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Date $�31/ � �� <br /> �• Puoec NoiFs Pr�544T�� <br /> Application FO� einq Den� • <br /> i- <br /> P�dLIC WO�KS P�RMIT P,����_,���,�=F�� -- <br /> � TOITI FPp S_ <br /> � <br /> d less Anpl Fee Pam $ <br /> �— <br /> Print or Type Only �_ � �� a � � e.,�,��,.o�� s .3S— <br /> .r � " ' vi vi <br /> �; �? �^ �,; � �.; O 0 Z- 3Z 2 �a/i8� <br /> r•, rt .w .-+ / <br /> Gary L Davis 1625 E MariTSe �e'1� Dr /f� �,'verett 98201 258-2022 40�,�„ <br /> Owne.r A4 _rmy �d�e� c:� o w :i Crt. I_�n Phonu <br /> .i p � C�.l :e: O T LLI <br /> UWIlEL ti '.�s �� UJ [i � tF_'.l f� <br /> y <br /> AGPlicant M.��hna 4ddress .�_--_ritv — —.>ip _—'__— Phone --__ <br /> New storage �aarehouse <br /> Describe Proposed work —__-______ _____ LET ME DRAW YOU A PICTCXiE <br /> --------- --- � <br /> --------- -_-_-_ NoT �,��� f-- W <br /> 1725 E Marine Vw Dr - <br /> Projec�Address(d known! __ _______.____ ___ �— � <br /> A�taeh four�41 coP�es ot plans toi proP�sed wc��: - Drav: to,c.i�., .u�o notr tho'ollc�vin� [ � <br /> • Proper�yLinec • Cen�erlin� � �� �� w0��� �� <br /> • Ouiline and dimensions ol all exi�tmg and • Intlicab: > �Ue� ^ � <br /> proposetl structures on the lot • S�iow anv I I <br /> • Exisling and proposed utilities • $pow n•.r; � <br /> S PJ! <br /> DO NOT WRITE 6[LOW iHIS LINE � O <br /> PERMITCONDITIONS J`M�V'Fi�T'�,� �7 <br /> 1.All calls for inspection shall be made 24 hrs.in advance-phone 259•881 o,mu+.e a,.�.r!n� � <br /> 2.All work shall be peAormed in accordance with this permit and current City <br /> Standards and Specifications. � <br /> 3.Call t ocation Unaerground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800•424-5555. --- �"" � <br /> � c��elf .��./��� 6�/�,d ,�, ��fH� ,cs��d Q <br /> Q�o� �- ��,�� �°�� �-� .��� �,�� <br /> �' ,�OG � <br /> .J C-�iYu-�f�� C!"/7,cc.L�G�Ja/1 /eCliS.� .iCc���Q-�/L /C.Lty .��arn.C/R/L� � <br /> -� 307 � �� � <br /> a <br /> ACKNCJWLFDG[PdENT OF CONDITIONS <br /> lh���.intlr-rvqnei7 owneNappliCani hereby agree5 io hold and save harm� <br /> �--- -- ---� io5s ;h�- City er Everett from any and all claims lor damac�es, costs. <br /> ; e*penses. or causes ol action that may arise becausa ol installation <br /> i��� and rnainlenanr,e ol Ihe �mProvement or o�her ri9h��ol-waY use hereto <br /> � apn��ed fo� and turiher aqrees to remove same upon notice Irom the <br /> Appro ed for Co .,trucliy �'�•�� I C��'y ar,d tn replace p�J6c prnperty damaged �hereby. <br /> / <br /> i <br /> FINAL INSPECTION p��e i <br /> Approved as Constructed I Sianatwe ol Apphc n! Oate <br /> �AII�� PUBLICWORKSDEPARTMENT IVORK AUiHORIZ D BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarSireet i �AO DAYS OF DATE PERM1IIT IS ISSUED AND THEREAFTEF IS TO <br /> Everelt,WA 98201 BE DILIGENTLI' PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259-8810 , CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> �� PRO.IECT OVER 90 DAVS DURATION. <br />