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Applicalion For <br /> Date 9-15-99 / <br /> � PUBLIC WORKS PERMII public Works Permil N �9 26 <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Streel <br /> Everett,WA 98201 (425)257-9810 Buildiny Pertnit N B9909•••018 <br /> O� <br /> TYPE OR PRINT ONLY TO POSTING � 2-��L Public Works Fee S _� __ <br /> Brian Elmore 10330 Meridian Ave Everett 98208 348-5846 _ <br /> Owner Mailing Address ��N ZiP Phane <br /> Blue Ribbon Richard Banta 360-424-9016 <br /> �P�i�y�� Mailing Address Ciry Zip Phone <br /> Describe Proposed Work detached garage � <br /> � <br /> � <br /> � <br /> PROJECT ADDRESS (if known) 10330 Meridian Ave �++ <br /> O <br /> Attach lour(4)copies plans for proposed work-Draw to scale and note the foiluwing if applicablo: � <br /> •Properry Lines •Outline and dimonsions ol all axisting and proposed structures on the lot •Existing end proposed utiliBes <br /> •CenteAine of sheet •Indicate NoAh •Show any proposod grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: O <br /> 1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be performed in accordance with this permit and current City o( Everett Design and � <br /> Construction Standards and Specifications. � <br /> 3. Call Location Underground Service 48 hrs. before you dig.TOLL FREE NUMBER 1-800-424-5555. <br /> 4, Nf-� DRIJ�WA`f 7� BE NoQTr� of EuUS7iu�:t SIR�L`T fbl.E�Sr4� O <br /> /�S SFh�w� o^� AP�°faVFp t�7� i='lAnl. A <br /> Ii <br /> ,G <br /> ; C!' _ <br /> � <br /> '���I!� <br /> � ACKNOWLEDGEMENT OF CONDITIONS <br /> The undereigned ownerlapplicant hereby agrees to hold erW seve harmless <br /> � ��/,7�q9 Ihe Ciry ot Everett trom arry and all claims fw damages,costs,eKpenses,or <br /> � causes of action that may arise because of installation end melntenance o�the <br /> pr ons r�c�ai 8 improvement or other rightof•way use hereto applied lor end lurther agrees to <br /> ��� _ remove same upon notice irom the Ciry and ro replece public property dam• <br /> i,u^–� � ��f"U/_ ag hereby. <br /> FINAL INSPECTION Date ' �� ���� �/��� <br /> Approved as ConsWcted f""� ,� a�—� <br /> a ure oTl�p IC � <br /> �(bMPLE710N.TFIIS PER�AR MAY BE CANGT71m B�T}1IDE CIT`(IUPON IUJY STDPPAGE VK7Ftl(ON T}AS PRQIECTOHER 90 DAY DU�T�%Ml.!PURSUED l0 <br />