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,-. .-. <br /> Date PUEI¢Works Permit• <br /> Biap.Oeo�.• <br /> Application For <br /> PUBLIC WURKS PERMIT PuOTOWFeeF�u s . <br /> LeSs ApP�Fee Pal� S <br /> Bebnce Due S <br /> Print or Type Only <br /> Plan Check No: 8 42219 SEPA <br /> Applicat.Date: 10 O1/93 <br /> Job Addre9e: 68 8 OLYMPIC DR <br /> _ Owner: FOSKET KENNETH �P Phone <br /> Owner Tenant: , <br /> Proposed Uee: GARAGE/SFR <br /> Desc. of Work: <br /> NEW GARAGE W/STORAGE <br /> Applicant ip Phone <br /> OFFICE SET _ '�B SET <br /> - Describe Proposed Work _ APPROVED FOR PERMIT: L'�TE_/_/_ BY <br /> W <br /> Prolect Address(if known) � <br /> Attach four(4)copies of plans for proposed work•Draw to scale and note the tollowing as applicable: � <br /> • Property Lines • Centerline ol street � <br /> � Outline and dimensions of all existing and • I�dicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements /� <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All celis for inspeclion shall be made 24 hrs.in advance•phone 259•8810. � <br /> • � 2.All work shall be peAormed in accordance with this permit and wrrent Cily of Everett Design and Construction <br /> Standerds end Specifications. <br /> 3.Cell Location Undarground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> O <br /> :�BIIC WORKS PERMIT � <br /> NOT REOUIRED � <br /> 3 V ✓�' <br /> D AT E �t//93 O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicanl hereby agrees to hold and save harm• <br /> less the City ol Everetl Irom any and all claims for damages, costs, <br /> expenses, or causes of action that may arise because of installalion <br /> and maintenance of the improvement or other right-of-way use herelo , <br /> apulied tor and further agrees to remove same upon notice from the <br /> Approved lor Construction Date Ciry and to replace public property damaged thereby. <br /> FINAL INSPECTION Date Date <br /> Approved as Construcled SignaWre ol Applicanl <br /> 4 WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> �A�� PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CedarStreet BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259-8810 PROJECT OVER 90 DAYS DURATION <br />