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� —•lication For .' <br /> PUBLIC VrJRKS PERMIT Date <br /> PUBLIC WORKS DEPARTMENT public Works Portnit M <br /> 3200 Ceder Street <br /> Everett,WA 98201 259-8810 Building Pertnit!i <br /> TYPE OR PRINT ONLY Pub�ic Works Fee S <br /> Plan Check No: B 52505 SEPA phone <br /> Owner Applicat.Date: 08/06/96 <br /> Job Addrese: lOb2 GRAND AVE <br /> Owner: FERRO MIICE <br /> Tenant: phonc <br /> Applicant Proposed Uee: GARAGE <br /> Desc. of Work: <br /> CONSTRUCT DETACHED GARAGE � <br /> Describe Proposed Work <br /> OFFICE SET JOB SET � <br /> APPRUVED FOR PERMIT: DATE_/_/_ BY � <br /> �/ <br /> PROJECT ADDRESS(if known) � <br /> Attech four(4)copies of plans for proposed work•Draw to scale and note the following if applicable: O <br /> •PropeAy Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilitles <br /> �Centerline o1 street •Indicate North 5how any proposed grading changes ':how measurements � <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. O <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. H <br /> . V♦ <br /> O <br /> �� � a <br /> pw � �'�'� � _ <br /> � <br /> ,�,� -�.� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to Mld and save hartnless <br /> the City of Everett from any and all claims for damages,costs,expenses,or <br /> causes of action that may arise because ot installatbn end maintenance of <br /> ApprovediorCo�struction Date theimprovementorotherright-of-wayuseheietoappliedforandiuAheragrees <br /> to �emove same upon notica from the Cily and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTiON Date <br /> Approved as Conshucted <br /> Signature of Applicant Data <br /> WORK AUTHORIZED BY THIS PEHMIT MUST BE STAATED WITHIN 100 DAYS OF DATE PERMIT IS ISSUED AND T iEREAFfER IS TO BE DILIGENILY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS OURATION. <br />