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Date <br />Applicatioc For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Owner <br />Applicant <br />�escribe Proposed Work <br />'rojecl Add� ;ss �if known� <br />Plan Check No: B 45310 SEPA <br />Appllcat.Date: OB/18/94 <br />Job Addreae: 16b3 MCDOUGALL AVE <br />Owner: NEILL CHRISTOPHER <br />Tenant: <br />Propoeed Use: GARAGE <br />Desc. of Work: <br />NEW DETACHED GARAGE <br />OFF7CE SET JOB SET <br />APPROVED FOR PERMIT: DATE_�_�_ gy <br />4ttach four(4) copies ol plans for UropuieJ wu:k <br />Drai�• In sr,�l�a and nuie the to�luwing as applicable: <br />• Property Lines <br />• Outline antl dimensi0n5 0� all eai5ting and <br />propo<ed slructures on the lot <br />� Exisling and proposed utilities <br />uC6C Wp�Mf Pcrmll • <br />OIJO� Ocol � _ <br />v„ni.e wo�w�— -- <br />Tolrl Fee S <br />Lesf 400L Fce PaiC $ <br />Oalan�e Oue $ <br />• Cr.nierlinA of slreet <br />• Indicate North <br />• �how any r,roDosed grading changr.5 <br />• Show measurements <br />Phong <br />w�.v�vvrn�r.utWWTHISLINE - <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in a�'vance • phone 259•8810. <br />2. All work shall be pedormed in accordance with this permit and currenl City of Everett Design and Construction <br />Standards and Specilications. <br />3. Call Localion Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1•800-424•5555. <br />INITIAL �NSPECTIOW <br />KIRK BROOK6 <br />DAT� 8 /8 %`� <br />� <br />�e <br />I <br />i <br />xoved for Construction Daie � <br />IAL INSPECTION � ��te <br />�roved as Construcled <br />� PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />� ,. Everett. WA 98201 <br />°hone:259•8870 <br />one <br />� � <br />�� <br />/ACKNOWLEDG[MENT OF CONOITIONS <br />Z <br />� <br />r <br />� <br />V <br />a <br />The undersianed owner/appliCznt he�eby zgrees to hold and saee harm� <br />less the Cdy ol Everell Irom any and all cl�ims lor Oamages. costs. <br />ezpenses. or �auses of action Ihat may aris^ because ol insiallation <br />and maintenance c! Ihe improvement or othe: iight�ol�way use herelo <br />ap��l�n,; lor and furiher agrees to remove samc upon no�ice trom �he <br />C�ty ,�nC to replace pu6lic property damaqed Ihe�eby. <br />Signature ol Applicanl Date <br />1NORK AU7HORIZED BY THIS PERMIT MUST 6E STARTED WITHIN <br />�AO DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSU[D TO COMPLETION. THIS PEAMI7 tdAY BE <br />C4NCELLED 9Y THE GTY'JPON ANY STOPPqGE OF WORK ON THIS <br />PR�.IEGT OV[R 90 C1AYS DUF7�ITION. <br />