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Date p�pllc WoeMs Parmll• <br /> Application For eiay.oaa�.. <br /> PUBLIC WORKS PERMIT P°°��°W°,M.F°° <br /> Tolel Fee Z <br /> Leee Appt Fee PtlC S • <br /> Bal�nn D�e S <br /> Print of Type Only Plan Check No: C 43450 SEPA <br /> Applicat.Dare: 02/03/94 <br /> Job Addrese: 2314 MAPLE ST <br /> Owner: HEMMAT ALLEN <br /> Tenant: <br /> Owner proposed Use: GARAGE/STORAGE <br /> Deec. of Work: Z�P Phone <br />�� WNCRETE FLOOR,SIDING,DOORS,BATHROOM ' <br /> Applicant OFFICE SET JOB SET Zip Phone <br /> APPROVED FOR PERMIT: DATE_/_/_ BY <br />� Describe Proposed Work <br /> W <br /> Project Address(if known) � <br /> Attach four(4)copies of pla�s for proposed work- Draw to scale and note the lollowing as applicable: � <br /> � Property Lines • Centerline of street � <br /> � Outline and dimensions of all existing and � Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed ulilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shall be made 24 hrs.in advance•phone 259•8810. � <br /> 2.All work shell be performed in accordence with thts permit and current City of Evereit Design and CanstrucHon <br /> Stenderds end Specifications. <br /> 3.Cell Locetlon Underground Servfce 48 hrs.before you dig.TOLL FREE NUMBER 1-800-424•5555. � I <br /> O <br /> PUB NOTWREOUIREp MI'� � <br /> � <br /> BY � O I <br /> DATE 'Z � <br /> a <br /> ACKNOVJLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the City of Everett irom any and a�l claims for damages, costs, <br /> expenses, or causes of action that may arise because of installation <br /> and maintenance of the improvement or other righPof-way use hereto <br /> applied for and furiher agrees to remove same upon notice from the <br /> Approved for Construction Date City and to replace public property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature of Applicant Date <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTEU WITHIN <br /> ���� 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everetl WA98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259•BB70 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />