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):lon For <br />OL A <br />PUBLIC W AKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 9=1 259.9610 <br />TYPE OR PRINT ONLY <br />O <br />Date <br />Public Worm Permit a <br />Building Pa.ral 1 _ <br />Public Wofks Fee S _ <br />Plan Check No: B 57639 SEPA <br />Owner Mt Applicat.Date: 01415/98 <br />21 .E <br />Job Address: PONT. WOLFEF AVE <br />lr_"Ant: <br />Applicant Mf Propofed Use: SINGLE FAMILY RESIDENCE <br />Desc. of Wcrk: <br />BUILD NEW DETACHED GARAGE TO REPLACE OLD <br />Describe Proposed Work GARAGE <br />OFFICE SET JOB SBT <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />PROJECT ADDRESS (if known) <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following If applicable: <br />'Property, Lines 'Outline and dimensions of all existing and proposed structures on the lot 'Existing and proposed utilities <br />•Centerline of street •Indicate North Show any proposed grading changes 'Show meuurementa <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <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 firs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />!OUBLIC WORKS F^ 1n+) 1 <br />NOi FWIo: e <br />lY� <br />DATE—CI�_ <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />c/ <br />M <br />0 <br />z <br />0 <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby sprees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenaes. Or <br />causes of action that may arise because of Installation and maintenance of <br />the improvement or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace public propeAy <br />damaged thereby. <br />Signature of Applicant Date <br />NORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 190 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />