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� <br />� <br />TYPE OR PRINT ONLY <br />Oyvner <br />Applirant <br />�IkMlon Fa <br />PUBLIC WORKS PERMIT <br />Describe Proposed Work _ <br />PROJECT ADDRESS (if known) <br />PUBLJC WORKS DEPARTMENT <br />3200 Ceder Street <br />Everet6 WA98201 259-BB10 <br />Public Works Permft N <br />Building Pemdt M <br />Plan Check No: 8 52317 SEPA sFeei <br />Applicat.Date: 07/17/96 <br />Job Addreeae 6525 HIGHLAND DA <br />Owner: MAYER KELLY <br />Tenant: <br />Propoeed Uees GARAGE Phone <br />Deec. of Work: <br />NEW DETACHED GARAGE <br />OFFICE SET �70B SET ��° � <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />Attaeh rour (a) copies ot plena ror propoaed wak - Draw to scale and note the rolawing H applkable: <br />�PmoeAy Lines 'Outline and dimen-lons of ell exlaHng end p�opoaed strucWres on the bt •Existing end propoaed utilttbs <br />'Centerlina of aheet 'Indkate NoAh 'Show anY ProPoaed gredirp chenges 'Slww measuraments <br />PERMIT CONDITIONS: <br />t. All calls for inspection shall be made 24 hours fn advance - phone 259-8810. <br />2. All work shall be perfortned in accordance with this pertnit and current City of Everett Design and <br />Construction Standards and Speciflcations. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 7-800-424-6566. <br />�D f U' ,�' �i c �rks �rir1. � <br />Appoved for Consttuction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />� <br />O <br />� <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold end save harmless <br />the Clty ol Everett from any and all clalms for demages, costs, ezpenses, or <br />causes ot acNon that may arise because o( Installatbn xnd maintenence of <br />the improvement or other righFof•way use he�ato applbd tor end lurther agreas <br />to remove same upon notice from the City and to roplace publ� properry <br />demaged thereby. <br />Signature of Applicanl Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS N BE DIIIGEN7LY PURSUED TO <br />COMPLEf10N. THIS PERMIT MAY BE GANCELIED BY THE CI1Y UPON ANY STOPPA ,E OF N'ORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />