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� t <br /> ApplicaUon For Dat9 <br /> � PUBLIC WORKS PERMIT pi�blicWorksPermitM ►�t <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Sireet <br /> Everett,WA 98201 (425)257-BB10 Buildirg Pertnit M <br /> TYPE OR PRINT ONLY Public Works Fee$ A <br /> Owner Phone <br /> �P�i�t %an Check No.: 89907-032 �e <br /> )ob Address: 1531 RUCKER AVE <br /> Owner: GLEAVE DUANE � <br /> Describe Proposed Work _ Tenant: <br /> ApWiwdon Date: 7/14/99 � <br /> Proposed Use: GAMGE <br /> Type of work: NEW DETACHED GARAGE �� <br /> Office Srt ]ob Ser Fire/Planning SM � <br /> Approved For Permit: Date: By: � <br /> PROJECT ADDRESS (if known) <br /> Attach four(4)coples plans for proposed work•Drew to scele aM note the lollowing if appiicable: O <br /> •Property Lines •Outline and dimensions ol all existing and proposed structures on Me lot •Existing and proposed udliues � <br /> •CenteAine of street •Indicate NOM •Show any proposed gratling thanges •Show measurements <br /> DO NOT WRITE BELOW THIS LINE Z <br /> PERMIT CONDITIONS: O <br /> 1. All calls for inspection shall be made 24 hours in edvance- phone (425) 257-8810 <br /> 2. All work shall be performed in accordance with this permit and current City of Everetl Design and � <br /> Construction Standards and Speci(ications.. <br /> 3. Call Location Underground Service 48 hrs. before you dig.TOLL FREE NUMBER 1-800-424•5555. ♦A <br /> �O— �jb�:c U.kNF�s 1JoE.i�••;� <br /> , � � c-��;� �f,��;�. ��� � a <br /> _ C-�. arz� mJ� l�avcg�ff,crs ?�-'.�s��fs xhc� <br /> =Z'I� d�,�� sh��� !�e �sqh� I��-(n-{l�e s����- <br /> ._ ��f7,�� uw5-f �c kxou fe�,¢ -C'l�tc Co�'�i a ns � <br /> 5�9�� �x(a.� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> ���� The uMereigned ownedepplicent hereby agrees to hold end seve hartniess <br /> the Ciry ol Everett irom any end all clalms for damages,costs,expenses,or <br /> prov or ons ruc ion a�- �uses of ection thet may erise beceuse of installetlon and meintenence of the <br /> improvement or other riphbof-wey use hareto applied for and lurtlier aprees to <br /> remove same upon natiee ho�r Me Ciry and to replace publk properry Oem- <br /> aged Mereby. <br /> FINAL INSPECTION Dale <br /> Approved as Constructed <br /> igna re o p icen a e <br /> W(XiK AUT}K)RI�D BY THIS PERMR MUST BE STAHfEO WIhIM iB0 DAYS OF DATE PERMR IS ISSUED MID TFEf�AFTER IS TO BE Dl10EMLY RkiSUED70 <br /> OOAiPLEIION.THIS PERMff M4Y BE CANCELLED BYTHE CfTY UPON ANY S70PPAGE OF VVOFIC ON TMS PfiQECTOVQi 9D DAYS DURAiION. <br />