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� J ' <br />TYPE OR PRINT ONLY <br />Owner <br />ApplicaN <br />Describo Proposed Work <br />Application For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARiMENT <br />3200 Cedar Sireet <br />Everetl, WA 982D1 (425)��8l02 � <br />PROJECT ADDRESS (if known) <br />,e <br />Put�lic Works Permit k <br />Building Permit N <br />TO POSTING _---- Public Works Fee $_ <br />Plan Check No: B 62372 SEPA <br />Appllcat.Date: OS/OS/99 ione <br />Job Addre: 3622 OAKES AVS <br />Owner: SORENSON MICHAEL <br />Tenant: <br />Propoeed Uee: GARAGE ione <br />Deec. of Work: <br />NEW DETACHED GARAGE <br />OFFICE SET JOB SET <br />APPRVD FOR PERMIT: DATE_/�/_ BY � <br />Attach four (4) copies plans for proposed work • Draw to scale and note Me Idiowing il eppiicable: <br />• property Lines • Ounine and dimenslons of all existing and proposed strutlures on Me �.t • Exi>ting and proposed utillUes <br />• CenteAine of atreet • Indicate North • Show any proposeA graCinp chanyes • Show meawrements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: <br />1. All calls for inspectlon shall be made 24 hours in advance - phone (425) 257-BB10 <br />2. All work shell be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specilications. , <br />3. Call Localion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />=UDLIC WC�RKS r'eRSii� <br />NOT FUL'IRE� <br />trl'�_ G <br />• nT F . --- �j V��- - -- <br />�7 <br />� GM�YM/� F�V��J�S� �ic�C.�UG� —' vP-uX����LG�AL�On �G'f"AM�'�3 <br />✓ i k"Ps-1 . <br />�� -�i-b n-� � fT 5(�� -{� ?� t l ,5cs''-�Z� cG wtu Sf. <br />�VanSi-�iG✓i �c�M( g� °�'G � <br />��vE. ex�Ee�d �-f� ��� �-h�,�s l�.z� b� ou�� Pra�e�-L-�.�>, <br />pprove or ns ruc on e�e <br />FINAL INSPECT70N <br />Approved as Constructed <br />Oate <br />ACKNOWLEDGFMENT OF CUNDITIONS � <br />The urWe�signed ownerlapp��rant hereby agrees to ho�d and save hartMess <br />the Ciry o� Evoretl Irom any end ali clalms for Camages. costs, ezpenses, or <br />causes of action that may arise because of Insallation and mainterence ol Ne <br />improvemenl or other right-of•way use hereto applietl lor end fuMer agreeb b <br />remove same upon notice from the Ciry end ta rcolace puWic properry dam- <br />aged Ihereby. <br />igna ure o p ican <br />V�pRK AUTtiOR� BY THIS PEAMR MUST BE STAFifED WITHRJ iB7 DAYS OF DATE PERMff IS iSSUE� PAID T}EF�AFfER IS 7� BE DLJGENT�Y PURSl1EUlD <br />COA�PIETpN. THIS PEFlMR MAY BE CANC�lED BY T}iE CRY UPON NJY S10PPAGE OF NOFiK ON T}N;.� i'RO.ECTOVER 90 DAY3 DURATION. <br />