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Date_ �, <br /> . Pu01ie Wark�P�rm�t• <br /> Application ror eiaa o•oi. <br /> PUBLIC WORKS PERMIT PyOTOWFe�Fa� :_ - <br /> ��»Aool Fee PaiC S <br /> Print or Type Only Plan Check No: B 48543 SEPA Bnanc�oue S� <br /> Applicat.Date: O6/08/95 — <br /> Job Addresa: 7829 RAINIER DR <br /> Owner: MALECKI JOE/LOIS <br /> Tenant: <br /> Proposed Use: SFR/SHED <br /> Owner Desc. of Work: ;ip Phone <br /> STORAGE SHED <br /> Applicant OFFICE SET JOB SET <br /> •�P Phone <br /> APPROVED FOR PERMIT: DATE_/_/_ BY <br /> DescriCe Proposed Work _ <br /> Project Address(if known) � <br /> Attach four(4) copies of plans for proposed work• Drew to scale and note ihe following as applicable: � <br /> � <br /> • Properly L ines • Centerline of street � <br /> • Outline and dimensions ol all existing and • Indicate North <br /> proposed structures on the lot • Show any proposed gredin�changes <br /> • Existing and proposed utilities • Show measurements <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS O <br /> 1.All calls for inspection shail be made 24 hrs.in adva�ce-phone 259•881 O. <br /> 2.All work shall be perlormed in accordance with this permit and curcent City of Everett Design and Construction � <br /> Standards and Specilications. � <br /> 3.Call Location Underground Service 48 hrs,before you dfg.TOLL FREE NUMBER 1•500-424•5555. <br /> � <br /> /��o /-�i%l,z UJvr/�f �,-�, ,-f h���,;-�d � <br /> �/z/(.r � <br /> � <br /> �� `' � V� <br /> � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the City ol Everett from any and all claims for damages, costs. <br /> expenses, or causes of action that may arise because of installation <br /> and maintenance of the improvement or olher ri�ht-of•way use hereto <br /> Approved for Conslruction Date applied lor and further agrees to remove same upon notice Irom the <br /> City and to replace public property damaged thereby. <br /> FINAL INSPECTION Dale <br /> Approved as ConsDucted SignaWre ol Applicant Date <br /> ���I� PUBLIC' EPARTMENT WORK AUTHORI2ED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200 C ,et 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFZER IS �TO <br /> Everet' �2�7 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT A7AY BE <br /> Phon• 8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WOfiK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />