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��>� <br />07ox <br />�Ht~n <br />yK'�C'7 <br />H� <br />'QUM"�d <br />V1 M <br />[if O � <br />O ryi <br />��g <br />(yiY (] <br />t�y� <br />ti H <br />8y <br />� <br />�� y <br />O� <br />� <br />1 <br />I �� <br />� <br />� <br />_ C/ <br />Date <br />ApP�ication For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Owner <br />Applicant <br />Describe Propnsed \Nork <br />Pwiect Atldress (il known) <br />Plan Check No: B 37857 SEPh <br />Applicat.Date: 08/31/92 <br />Job Addre: 4514 RUCICER AVE z.P <br />Owner: FIRST COVENANT CHURCII <br />Tenant: <br />Proposed Use: SFR/GARAGE <br />Desc. of Work: <br />OETACHED GARAGE 2ip <br />OFFICE SET JOB SET <br />APPRVD FOR PERMIT: DATE_/_/__ BY <br />PuO�¢Wod� Permit • <br />oioo o�o� • '7 � F � 7 <br />PuoLc wo�b Fee S <br />touiFee <br />LessAo��.Poe1`a�J 5 <br />eai�nce0uc S <br />Attach tour (4) copies ol plans lor proposed work • D�aw to swle and nole Ihe lollov:ing as apP��cable: <br />• Property Lmes • Centedine of street <br />• Outllne and dimensions ol all ezisting and • Indiwle North <br />pmposed siructures on Ihe lot • S�ow any proposed grading changes <br />• Enisting and proposed utilities • Show measuremenis <br />ne <br />Phone <br />PERMITCONDITIONS <br />1. All calls lor inspeclion shall be made 24 hrs. in edvance - phone 259•8810. <br />2. All work shall be peAormed in accordance with lhis permit and wrrent City of Everett Design and Consiructio� <br />Siandards and Specilications. <br />3. Call l.oca!ion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800•424•5555. <br />��L /� C CC�,?I✓�3 /1C•.M�� r'Lin � /�-/pi(_!<N o/� <br />� LI/�' / l <br />i � �� <br />� ��. ' > <br />Approved lor Construction Date <br />FlNAL INSPECTION Date <br />App�oved as ConSirucleA <br />����PUBLIC WORKS DEPARTMENT <br />3200 Cedar Streel <br />Everetl, WA 98201 <br />Phone'.259�8810 <br />ACKNONJLEDGEMENT OF CONDITIONS <br />W <br />� <br />� <br />� <br />� <br />N <br />O <br />a <br />The unders�g�etl o�vner/apolicant hereby agrees to hold and save harm� <br />less the Cily ^I flverell Irom any and all claims lor damages, r.osis. <br />eapenses, or causes ol acti�n Ihat may arise because ol installation <br />and mainlenance ol ihe improvement or other righPol�way use hereto <br />applied lor antl luriher agrees �o remove same upon nolice Irom Ihe <br />Ciry and Io replace public property damaged ihereby. <br />SignaWre of Appliwnt Uate <br />WORK AUTHOR�ZED BY THIS PERMIT MUS7 BE SfARTED WITIiIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE �ILIGENTLY PURSUED TO COMPLE710N. THIS PERMIT MAY BE <br />GANCELL[D BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />P90J[CT OV[R 90 DAVS DURATION. <br />