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/ <br /> 6-11-90 <br /> Date PuOLc Works Permit• � L 9L <br /> om9.oeoi.. 90/24820 <br /> Application For <br /> PUBLIC WORKS PERMIT '°°:o�aFeeFee s <br /> �ess noo�Fee aa�e S <br /> Balance D��n S j�J <br /> Print or Type Only <br /> Mike Wartelle 303 Heather Rd Everett 259-9256 <br /> Owner Mai4ing Address Ciry Zip Phone <br /> Gimme Shelter Const PO Box 1227 Marvsville 98270 652-9666 <br /> Applicant MaJing Address City Zip Phone <br /> Describe Proposed Work 336sf detached garage & 810sf concrete parking ar.ea <br /> W <br /> ' Prolect Address(if known) 303 Heather Rd. � <br /> i <br /> IAttach four(4)copies of plans for proposed work-Draw lo scale and note the following as applicable: � <br /> �� • Property Lines • Centerline oi street � <br /> • Outline and dimensions of all existing and • Indicate North <br /> � proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements /M <br /> I DO �IOT WRITE BELOW THIS LINE � <br /> 7 O <br /> .� PERMIT CONDITIONS <br /> 1.All cells for inspection shall be made 24 hrs.in advance•phone 259•8810. � <br /> I 2.All work shail be pedormed in accordance with this permit and current City of Everett Design and Construction <br /> ; Standarda and Specifications. <br /> 3.Call Locatlon llnderground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-500-424•5555. � <br /> 4 MAx�M�M D(Z�ve�v.�Y A�t eoN �vi a;H SN�LL NOT ExC�i� O <br /> � Z�� <br /> i � <br /> I � <br /> 07/OS/90 10�SORM OOORq24^c8 <br /> I / <br /> ;� A0002482� O <br /> ;� FLDG £49.50 <br /> E 5RCH S4.SU a <br /> DRVW'1 520.00 <br /> CHEC{: �74.00 <br /> ACKNOWLE�GEMFNT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm• <br /> less ihe City ol Everett irom any and all claims for damages, costs. <br /> e■penses, or causes of action that may arise because of installation <br /> �� Q ��/� ,c�_� and maintenance of ihe improvement or other right-ot-way use hereto <br /> "U(1��— �Y(����— � applied lor nd hirther agrees to remove same upon notice lrom the <br /> Approved for Cons u ion Date City and replace public property damaqed thereby. <br /> ���- �%>�� ��, � � , <br /> FINAL INSPECTION Date ' � <br /> Approved as Constructed Signature of Applicant Date <br /> VlORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> everett PUBLICWORKSDEPARTMENT 180 DAYS (1F DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> � 3200CedarStreet BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�8070 PROJFCT OVER 90 DAYS DURATION. <br />