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� <br />� <br />TYPE OR PRINT ONLY <br />Owner <br />Applicant <br />ation For <br />PUBLIC � RKS PERMIT <br />Describe Proposed Work <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />Plan Check No: <br />Applicat.Date: <br />Job Addrese: <br />Owner: <br />Tenant: <br />Propoaed Uae: <br />Desc. of Work: <br />NEW POST FRAME <br />B 56685 <br />10�06/97 <br />77 5 LARIMER RD <br />SHANK JEFF <br />GARAGE <br />GARAGE <br />�ate �� <br />Publlc Works Pennit # _ <br />Building Permit N <br />Publlc Works Fee 3 <br />Phone <br />SEPA <br />OFFZCE SET JOB SET <br />APPROVED FOR PERMIT: DATE_/_�_ <br />PROJECT ADDRESS (if known) <br />Attach four (4) coples of plans for proposed work - Draw to scale anA nole Ihe following if applicable: <br />Phone <br />•Property Linns butline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br />•Centerline of street •Indicate NoAh •Show any proposed greding changes •Show measurements <br />PERMIT CONDITIONS: <br />1. All calis for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and ecification . <br />3. Call Location Underground S�IAhrs�U�li�,6ii11(��1TOLL FREE NUMBER 1-800-424-5555. <br />PAUL McKEE <br />DATB <br />Appmved for Consiruotion Date <br />FINAL INSPECTION Date <br />Approved as Cansiructed <br />��5 <br />�� <br />�J�/9% <br />� <br />O <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby a�rees to hold and save harmless <br />lhe City of Everett from any and all claims for damages, cosis, ezpenses, or <br />causes ol actlon ihat may adse because ol Installation and maintenance ot <br />the improvernent or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace public property <br />damaged thereby. <br />Signatura of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENILV PURSUED TO <br />COMPLE(ION. THIS PERMIT MAY BE CANCELLED BY THE CIlY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DA1'S DURATION. <br />