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�j <br />TYPE OR PRINT ONLY <br />Owner <br />ApPlicant <br />�f 'ication Fa <br />PUBLIC VDJRKS PERMIT <br />Describe Proposed Work _ <br />PROJECT ADDRESS (if known) <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />Publie Works Pertnit N <br />Buildl�g Pertnit N <br />Public Works Fee <br />Plan Check Nos B 60039 SEPA <br />Appllcat.Date: OB/27/98 <br />Job Addrs: 620i AOCI(HFBLLER P.VE <br />Owner: WHEI►TON BRENT <br />Tenant: <br />Propoeed Uaes GARAGS <br />Daec. of Work: <br />DETACHED CARAGB <br />OFFICE SET JOH SET <br />APPRVD FOR PSRMIT: DATE_/_/_ BY, <br />Phone <br />Phone <br />Attach four (4) copies of plans for proposed work - Drew to scale and note the tollowing H applicable: <br />•Property Lines 'Outiine and dimensions of ail exlsting end proposed structures on the lot •Existing and proposed utilities <br />•Centerfine of street •Indicate Narth 5how any proposed grading changes 5how measurements <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 pertnit and cuRent City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 4fi hrs. before you dig. TOLL FREE NUMBER 1-800-4245555. <br />?UCLIC WORkS �ERMI� <br />NOT,fihEOUIREA <br />iY_ ���- •----. <br />�ATE.--•_��f1-- - <br />�VOLG: I�G�Gf {� at�ached S�c�e SCW�'N' Lh��l"� �Lm Gi{� (eco(dS- <br />i{ new ��r�c�e, wr�11 b� l:v�lti ovGr �ko Ge;sb�n9 s�deseHre�I'- <br />�hG �ortton u„dt.!' �1G NCW �?�✓L�G Y't�St � �r��ed tv ►+reot <br />�he (J.t'.G. or �located�� w�der- r.�xiu�.e.• <br />� <br />O <br />♦�A <br />V♦ <br />O <br />a <br />Dw,� S� �-� �-"&�- ,.-g-� 6�, �.c � �-� <br />se�,c»a . C��� �a�s i�c,d-t.e��, d ��� °G""'� <br />GA� <br />Approved for Constructlon Date <br />FINAI INSPECTON <br />Appmved as Constructed <br />� ��� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant heraby agrees to hald and save harmless <br />the City of Everett from any and all clalms ta damages, cosls, expenses, or <br />causes of adbn that may arise because of installatbn end maintenance of <br />the improvement or other righFof-way use hereto applied forand turther aprees <br />to remove� same upon notica hom the City and to replace public property <br />damaged lhereby. <br />Signeture ot Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN �180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CfTY UPON ANY STOPPAGE OF WORK ON 7HIS PR0.IECT OVER 90 DAYS DURATION. <br />