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�a�e �•.� � PuE1�c Worb Pumll• <br /> . eiaa.o.oi.• <br /> Appllcetlon For <br /> PUBLIC WORKS PERMIT PuDTol�FeeFae , <br /> ��p ApO�Fee PiiO S <br /> Bal�nc�Du� { <br /> Print or Type Only <br /> Plen Check No= 8 44905 SEPA <br /> Applicat.Date: 07/13/94 <br /> Job Ad�n:�= gISHOP�NARSHA <br /> Owner Tenants Z�P Phone <br /> Propoead Ueei SFR/CAAPORT <br /> Daro. of Works <br /> POLfi BUILDING/CARPORT <br /> iip Phona <br /> Applicant <br /> OFFICE SET JOB SET <br /> Deecribe ProOosed Work APPROVED FOR PERHITt DATE_/_/_ BY <br /> W <br /> Pro�ect Addresa(il known) � <br /> � <br /> Attech four(4)copiea ot Plans lor proposed work• Draw to scale and note�ne lollowing as applicable: � <br /> • Property Unes • Centerlina ol etreel <br /> • Outline and dimensions ot ell exisliny and � Indicale North <br /> proposed slruclures on the lot • Show any proposed greding changes <br /> • Exiating and proposed utilities • Show measurements M <br /> W <br /> PERMITCONDITIONS �,i ��"v� � O <br /> 1.All calle lor Inspectb ,\ '� ( � of Everett Deaipn and ConeWclion � <br /> 2.All work shall be ped /� LV ; V <br /> Stendarcls end Spac � � MBeR 1•800�4245555. <br /> a call Locaslon under{ �� ' �;�(' ,� � <br /> �� PERMIT <br /> \ �e� � WOIlKS O <br /> � PVB NOT REQ�IRED <br /> � <br /> INITIAL INSPECTIR�}E � <br /> PAUL McKEE O <br /> DATE a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm• <br /> less the City of Everelt Iram any and atl claims tor damages, costs. <br /> expenses. or causes of action thal may arise because ol installaiion <br /> and maintenance ol the improvemenl or other right•of•way use hereto <br /> applied lor and further agrees to remove same upon notice from the <br /> Approved for Construction Date Cily and to replace public property damaged thereby. <br /> FINAL INSPECTION Date Oate <br /> Approved as Constructed Sipnature ol APPlicant <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CedarStreet BE DILIGENTLY PURSUED TO COMPLETIO�'. THIS PERMIT MAY BE <br /> Evarett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259-B8f0 PROJECT OVER 90 DAYS DURATION. <br />