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Date 9 13-95 <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />TO POSTING N a5_c0 <br />Public worn Permd •� <br />Bldg Dept . 49473 <br />P.hh. works Fee <br />Total Fee S <br />Less APPI Fee Palo $ -- <br />Mlance Duc $ �QV•� <br />Patrick Smith 1918 Highland Ave Everett 98201 289-1407 <br />Owner r\�alhny 4ddress �,t� <br />Zlp Phonr, <br />Town 6 Country Jess Harris 743-1555 <br />Applicant M.dlP-,;; Address — Clty Zip Phone --- <br />Describe Proposed Work detached garage on alley <br />N001>494 <br />Project Address (if known! 1918 <br />Attach four (4f copies of plans for proposed work - Draw to scale ano note the following as applicable: 0R 1111�Y SRO. L <br />• Property Lines • Centerline of street CHECK S19S.-7 <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 <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance -phone 259.8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800-424-5555. <br />o{ /flfey ���f- eF-war rr i *ed, <br />94i^Qfc . /�1-fli A0 /"Cii:1 C/hi{rM bn� Cove: <br />-fCc-'' <br />13111 �L <br />Approved for struction—„� <br />e /Lai.}— <br />FINAL INSPECTION Date <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett. WA 98201 <br />Phone: 259.8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />CA <br />M <br />O <br />003 <br />O <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and save harm. <br />less the City of Everett from any and all claims for damages. costs. <br />I expensesor causes of action that may arise because of installation <br />i and maintenance of the improvement or other right-of-way Use here n <br />applied for and further agrees to remove same upon notic- from if <br />City and to replace public property damaged thereby. <br />t <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />