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D810 v.e�.cwm��vs�mn. ' _ <br /> Applicallan For eioo oeoi.• <br /> PUBLIC WORKS PERMIT ^�°re,:,�:^• _ — <br /> �.,..��...o.b s--- <br /> a.�.��.��. s <br /> Print or Type Only <br /> Plan Check No: B 39351 SEPA <br /> Owner App11cat.Dates O1/21/93 � P�one <br /> Job Addreeec G444 kIDGEHONT DR <br /> Owner: WNNINGNAN B <br /> Tenant: <br /> Prapased Uee: GARAGfi/SFR <br /> Applicanl �REPLACE FIR6�OAMAGE CAAAGE � P�one <br /> Descri�e PropoSetl Wark _ OFFICE SET JOB SET <br /> APPROVED FOR PERMIT: OATE_/_/_ BY_ <br /> W <br /> Proiecl AEaress�if knawn) � <br /> Attac��our�4)copies ol O�Tns lor pro�ased work�Draw lo scale antl nate the lollowing as apPliwble: � � <br /> •Pmper�y Lines •Centedine olSbeel /A <br /> •Outline and dimensions o�all ezisting anE •Indicale NarU V� <br /> pm0osed slmclwes on t�e lot •Show any proposeE grn0ing changes <br /> •Existing and pmposed utilities •Show measuremenls � <br /> DO NOT WRITE BELOW THIS IINE O <br /> PEflMIT CONDITIONS <br /> 1.All calls lor inspection shall be made 24�ri In ativance-phona 259•8810. � <br /> 2.pll work sholl be perlormed in eccordance wi!h Ihis permit entl currenl C��y ol Everett UeslBn and ConsiNction <br /> Stantlartls anE SOecificatlons <br /> 3.CaIILocationUntlergrountlServite48hrs.teloreyoudig.TOLLFHEENUMBEH7•800-424•5555. � <br /> O <br /> PUBLIC WpRKS PERMIT � <br /> NOT PSOUIREO � <br /> �Y� <br /> DATE�(a �� O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> T�e unaersigneE owneqapPllcant he�eSy agrees to holtl and save harm� <br /> - I?ss Ine Gty oi Evereli Irom any anE all claims lor aamages cosls, <br /> e�penses, or tauses ol aclion t�at may arise because ol inslallation <br /> anA maintenance ol I�e improvemenl ar other riBhbol�way use he�eto <br /> applied lor and lutl�er aBrees lo remave same upon natice Irom I�e <br /> APOrovetl lor Conslmction Date �ily and lo replace pu01m pmpetly aamayetl Ihereby. <br /> FINAL INSPECTION Da�e <br /> Approved as ConslmcteC Si9^aiure ol Apptitanl Dale <br /> � PUBLICN'ORKSOEPARTMENT WORK AUTHORIZED BV TMIS PERMIT MUST BE STARTED WITh11N <br /> 32nOCetlarStreel 180 DAYS OF UATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 6�-:011 WA98Y01 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Pncne:159�BB10 CANCELLED BY THE CITY UPON ANV STOPPAGE OF WORK ON THIS <br /> PFiOJECT OVER 90 OAYS DURATION. <br />