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s <br /> Date �/25/92 �,�,o��� ,�,,.,,..: 37142 - --_- <br /> Applicalion For _.. <br /> PUBLIC WORKS PERMIT °"°r�'"F«"` S <br /> Less Acoi�er va�a 5 <br /> oei,�cx o�c 5 <br /> xy o H Print or l�ype Only <br /> Ch �� <br /> p � x ��ern Benson 5003 View Dr Everett 98203 252-3;66 <br /> � ~ Ci�Y ZiP Phone <br /> 9 H p� p`,����� Mailing Atldress � <br /> 4 � <br /> $3m0 <br /> K y � Zip Phonc <br /> p�H p� qpphcant M1lailing AtlAress Gity <br /> F? y t" <br /> New gara�e / deck <br /> x xp 3 Describe Proposed Work — <br /> C7HC <br /> O H — <br /> ��g ILl� <br /> zay� r <br /> L� x Proiect Address 1�� knownl 5003 View DL — — <br /> Hy � <br /> � Attach four(4)coPies of plans for proposed work� Draw�o sc�le nnA note the tollowing as applicaUlo. � <br /> H • Centedine ol streel <br /> n ty p� • Properry LincS � IndicalC Norlh <br /> �� � • Outlme and dimensions of all existing and � Show any proposed 9rad�n9 chan9�'s <br /> pwposed slrucWres on Ihe lot � Show measurements M <br /> yOy � • G.isting and p�a�ased u�ilities W <br /> ,� DO NOT WRITE BELOW THIS LING O <br /> � , <br /> . t' PERMITCONDITIONS ^ <br /> 1.All calls lor inspectio�shall be made 24 hrs.in advance�phone 259•8810. <br /> � 2.All work shall be pedormed in accordance with this permil and wrrent Ciry o�Everet�De,sign and Conslruction ♦ <br /> Standards and Specifications. � <br /> I '��1 3.Call Locaticn Under9round Service 48 hrs.belore you dig.TOLL FREE NUMOER 1•800-424•5555. <br /> � O <br /> �� � <br /> �_' , <br /> /;�/.�. � C� � ./_ /'. � �N171AL INSPECTIOM � <br /> �-1�' " `� J KIRK BROOK6 O <br /> � �� � �� ��� a <br /> DAT� � — <br /> t � r <br /> _� � W ��� <br /> i ( 1 ��, � ✓ <br /> �f � (.�� •NDITIONS <br /> � �/,�� ����� �esloholdandsaveharm� <br /> � ' ` 'Y� �� aims for dama9es. cosis. <br /> �� — �� ,e because ol instaltalian <br /> antl mam�enance o� u�e ����„�.,.����_�., .., ..•�-< <ighPof�way use hereto <br /> applied lor and lurther agrees to remove same upon nolice Irom iho <br /> Approved tor Consiruc�ion �a�e City and to rep�ace pu6hc properry damaged thereby. <br /> FINAL INSPECTION Date pate <br /> ApproveA as Co�siructed Signalure ol ApPlicaM <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> �–� PUBLICWORKSDEPARTMENT 1B0 DAYS OF DATE PERh11T IS ISSUED AND THEREAFTER IS TO <br /> '�� 3200CedarStreet BE DIIIGENTLV PURSUED 70 COMPLETION.THIS PERMIT MAY BE <br /> Evcreu.W�9B201 CANC[LLED 9V THE CITV UPON ANV STOPPAGE OF WORK ON THiS <br /> Phone-259�8810 PROJECT OVER 90 DAYS DURA710N. <br />