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� 'I�,calion For —. <br /> PUBLIC VrJRKS PERMIT �a1e- 3-4-97 <br /> PUBLIC WORKS DEPARTMENT Public Works Pertnit u <br /> 3200 Cedar Street <br /> Everett,WA 98207 259-8810 guilding Permit a 54390 <br /> TYPE OR PRINT ONLY Public Work�Fee 5 <br /> Gordon "Bud" Bustad 3231 Kromer Ave Everett 98201 259-3886 <br /> Owner Mailing Address City Zip Phone <br /> Tcwn & Country .Tess Harris 800-824-9552 <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work pole bldg for garage � <br /> r <br /> /�/� <br /> V♦ <br /> PROJECT ADDRESS(if known) 3231 Kromer Ave � <br /> Attach four(4)copies ot plans for proposed work-Draw to scale and note the following il applicable: O <br /> •Property Lines •Outlire and dimensions of all existing and pmposed simcWres on the lot •Existin�and propcsed utilities <br /> •Centedine of aireet •Indicate North •Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1. All calls for inspection shall be made 24 hours in advance- phone 259-8810. O <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 Locatior, Underground Service 48 hrs. betore you diq. TOLL FREE NUMBER 1-800-a24-5555. � <br /> �// <br /> � � �UJII� VVCIrT�S �(�'f�� F�,JI � � <br /> v� � <br /> i� <br /> ACKIJOWLEDGEMENT OF CONDITIONS <br /> lhe undersigned owrer/appliwnt hereby agrees to ho�d and save harmi�ss <br /> the Gity ot Everett irom any and all claims lor damages,costs,ezpenses,or <br /> � causes of action t5at may arise becnuse of installation and maintenance ol <br /> AppmvetlforConstruction Date theimprovementorotherrighbof-wayuseheretoapplietltorandlunheragre,;s <br /> to removc same !ip�n natice from the Gity and to repince pubhc propeny <br /> damaqed ihereby. <br /> FINAL INSPECTION Date <br /> Approved as Constmcted <br /> S�an�ture of Apphwnt �atc <br /> WORK�UTF{OFIZED[3V 1HIS PERI.IIT MUST dE STARTFD P:SHIN 1N0 DAY'S OF DATE P[RG?IT I`,ISSU[U AND THER[AFTER IS TO BE DILIGENTLI'PURSUED TO <br /> COMPLETION.THIS PERMIT MAV�E G�NCELLED 61' �HE C�IY UPON�NY STOFPAGc OP IVORK ON THIS PHGJ[CT OVER 9'J DAYS OURATIOIJ. <br />