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C, � <br />TYPE OR PPoNT ONLY <br />pphcation For <br />PIJBLIC ORaCa P�F3MIT <br />PUBLIC'NORKS DEPAR'fMENT <br />3200 Cedar Sireet <br />Everett,'NA 98201 � i9-BA70 <br />Date 11/5/98 <br />Public N'orks Pertnit p <br />Building Permit u 860739 <br />Public Works Fee $ <br />El:SLEY TOM 819 HOYT AVE EPEAETT WA 98201 306-3G66 <br />Owner Mailing Address City Zip <br />CONTACT: NORTH SOUND SLDRS 653-2512 <br />Applicant Mailing Address Ciry Zip Phone <br />Describe Proposed Worlc <br />PROJECT ADDRESS (if knawn) <br />NEW �ARAGE <br />Attach four (4) copies of plans for proposed work - Draw to scale and note ihe following if applicaSle: <br />•Property Lines 'Outline and dimensions of all existing nntl proposetl structures on tho Iol •Existing and proposed utilities <br />•Centerline of street •Indicate Norih •Show any proposed yr�ding changes •Show measurements <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. AII 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. before you dig. TOLL FREe NUMBER 1-800-424-5555. <br />''U71JC; �„^,'"rS P5AM1'� <br />r.;,� ��:��iR6,f, <br />�.r�._��-�� <br />_�. <br />Appmved for Consiruction Date <br />FINAL INSPECTION Date <br />Appioved as Conslmcted <br />6 <br />0 <br />/i/� <br />V♦ <br />� <br />a <br />ACKNOWLEDGEMENT OF COND!TIONS <br />The undersigned ownedapplicant hereby agrees to hold and save harmless <br />ihe City of Everett from any and all claims (or damages, cosis, expenses, or <br />causes of action that may anse because of installalion and maintenance of <br />ihe improvement or other righrof-way use he2to applied for and fudher agmes <br />to remove same upon notice from tha City and to replace public property <br />damaged thereby. <br />Signafire of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THERFAFfER IS TO BE DIIJGENRY PURSUED TO <br />COMPLEf10N. THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPFAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />