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Date 3-2z-93 i <br />Applice,ion For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />VuO��c WeM1� P1rmi� • <br />eiav o�o� . 39962 <br />wmc wm�. r.. <br />tom r.. i <br />�es� �om re. v.a 3 <br />e.im�.oue ! <br />Brett Raymond 1701 Holbrook Ave Everett WA 98203 355-6II3 <br />Owner MaINngAtlGress C�ty Zip Phone <br />Spectrum Const 2442 NW Merket St Suite 56 Seatele WA 98107 783-a1IG <br />Applitant MBIIin�AEAre55 C�ly 2ip P�one <br />Describe Propasea Wo�k new attached garage with deck <br />Piolect Ntldress �il knownl <br />AltTch IOur �4) copies ol plans lor piopoSeC work � Draw lo scale antl nolr Ine lollowing as appGcablp: <br />• P�ope�ly L�nes • Centedme ol 5lreei <br />• Outlme antl d�imenslo�s ol nll eaisting antl • InEicate North <br />pwposetl simctures on I�e lol • Show any proposetl giatling cbanges <br />• Eusling antl peo0osetl utilities • Snow measuremen�s <br />PERMIT CONDITIONS <br />t. An caue lor inspec�ioa shen be matle 24 nrs. in eEvance � pnone 259�8810. <br />2. All w0�k s�ell �e peAormed In accordance wit� IAis permit and turront Cily ol Everel� Design entl Cons�ruc�ion <br />Stendards entl Specifications <br />3. Call Localian Undergrountl Servite 4B �rs. betare you tlig. TOLL FREE NUMBEq �•$Oo-4i45555. <br />PUBL16 WBq�e PERMIT <br />NOT REOUIRED <br />BY_� ��B <br />DATE '3 ��--lY 9� <br />Approve� br COnSbuCtion DaIC <br />FINAL INSPELTION Dnte <br />ApOmvetl os Constructed <br />�PUBIICWORKSDEPARTMENT <br />7200 Cedar Slrcet <br />Evere�l. WA9B201 <br />P�one:25B�8810 <br />ACKNOWLEDGEMENTOFCONOITIONS <br />Z <br />O <br />/�� <br />V♦ <br />O <br />a <br />The untlers�gnetl owneVapphwnl �ereby agrees to noltl antl save na�m� <br />less Ihe C�ty ol Evorelt Imm nny antl all claims lor damages. costs. <br />ewpenses. or causes al acbon I�at may anse because al installation <br />ai.! mainlenance ol Ihc improvomene or ot�er rigpFobway use hereto <br />�ppbcd lor antl Iuriher aqrees to ramove same upon nol¢e Irom t�e <br />City antl lo replate Oublic pro�erty damageE Ihereby. <br />Siqnatme ol APpliwni Oale <br />WO(iK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERAIIT IS i55UED AND TMEREAFTEF IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAV BE <br />CANCELLEO B1' TME CITY UPON ANY STOPPAGE OF WORN ON iHIS <br />PROJECT OVER 90 DAVS DURATION. <br />