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Dale � <br />Ap011calion For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Owner <br />Applicanl <br />DestrlCa Propased WorM <br />Prolec� Adtlrass (il known) <br />Plan Check Noe B 41681 SEPA <br />Appllcai.Date: OB613/9 <br />Job Ad�ne[: WELLSRPAULEJ AVE <br />Tenant: <br />Propoeed Uae: CAAACE <br />Deec. o[ Work: <br />NEW GARAGE — 5725F <br />OFFICE SET JOB SET <br />APPROVED FOR PERHIT: DATE_/_/_ BY� <br />!. hO4C WOti� V��mil • <br />ewo o.o�- • <br />�,eKwa...„ _ <br />,�.�.« <br />L.0 �oM in v.w S <br />BWmOu� f <br />Zip P�one <br />2ip <br />Altech lour (4) copies ol plans lor praposeE work- Draw to scale anC noto t�o lollowing as epplitable: <br />• Prope�ty Lines • Centerline ol st�eet <br />• Oulline anE dimansions ol ell existing an0 • InEicate North <br />pro�osed st�uclures on the lot • S�ow any proposetl greding t�anges <br />• L'xisting and pwposed utllities • S�ow measurements <br />PERMIT CONDITIONS <br />1. All calls lor inspeclion shall DB mede:4 hlS.In advence- phone 25�8810. <br />2, All work shall �e peAormed In accordance with I�Is permit end current City ol Everelt Desiqn end Construction <br />Slentlards nnd SpOtilicetlons <br />3. Call Localion Untlerground Service 48 hrs belore you tli0. TOLL FREE NUMBEN 1•800�424•5555. <br />iNITIAI INiPECT10N <br />KIRK BROOKS <br />o�TE 8 is 9� <br />ApProvM br Consimction Dale <br />FINAL INSPECTION Dnto <br />Appiovetl as Constmcted <br />�PUBLICWORKSUEPAFTMENT <br />3200 Cetlar Slreet <br />Evereq WA 98701 <br />P�ane:259�BBt0 <br />P, �`' <br />1,IU e��.� u�.�J <br />v � /`PS �l�"" <br />PUBLIC WORKS PERMIT <br />NOT REOUIRED <br />BV <br />DATE <br />ACKNOWLEOGEMENT OF CONDITIONS <br />Z <br />O <br />N <br />a <br />The underSiB^etl owneqnpPlicant bere6y agreos to holtl anC savo �a�m� <br />lass I�e fity ol Everelt Irom any and all cl&ims lor Oamage4 cost; <br />expenses, or causes ol aclion I�al may atlse becauso ol inSlalla�ion <br />antl maintenance ol I�e improvemen� ar other �ighl�ol�way use �ereto <br />ap0�ietl lor antl lurtner agrees lo remove same upon noti[e iwm I�e <br />City and lo replace puElic property damagea Ihereby. <br />Signalure ol APDlicnnl Dale <br />WORK AUTHOR12ED BV THIS PERMIT MUST BE STARTED WITNIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREr1F7ER IS TO <br />BE DILIGENTLV PURSUED TO COMPLEiION. THIS PERMIT MAV BE <br />CP.NCELLED BY TME CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 OAVS DURATION. <br />