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r <br /> �.� <br /> �;.�te — <br /> ,�„ /7 _ i - - <br /> . Vu011e Work�P�rml11 _,�— <br /> Applicatlon Far eiaa o.n�. <br /> PUBLIC WORKS PERMIT PuClieWorkaF�� — <br /> rm.i F.. s <br /> Lata A00�Fe�PNE S <br /> Print or Type Only e.u��.o�. S.�_ <br /> Owner Plan Check No: B 47646 SEPA <br /> Applicat.Date: 03/06/95 Phane � <br /> Job Addreas: 1011 MAPLE ST <br /> Owner: OAS JAMES <br /> Appltcant Tenant: <br /> Proposed Uae: SFR/GARAGE Phone <br /> Desc. of Work: <br /> ATTACHED GARAGE <br /> Describe Proposed Work <br /> OFFICE SET JOB SET <br /> APPROVED FOR PERMIT: DATE_/_/_ gy_ <br /> Project Address(if known) � <br /> At:ach iour(4)copies of plans lor proposed work•Draw to scale and note the following as appltcable: � <br /> • Property Lines � <br /> • Centerline ol street � <br /> • Outline and dfinensians of all exlsting and � Indicate North <br /> proposed structures an the lot • Show any proposed gredtng changes <br /> • Existing and proposad utilities • Show measurements <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS O . <br /> 1.All ca��s for inspectton shall be made 24 hrs.in advance-phor�e 259-8810. <br /> 2.All Nvrk shell be pedormed in accordance with this permit and current City of Everett Desfgn and Construction � ' <br /> Standards and SpeciHcationa � '. <br /> 3.Cail Location Underground Servica 48 hra before you dlg.TOLL FREE NUMBER 1•800-424•5555. <br /> � 'I <br /> �UBLIC WORKS PEP,AIIT O I <br /> NO7 qEOUIREB � <br /> �y <br /> r�ATe 3 /O 9S � <br /> O <br /> a <br /> � ACKNOWLEDGEMENT OF CONDITIONS <br /> — The undersigned owneUapplicant hereby agrees to hold and save harm- <br /> . less the City ol Everett from any and all claims (or darageS costs, <br /> expenses, or causes of acticn that may arise because of installation ' <br /> and maintenance o1 the improvement or olher righbof•way�se hereto <br /> Approve2 lor Construct�on Date applied lor and turther agrees to remove same upon notice from the <br /> City and to repiace public property damaged thereby. <br /> FINAL INSPECTION Dale <br /> Approved as Constructed Signalure ol Applicant Date <br /> PUBIIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS SO ' <br /> Everelt WA 98201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY 8E <br /> Phone:259•8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />