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VCR <br />For <br />PUBLIC RKS PERMIT <br />TYPE OR PRINT ONLY <br />Owner <br />Applicant <br />Describe Proposed Work <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />Dale <br />Public Works Permit k <br />Building Permit It -_ <br />Public Works Fee 8 _ <br />Plan check No: B 55251 SEPA <br />Applicat.Date: 05/27/97 <br />Job Addrs: 463 S 3RD AVE <br />Owner: TOMPSON JOHN <br />Tenant: <br />Proposed Use: GARAGE <br />Desc. of Work: <br />NEW DETACHED GARAGE <br />OFFICE SET JOB SET <br />APPRVD FOR PERMIT: DATE_/_/_ By <br />PROJECT ADDRESS (if knt <br />Attach four (4) copies of plans for <br />'Property Lines •Outline a <br />'Centerline of street <br />PERMIT CONC <br />1. All calls for it <br />2. All work shal 1� / <br />Constructior <br />3. Call Locatior <br />l/1JINITIAL INSPECTION <br />10IRK BROOKS <br />GATE -,_v-#7 <br />n—(—A L 0 LA 2L Ids <br />o t� -�-o (: tLo L <br />�r U � Vze,-eS <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />Phone <br />Phone <br />lot 'Existing and proposed utilities <br />ihow measurements <br />)ne 259-8810. <br />current City of Everett Design and <br />FREE NUMBER 1-800-424-5555. <br />W <br />� <br />M <br />W <br />0 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arse because of installation and maintenance of <br />the improvement 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 property <br />damaged thereby. <br />Signature of 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 CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />