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rZNMW'Aj <br />TYPE OR PRINT ONLY <br />Applicant <br />Application For <br />PUBLIC WORKS 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 />Date <br />Public Works Permit a <br />Bu.lding Permit a <br />Public Works Fee $ _ <br />Plan Check No: B 59713 SEPA <br />Applicat.Date: 08/04/98 <br />Job Address: 5508 S 1ST AVE <br />Owner: HORNE ROBERT <br />Tenant: <br />Proposed Use: GARAGE <br />Deec. of Work: <br />NEW DETACHED GARAGE AND SUN DECK <br />OFFICE SET JOB SET <br />APPROVED FOR PERMIT: DATE_/_/—_ BY <br />Phone <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: <br />'Property Lines `Outline and dimensions of all existing and proposed structures on the lot 'Existing and proposed utilities <br />'Centedine of street -Indicate North 'Show any proposed grading changes 'Show 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 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 />'UNLIT; WORKS PERMIT <br />NOT REUUIRE• <br />.nTF__1(�y--- — <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />z <br />O <br />V♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/appkcant hereby agrees to hold and save harrrtbse <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arise because of imtakstkin and maintenance of <br />the improvement or other right-of-way use herelo applied for and further apses <br />to remove same upon notice from the City and V, replace public property <br />damaged thereby. <br />Signature of <br />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 CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />