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nn' iao F« <br /> �w�� PUBLIC W1�RKS PERMIT Date � <br /> PUBLIC WORKS DEPARTMENT Publ'�c Nbrks PmMt/ <br /> 3200 Cedar Street <br /> Everatt,WA 98201 259•8870 Bu%dinp PertnR• <br /> TYPE OR PRINT ONLY Pub�k Works Fea S <br /> Owner Plan Check No: B 59Q77 ggp� Plwne <br /> Appllcat.Dates 07/13/98 <br /> Job Addrasa: 111J1 15T DR SE <br /> Ownett MILLER RONALD G BARBAAA <br /> Tenent e P�e <br /> ��n� Dew�fdWork= GARAGE <br /> NEW DETACHED G]UtAGB <br /> Describe Proposed Work __ W <br /> — OFFICE SET. JOH SBT L <br /> APPROVED FOR PBRMITt D11Tfi_/_/_ By = <br /> �� <br /> PRO:IECT ADDRESS(if known) M <br /> Attach tour(4)cepies ef plans lor proposed work-Draw to scale and note the following i(applicable: �i+ <br /> •Property Unes •Outline and dimensions of etl existing and proposed structures on the lot '6cisting and proposM utilities O <br /> •Centerline ol street •Indicate NoAh 'Show any proposed grading chenges •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1. All calls tor inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2.AII 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 FHEE NUMBER 1-800-424-5555. H <br /> V♦ <br /> O <br /> _ _ . . . �, ��� 12 ��� �°�,-�;�- ��J�,n� . a <br /> ��� � <br /> � <br /> � ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless <br /> the City ol Everett from any and aA claims tor damages,costs,expenses,or <br /> ApproveG for Construction py�e causes ol aclion tlwt may aAse because of Installation and maintenanea ot <br /> lhe tmpmvemenl or olher right-ol-way use hereto applbd la and hxther agiees <br /> to remove same upon notice from Ihe CRy and to replace public properry <br /> damaged thereby. <br /> FI'J�L INSPEC770N Dale <br /> Approved as Constructed <br /> Signalure ol Applicanl Date <br /> WORK AUTHORIZED BY THiS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THERFAFTER IS TO BE DIUGENRY PURSUED TO <br /> COMPlEf10N.THIS PERMIT MAY 6E CANCELLED BY THE Cltt UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER 90 MYS DURATION. <br />