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,--.�.� <br /> = I � <br /> '..'�' <br /> 0 <br /> � � <br /> A �1 CC <br /> C I-i <br /> H�� � IN" <br /> K' n � �Lt 1Vor4a Peim�t• __ _" <br /> O `y✓'.O D�tle5f2b/�2- o�ao o�p�.. 36820 <br /> �i1 N�i1 Applmatian For <br /> fA H — <br /> PUBLIC WORKS PERMIT "°°���.�eeFeO S <br /> ��� �ess neni ree va•n S <br /> O NC Bai.,�,�:,•u„�. 5 <br /> r�i tn�7 O Print or Type Only <br /> (�]V �] <br /> yH <br /> zH <br /> t" H y t,7artv Tiearnev 1117 We mo nvP _ rvrrort qa�nt 959-SUS'i <br /> Cy y Owner MaJing Atldress City Zip Phone <br /> O H <br /> C� t7 t� <br /> C3� �''� Owner <br /> *�1 y y Appl��cant Mailing Address Gry Zip Phone <br /> z <br /> HOrn <br /> Descnbe Proposed Work �nstruct new garage at SFR <br /> � W <br /> Project Address 1if known) 1117 [Petmoie AVe. � <br /> Attach lour(4)copies ef plans for proposed work� Draw to scale and nole the following as apPlicabl��. � <br /> • propeny Lines • Ceoterline ol sVeet ♦^ <br /> • Outline and dimensions ol al�existin9 and • Intlicate Norih V� <br /> proposetl structures on the lot • Show any proposed grading changes <br /> _ • Existing and proposed utilities • Show measuremems � <br /> ( C� <br /> DO NOT WRITE BELOW THIS LINE O <br /> �i PERMIT CONOITIONS <br /> 1 � t All calls�or inspection shall be made 24 hrs in ativance phone 259•8810 � <br /> � 2.All viork shall Ue pedormed in accordance with this permit and current Cily ol Everetl Design a�tl Constructio� <br /> i �� Siandards end Specilicalions. <br /> �� 3.Call l�whon Underground Service 48 hrs.belore you dig.TOLL FREE NUMBER 1�800•424-5555. � <br /> [ /� O <br /> � �� ���-CCc.� [� . :/C���: . i-..�-�4�^l ..c �.., .. �� ��� � ■ <br /> ��''� <br /> � ♦A <br /> � I �-� . � '-'% i'�_ � <br /> , �- �- <br /> __ <br /> � 'r� ACKNOV✓LEDGfM11[NT OF CONDITIONS <br /> I �'�� The undersi9ne.d owneNapplicant hereUy a9rees to hold and save haiin� <br /> � Iess the City ol Evemtt from any and all claims for tlamages cosis. <br /> e*penses, o� causes of action Ihat may arise becanse ol installahon <br /> and maintenance af the impravemenl or other nghPobway use hereto <br /> �pplietl 1or and lurlher a9rees �o remove same upon noiice �rom Ihe <br /> Approved lor ConstrucUon Date Cily and Io replace puUhc U�operty damaged ihereby. ' <br /> FINAL INSPF_C710N Date <br /> Nnn�ovetl as Cansirucled Si9na�we al AppliCan� Date <br /> � PUBLICWORKSDEPARTMENi WORK AUTHORIZED BY THIS PERMIT MUST BE STARTE� WITHIN <br /> 18� DAVS OF DATE PERMIT IS ISSUED AND THEREAPTER IS TO <br /> 3200 Cedar Street BE DILIGENTLY PURSUED TO COM1IPLL710N. 7HIS PERMIT MAY BG <br /> Evereil,WA98201 CANCELLED BY 7HE CITY UPON ANY STOFPNG[OF VJORK ON THIS <br /> Phone�.153-BB10 pqOJECT OVER 90 DAYS DURATION. <br />