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� .iwtion For __ <br /> PUBLIC WORKS PERMIT Date <br /> PUBLIC WORKS DEPARTMENT Public Works Pertnit# <br /> 3200 Cedar Street <br /> Everett,WA 98201 259•8810 <br /> Building Pertnit A <br /> TYPE OR PRINT ONLY Plan Check No: H 52316 SEPA <br /> Applicat.Date: 07/17/96 orksFce$ <br /> Job Addresa: 7620 ftAINIER DR <br /> Owner: KELLY RICH <br /> Owner Tenant: <br /> Propoaed Uae: GARAGE Phone <br /> Desc, of Work: <br /> NEW DETACHED GARAGE <br /> Applicant <br /> OFFICE SET JOB SET Phone <br /> D@SCfIbB PfOP05@d WOfk. APPROVED FOR PERMIT: DATE_/_�_ gy <br /> -- W <br /> F- <br /> - <br /> PROJECT,ADDRF:SS(if known) � <br /> Attach four(J)copfes of pians for proposed work-Draw to scale and note the following if app�icable: W <br /> 'Froperty Lines 'Outline end dimensions of all existing and proposed structures on the lot •Existing and proposed utilities O <br /> •Centerfine of streat •Indicate North 'Show any proposed grading changes •Show measurements <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: � <br /> 1. All calls for inspection shall be made 24 hours in advance-phone 259-8810. <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and O <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FP.EE NUMBER 1-800-424-5555. <br /> ��/� <br /> �/♦ <br /> O <br /> �o �ibl%� l�/or�r D��i.'f �+7� 4' <br /> 7��y <br /> � /� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees to hold and save harmless <br /> the City of Everett from any and all cla!ms tor damages,costs,expenses,or <br /> Approved for Construction pa�e causes of action that may arise because of installation and maintenar�ce of <br /> ihe improvement or other right-of-way use hereto applled fo�and further agrees <br /> to remove same upon notice Irom ihe City and to re2lace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEPEAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLEf!ON.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANt'STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />