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� <br />� <br />TYPE OR PRINT ON� Y <br />ApPlication Fw <br />PUBLIC V )RKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Sireet <br />Everatt, WA 98201 259•8810 <br />pN,�� Mailir <br />Applicant Malli� <br />Describe Propased Work <br />PROJECT ADDRESS (f known) <br />Date� <br />Public Nbrks Permit M <br />Building Pertnit N _ <br />Publie Works Fee S _ <br />Plan Check No: B 51327 SEPA <br />Applicat.Date: 04/04/96 <br />Job Addrs: 361b OAKES AVE <br />Owner: JONES JOHN <br />Tenant: <br />Proposed Uee: GARAGE <br />Deac. of Work: <br />CONSTRUCT NEW DETACHED GARAGE <br />OFFICE SET JOB SET <br />APPRVD FOR PERMIT: DATE_/_/_ BY <br />Phone <br />Phone <br />qxacn rour (e) eopiea o� p�ana f« p�oposed worlc - orew ro sca�e and rwte tne ro�lowioq n app6eaae: <br />�prpperty Lines 'Outlfne and dimensbns of all existing and proposed structures on the bt 'Scisting end proposed utllNles <br />�Centerline ot street 'Indk:ele Nath 'Show eny proposed grading chenges 'Show meaaurements <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 perfortned in accordance with this permit and cument City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-4245656. <br />PUBLIC WORKS PEpM�� <br />NO� qE�UIREA <br />/AT E . .�.r�.�,�_. <br />Approved fa Conatnictbn Dete <br />flNAL INSPECTION Date <br />Approved as Construded <br />� <br />O <br />� <br />� <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undeniyned ownx/appl�cant harebY aprees ro Iald �nd ssve Mmihss <br />the Cly of Everelt from any and all elaims for damapn, coab� expsnns, a <br />a.ux. m.otbn tnet mey erise be�.�g. rn �nsteN.can and mdm.fwk. of <br />Me k�pmvertient a other riphtof-wey use hereto appNed for �nd helher �P�s <br />to rsnave seme upon noNce trom the Cky and to rapl�cs pubNc P�P�Y <br />damaped thareby. <br />Signeture of Appiicanl �°18 <br />WORK AUTHORIZED BY THIS PERMR MUST BE STAFiTED WITHIN 180 DAYS OF DATE PERMR IS ISSUED AND THEREAFfER IS TO BE DILI6ENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVEH 90 DAYS DURA710N. <br />