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� <br />TYPE OR PRINT ONLY <br />Owner <br />Applicant <br />Describe Proposed Work <br />�:ation For <br />PUBLIC Wc�RKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />32D0 Cedar Street <br />Everett, Wq 98201 259-8810 <br />PROJECTADDRESS (if known) <br />Plan Check No: B 52456 <br />Applicat.Date: OB/O1/96 <br />Job Addrese: 54b7 kOCKEFELLER AVE <br />Owner: CHRISTENSEN JON W <br />Tenant: <br />Propoeed Use: GARAGE <br />Desc. of Work: <br />DETACHED GARAGE <br />Date _ <br />Public Works Pertnit # <br />Building Permit k_ <br />a� �tiu� u�...�,. Fee $ _ <br />SEPA <br />OFFICE SET _JOB SET <br />APPROVED FOR PERMIT: DATE_/_/_ HY <br />Phone <br />Phone <br />Attach four (4) copies of pians for proposea work - Draw to scale a•.d note the fol�owing if applicable: <br />•PropcAy Lines 'Outline and dimensiorrc of all existi�g anc proposed structures on tho lot •Existing and proposed utilities <br />•Centerline of street •Indicate North •Stiow any proposed grading changes •Snow measureinents <br />PERMIT CONDITIONS: �'""' """ `""vrv i rna urvt <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 <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />� ��/,z �rks `r�✓�, t Kf��n� <br />/���----- � <br />'X � �$SuC f/�v�ri �jhq�G/•rr%� �a ���izLc J�1e�-.r�- �v <br />/ <br />�GF" !/f'C .i.��-��i /•tZG. <br />Approved for Coratruction Date <br />FINAL INSPECTION Date <br />Appmved as Constructed <br />� <br />O <br />/i� <br />V♦ <br />� <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />thr. Ciry of Everett trom any and all clalms for damages, costs, expenses, or <br />causes oi action that may adse becau=e oi installation and mafntenance of <br />the inprovement or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace public propeny <br />damaged thereoy. <br />SignaNre of Applic3nt Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1 BO DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED �Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />