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���� PUBLIC WURKS PERMIT °°�° � <br /> PUBLIC WORKS DEPARTMENT Public Works Pertnit R <br /> 3200 CeOar Straet <br /> Everett,WA 98201 259-8810 <br /> Building Pertnit f <br /> TYPE OR PRINT ONLY Public Nbrk�Fee S <br /> Plan Ch�ck Nos B 58853 SRPA <br /> Applicat.Date: 05/15/98 <br /> Owner MaiiingA Job 1►ddrtt�: 2146 fr6TNOR8 1►V6 �e <br /> Own�rt SHEPPARD RANDY <br /> T�nant: <br /> Propo�od Out SINCLS FIWILY R6SIDENCB <br /> Applicant MailingP De�c. of Wozks �e <br /> Gl1RAGE/STORACB BUILDIN6 <br /> Describe Proposed Work OFFICE SBT Joe seT � <br /> APPROVED FOR PSRMITt DATB_/_/_ gy --- � <br /> � <br /> PROJECT ADDRESS(if known) � <br /> Attach lour(4`copies of plans for proposed work-Draw to scele and note the lollawing If applicable: � <br /> •Property Lines 'Outline and dimensions ol all existing and proposed structures on the lot •Existing and proposed utilities O � <br /> •Centerline of stfeet •Indicate Norih •Show any proposed grading changes •Show meesurements � <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. <br /> 2. All work shall be performed in acr.nrdance with this permit and current City of Everett Design and O <br /> Construction Standards and Spccifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-:20-5555. � <br /> � GO r� V�.eL-� �,�� S��S -� � ��C 5�-�-�- V� <br /> _ . . � <br /> � ��� �rn �S �� l�-e, � (m�.z t�d c�- a <br /> ��� y��.� � � �-� � �� ; .�� ��� <br /> V ✓1 C{G�' �1 ec-J ��� �'�' <br /> �7 �j-2�r' �. � f'P-�G�'Gl� D?� M `�-t {�'�' �V�, <br /> I <br /> ���,M b ; tir� r-e�..;v-ecl S � w�c.�z,-�a�1 ���r��-es{v v.�-� UpC <br /> J <br /> � ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to Iwld and save harmless <br /> the City of Everett Irom any and all claims for damages,costs,expenses,or <br /> Approvetl lor Consiruction Dale ca�ses ol aetion that may arise because of installation and maintena�e oi <br /> �UYLIC yVpr�K y theimprovementorotherright-ol-wayusehe2toappliedforand(urtheregrees <br /> �OT �FRM11 to remove same upon notice irom the CNy and to replace public proper}y <br /> ��'U U I f1�A damaged thereby. <br /> FINAL INSPECTION -�._�„- ,� pa�e � <br /> Approved as Constructed+AT��� GA"�^ <br /> •r�n <br /> .ar,...�ry <br /> Signature of Applkant Date <br /> �'JORK AUTHORIZED BY THIS PERIdIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND TiiERFhFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLEf10N.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON TH�S PROJECT OVER 90 DAYS DUPATION. <br /> r <br />