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., __� _._.. r <br /> � APPliwtion For <br /> PUBLIC � �RKS PERMIT Dal <br /> PUBLIC WORKS DEPARTMENT Public Works Permit M <br /> 3200 Cedar Street <br /> Everett,WA 98201 259-8810 Building Permit k <br /> TYPE OR PRINT ONLY Public Works Fee S <br /> Owner Maili plan Check No: B 51487 SEPA Phone <br /> Applicat.Date: 04/18/96 <br /> Job Address: 1732 AVCY.ER AVE <br /> Owner: FINK BOB <br /> Appliwnt Mail Tenant: Phone <br /> Proposed Use: GARAGE <br /> Desc. of Work: <br /> Describe Proposed Work NEW DETACHED GARAGE � <br /> OFFICE SET JOB SET � <br /> APPAOVED FOR PERMIT: DATE_/_/_ BY � <br /> � <br /> PROJECT ADDRESS(if known) � <br /> Atlach four(4)copies of plans for proposed work-Draw to scale and note the following if applicable: O <br /> •Property Lines 'Outline and dimensions of all exist�ng and proposecl structures on the lot •Existing and proposed utilities <br /> •Centerline of street •Indicate North •S��ow any proposed grading changes •Show measuremenis � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and <br /> Construction Standarcis and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800•424-5555. � <br /> �// <br /> O <br /> � �Nt�ipl �NSPECTION � <br /> t <br /> �,�� KIRK BROOKS <br /> �p �� � L __ � _/�IG _. <br /> Y f <br /> 4 <br /> Qr"' <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold antl save hartnless <br /> the City of Everett from any and all claims for Jamages,costs,expenses,or <br /> Approved for Construction Date causes of action that may arise because of installation and maintenance of <br /> ihe improvement or other right-of-way use hereto applied for and further agrees <br /> to remove same upon notice irom tha Ciry and to replace public properry <br /> damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> Signature ot Applicant Date <br /> N'ORK AUTHORIZED BY THIS PERMIT MUST BE STARTEO WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE C4NCELLED BY THE CIiY UPON ANY STOPPAGE OF WORK ON TNIS PROJECT OVER 90 DAYS DURATION. <br />