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�A�e vuo��c wen.re�mn. <br /> APPIICaIUn For e�ao�•oi.. <br /> PUBLIC WORKS PERMIT '�°.o:r�::^• � <br /> L���AOOI f N P�A S <br /> B+unc�0.� S <br /> Print or Type Only <br /> Owner Plen Check No• 9 409.75 SEPA Fhone <br /> Appllca[.Date�OF <br /> Joh Addreae: 83 2 UPPER RIDGE RD <br /> Owne[: �ORYAN CONSTRIICTION <br /> Tenant: P�one <br /> AOplicant propoacd Uee: CARAGE <br /> Deec. af work: <br /> NEW GARACE — 240SF <br /> Oescri0a ProposeC Work _ — <br /> OFFICE SET .IOB SET <br /> APPROVEO FOR PERMIT: DATE_/_�_ BY__ <br /> W <br /> Pmjcr,t AOdress(il knawnl — ~ <br /> Attach lour�4)copies ol plans lor pwposeE work�Drew to scnle antl note h r IOIIowing as apDlicable � <br /> •Prcnerry Lines • :anterlina al sireel /A <br /> •OUVine anE dimensions ol sll oaisUng and •i�tl�calo Nort� V� <br /> prcpOsetl simcWres on t�B lot • G ^iiow any PropoSeE B�aEing C�enges <br /> •Eaisting antl proposed utilities •Show measuremenis M <br /> W <br /> DO NOT WfiITE BELGY TMIS LWE O <br /> PERMIT CONDITONS <br /> 1.All calls lor Inspectlon shall be motle 2<Ars In advanw�p�one 259•8810. ^ <br /> 2.Allworkshallbaperlormedinoccordancewil�t�IspermitanticurrentGtyolEveretlDosipnu�dConsimciion � <br /> Standards nnE SOecillcations. <br /> 3.CalllocationUnCergmund5crvi;u46,�r5.bclowyouCiB�TOLLFPEENUMBERI•800•424•5$55. � <br /> O <br /> � <br /> ��l1BUC WOFKS PERMIT � <br /> NOT REOUIREO . O <br /> f.i V_.:•''�- <br /> UATE . :. / .. a <br /> ACKNOWLEOGEMENT GF GONDITIONS <br /> The undersigned owver/app�icanl�ereby agrees lo ho�d antl save�arm� <br /> less Ihe Lity ol Everett tmm any ena all tlains lor tlamageS cesls, <br /> e�penseS or causes ol eclion ihal may a�ise because olinstallation <br /> anU mainlenance o�I�e improvement or o�her rig�bobway use hereta <br /> applictl lor anC Iurllier agrees to remove same upon notica Imm t�e <br /> AOF�ovetl lor Conslruction Dale Lity antl to repiace puGlic properly Dana9ed UereEy. <br /> FINAL MSPtCTION DaIC <br /> AO��o�cU as Consimcled S�ignalwe al ApPlicant Da�o <br /> � P�BLIC WOflKSOEPARTMFNT WORK Al1THORIZED BV iH15 PERMIT MUST BE STARTED WITMIN <br /> J200CodarSlrcet 190 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> BL OIIIGEtiTIY PURSUED TO COMPLETION.THIS PEFMIT MAV 9E <br /> Ewre1L WAHB201 C4NCELLED BY THE CITV UPON ANV STOPPAGE OF WORK ON TMIS <br /> �nona:259�BB10 PPOJECT ObER 90 DAYS DURAi ION. <br />