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Ctl C��1 � <br />9 � H <br />[/� <br />4 <br />F��CJ <br />H xl <br />'rJ 1�-1 �U <br />V� H <br />[�7 O � <br />HC <br />��g <br />�� � <br />9H� <br />y <br />HH <br />g�' <br />H <br />C] Cy y <br />� � [�1 <br />Z H C/r <br />HOtn <br />� � <br />ate <br />Applicalior Far <br />PUBLIC WORKS PERMIT <br />Print ur Type Only <br />Plan Check No: F3 37856 SEPA <br />Owner Applieat.Date: OB/31/92 <br />Job Addresc: 5006 W VIEW DR <br />Owner: PORTER DAVID L <br />Tenant: <br />qpplicant PropoFed Use: SHED <br />Deec. of Work: <br />�OSE' ATTACHED STORAGE SHED <br />Describe Proposed Work <br />OFFICE SET JOB SET <br />APPROVEO FOft PERMIT: DATE_/_/_ DY <br />Project Address (�i known) <br />v�o:.��vonsve�mn. _ _ <br />oiaq oeo�. � — <br />PuC�K Wo�tf Fee s, <br />Tolaliee <br />Vs+/.00LVecPnE S - <br />❑,�r��en-,� � <br />Attach four (4) copies of plans for pwpOsed work - Draw to s[ale and nole ihe lollowing as appli[able'. <br />• Property Lines • Cenlerline ol street <br />• Ouiline and dimension5 of all existing and • Indicate Norlh <br />proposetl structures on Ihe lot • Show any proposed grading changes <br />• Eristing and proposed utilities • Show mezsurements <br />IS L <br />Phone <br />Phone <br />PERMITCONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance • phone 259•8810. <br />2 All work shall be peAormed in accordar�ae with this permil and current Ci1y ol Everett Design and Consiruction <br />Standards and Specilications. <br />3. Ga11 Location UnderBround Service 48 hrs. 6elore you dig. TOLL FREE NUMOER 1•800•424-5555. <br />, �f , <br />� �, , . � <br />f, <br />G-: . <br />lor Construction <br />PINAL INSPECTION Daie <br />ApProved as Consirucled <br />�� PUBLICWOAKSDEPARTMENT <br />3200 Cc�at Slreel <br />� Everett, lVA 98201 <br />Fhone'. 253-8F310 <br />Z <br />� <br />H <br />� <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersiyned owner/ap;.licaN hereby agrees lo hoid antl save harm- <br />Iess the City o� Everett Irom any anC all claims tor damayes, costs, <br />expenses, or causes of action ihat may arise hecause ol installation <br />and mainlenance ol ihe impwvemenl or other righbol-way use hereto <br />applied br and luriher agrees to remove same upon notice Irom Ihe <br />City antl to replace public prope�ry tlamaged thereby. <br />Signature ol Applicanl Date <br />WORK AUTH0171ZED BY THIS PER�'.IT MU57 BE STARTEO WI7HIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COIdPLETION. THIS PERMIT MAV BE <br />CANCELLE� BY iH[ CITV UPON ANY STOPPAGE OF WORK qN THIS <br />PROJEC7 OV[iF 90 DAYS DURATION. <br />