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u <br /> � APPI�ion For 'f� �S� �° NOV O 9 ��9� <br /> PUBLII� WORKS PEKIVI��� Date 4-8-96 <br /> PUBLIC WORf' CEPARTMENT Puhlic Works Permit k I(L' ��U <br /> 32Uu�ar Street - <br /> E��erett,WA 9�1 259-BB70 <br /> 8 Building Permit p 51363 <br /> TYP�OR PRINT ONLY � g � 'g' p '�' -� <br /> N N M N � � Public Works Fee$ �'� <br /> n� <br /> -• «. .., <br /> Dul;e koberta 14115 39th Dr �]M Plarysville 98271 356-5989 (wr};) <br /> Owner Mailing Addres—� �.; � ti�e �py Z�p Phone <br /> °+ o �8"� �G �-' <br /> Ga[eway Builders Glen D �a�ti�� �iAc-�18 <br /> Applicant Mailing Address City Zip Phone <br /> Des,:ribe Proposed Work new detached garage <br /> W <br /> H <br /> - <br /> PROJECT ADDRESS (if known) 2001 Rockefeller Ave � <br /> Atlach four(4)copies of plans fnr proposed work•Drew to scale and note the following if appllcable: � <br /> •P�operty Lines •Outline and dimensions of all existing and proposed structures on tha lot •Existing and proposed utilities O <br /> •Centerline of street •Inuicate 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 FREE NUMBER 1-800-424-5555. � <br /> G{ , .5 ;d e sewe� �� �s-� be v���r�c{-� C Ev w�e�� �l� � <br /> i� PC. ,,�►,.e,�, Jn de-� vte�,� �� rc:�ye. . 5;�e�s��.r � <br /> wa r lc cx�-�s;de o� c�z rz,�� 5 �� �I ccti,-�o✓�w� -{-a � <br /> c �-� Sr}-� �Ic� #c��o( . � �-fe�zt�iue�c� , <br /> S�c1��.r ���� �e, ra�-te� �:���,-,� �c.,�,y,e . � <br /> � �� �o-� ���� ►^vv� cr(� S G1�i c�( �,z �v� n z c-E �� -1--n S ��!� S��u-r%y� <br /> GGf �I �S�C�/t�v —y��l — /`N J -�G'r C�,��Si: � 7�'�/t"� . <br /> i� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> 4/ ��� / The undersigned owner/appli:ant hereby agrees to hold and save harmless <br /> �I ��� �� E, the City of Everett(rom any and all claims for damages, costs,ezpenses,or <br /> Ap r ved for Construc ion ate causes o1 action that may arise because of Instellation and maiMenance of <br /> �� �-� '��° S�'u � theimprovementorotherright-of-wayuseheretoapplledforandfurtheragrees <br /> // ti`� to remove same upon notice 1rom the City and to replace public property <br /> �.�'�`�� . r----t" �..�r� 1 �}-i - ,.t%/�� damagedthereby. <br /> FINAL INSPECTIO � d I� Date <br /> Approved as Constructed � <br /> i <br /> ) <br /> Signatur of pplicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUSI�BE STARTED WITHIN 1B0 DAYS OF DATE P:RMIi IS ISSUED AND THEREAfTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJFCT OVER 9U DAYS�URATION. <br />