT WPITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> ` � 1.All calls lor inspection shall be made 24 hrs.in advance�phone 259•8810. � <br /> I �_ . 2.All work shall be pedormed in accordance with this permit and current City of Everelt Design and Construction <br /> i =`' Standards and Specilications. <br /> � 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424-5555. � <br /> � <br /> I 1� / <br /> � !�[5��...�.y��,%r_<!<'..� - � <br /> ���'1 t � <br /> � /' , , ✓ � <br /> /VO �G/�-fGti LU[�-- �..1/dl-w� �'GLGC::.i:.v �. <br /> � `� <br /> ��- �d. �-- <br /> �.� . <br /> ' l<� -il <br /> I � ACKNOWLEDG[MENT OF CONDITIONS <br /> \ ' <br /> The undersigned owner/applicanl hereby a9rees to hold antl save harni- <br /> _ less ihe City ol EvereU from any and all daims for tlamages, costs. <br /> expenses, o� causes of action ihat may arise because ol installa�ion <br /> and maintenance ol the impiovement or other righFol�way use hereto <br /> applied lor and lurther a9rees lo remove same upon no�ice iwm Ihe � <br /> ApproveC for Construction Date City and lo�eplace publi�:pwperry dama9ed thereby. I <br /> FINAL INSPECTION Date <br /> Approved as Consiructed Signalure ol ApPlicant Da�e <br /> PUBLICWORKSDEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett WA90201 BE DILIGENiLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> GANC[L�ED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:255�0010 pqOJ[CT OVGP 30 DAYS DURATION. ; <br /> il I <br /> I I IUI <br /> , ; -: � _. . <br /> . ...t '� . ,. � • <br />