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Datz .... :.... ....�.,. <br /> �ppliCaliOn rOf ' """ <br /> `=�'' PUBLIC WORKS PERMIT PuObcworksFee <br /> _, <br /> Totai Fee g <br /> A�� leu�00�Fee PaE $ <br /> a H v� Prinl or Type Only esa��s o„e s <br /> rm <br /> y zH <br /> K y� P1an Check No: B 39895 SEPA <br /> Applicat.Date: 03/15/93 <br /> •�iy ,�.�.i•�i� Owner Job Address: 7215 JUNLPER DA !ip Phone <br /> �H Owner: BURNS WILLIAH <br /> y C Tenant: <br /> ` Z 3 ptoposed Use: GARAGE/SFR <br /> r �h Desc. of Work: <br /> �3 t7 Fpplicant NEW ;.TTACHED GARAGE ��P Phone <br /> C i-+ <br /> � n0 <br /> 7. � Describe Proposetl Work _ OFFICE SET JOB SET <br /> F: <br /> a y APPROVED FOR PERHIT: DATE_/_/_ BY <br /> CHy _ <br /> Od� III <br /> � [x�[�+ Proiecl Address(il known) � <br /> [T7 CT7 <br /> z y� Attach lour(4�copies of plans lor proposed work• Draw lo scale and note ihe lollowing as applicaF.lo'. — <br /> y �N • Property Lines • Centedine ol street � <br /> • Outline and dimensions cl all ezistin9 and • Indicale No�ih <br /> proposed struetures cn the Iot • Sho�.v any pror.ossd gratlinq cnanges <br /> • Exis�ing;1ntl prcposed ulihlic5 • Sho:l mcd5urcr.tnnts <br /> DO NOT WHITE BELOIV THIS LINE � <br /> PERMITCONDITIOt15 O <br /> ;'" � 1.All Calls f0�inspec�ion shall be maCe 24 hrs.in advance-phene 2SB-BB�O. <br /> i 2.All work 5hall 6e peAormed in accordance with Ihis permit and current City ol E:on�v Dcsi-;n�rd Con,truction � <br /> Slandards and SpecfliCations. <br /> 3.Call Loeation UnCer9round Scrvice A8 hr,.b�fore you dlq.TOLL FREE NUMBEfi 1-800-424-5555. � <br /> �f _=� <br /> _. � <br /> ' � �uot.�c w � <br /> ND ORk,.� n�=r <br /> - By T_flEOUIHEp�l.flT � <br /> 5��(� t � . <br /> { op� <br /> DATE �' i 7 �: . <br /> � .; <br /> �.. �1 �.i� <br /> ''� M <br /> �„� + /S ACKP10:lL[DGE.fEPJT OF CONDITIONS <br /> `��"s>,� The undcr,l9ned owncr/appiicanl hcreby agrces lo hold and save harm� <br /> " less Ihe Gily ol Everetl Irom any and all claims for dama�es, cosis. <br /> . erpenses, or causes ol aclion ihat may arise because ol inslallation <br /> and maiNen�nce ol Ihe improvemml or o�her ri9hPat�way use herelo <br /> applied for and further agrees to remove same un�n nolicc Irorn thc <br /> �,-.�proved lor Consiruc�ion Date Cily and to replace public property dama;,,;d Ihereby. <br /> �IN�LINSPECTION Date <br /> �pproved as Conslructed SignaWrc ol Appliwnt Cat�• <br /> PUBLIC WORKS DEPARTMENT `1�ORK AUTh10RIZE0 BY THIS PERMIT MUST �E STARTEO WITHIN <br /> � 3200CedarSlreet 1f30 DAYS OF DATE PERM1IIT IS ISSUED AND THEREAFTER IS LO <br /> E�crcIl,Vl1^0201 �� DILIG[NTLY PURSUED TO COMPLFTION. THIS PERPdIT AtAY f3B <br /> fl -ne291d'810 � < < !�LLED � i ili CITYUf011,1P,YS10PPAG�OFWORKONTI-IIS <br /> < < ,i cru� r� �o �:�� �,ui.,;�ior�_ <br />