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� Application For uate <br /> � PUBLIC WORKS PERMIT _ <br /> Public Works Permit# <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 (425) 257•8810 Building Permil# <br /> TYPE OR PRINT ONLY Public Works Fee S <br /> Plan Check No: B 62507 SEPA <br /> Appllcat.Date: 05�19/99 <br /> Job Addre: 131 HGYT AVE � <br /> Owne� OwnBi: CROSSON JACK Phone <br /> Tenant: <br /> Propooed Uee: GARAGE <br /> Applicant Deec. of Work: Phone <br /> NEW DETACHED GARAGE <br /> Describe Proposed Work , oFFice SET J08 SET W <br /> APPRND FOR PERMIT: DATE_J�/_ BY � <br /> � <br /> Y/ <br /> PROJECTADDRESS (i(known) � <br /> Attach lour(4)copies plans for proposed work-Draw to scale and note ihe following if applicable: O <br /> •Property Lines •Outline and dimensions ot all existing antl proposed structures on the lot •Existing and proposed utilities <br /> •CenteAine of slreet •Indirate North •Show any proposed grading changes •Show measuremenls <br /> DO NOT WRiI"E BEI OW THIS LINE z <br /> PERMIT CONDITIONS: O <br /> 7. All calls for inspection shall be made 24 hours in advance - phane (425) 257-8810 <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and � <br /> Construction Standards and Specifications., <br /> 3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800-424-5555. ♦/� <br /> ♦/♦ <br /> �.r,�- a ������ C��-�4t,�rs �t re rn ..���cQ Q <br /> �J"_ �� / o� �k.e qarz,�, - / <br /> I��p�{/'M � t�Cl��/i 1� ��IDLIC i�vORl<S FFrin�i-� ��$'E �J2 GohrlCL'EC'_CI � <br /> ��� 6C�UIRL":� I <br /> �2 S�de 52w�2r. <br /> kY__,� <br /> lATc' <br /> r��ards ',�d;c�f,P��� -�11e.,�,�v�sed��ir�,�ye w� ll � <br /> I�Jo�e' CG'��j � � s <br /> )ocZ��`i t�Pitr -�2� �xis�� s�c,1e�:.d� - �C� p��e I <br /> �vl vS-� ��pc r�� -Ev �� -L�e v I�C ;,.����e,�e i �v�� -�'I-e_y�r�g,e, I <br /> tir VG �U!/� t� �.S��.e, �hk -� �rl1f, of -���. �y�2�ye. <br /> �� ACKNOWLEDGEMENT OF CONDITIONS . I <br /> The undersigned owner/applicant hereby agrees lo hold and save I�armless <br /> the City of Everett irom eny and all claims for damages,costs,ezpenses,or <br /> pprove or onstrucuon a e causes of action that may adse because ol Installation antl maintenance ol the <br /> improvement or other righl-of-way usa hereto applied lor and further agreos to <br /> remove same upon notica Irom the City and to replace pubiic nroperty dam- <br /> aged thereby. <br /> FINAL INSPECTIOV Date <br /> Approved as Constmctetl <br /> ignawre o pp icant a e � <br /> WORKAUTHORIZEDBY'fHISPERMRMUSTBESTAHfEDWf7HIN180D�YSOFDAiEPERMfiISISSUEDFWDh1EREAF'fERISTOBEDNGEMLYPURSUEI)TD I <br /> iXkdPLEf10M1.THIS PERMR MqY BE CANCELLED BY 7HE CfTY UPON ANY STOPPAGE OF WORK ON THIS PRO,IECT OVER 9D DAYS W RATION. <br />