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C�� <br />TYPE OR PRINT ONLY <br />l /�ppiksaon F« <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />� 5/4/94 <br />Publ� Works Pertnft M <br />Bul�ng Pertnit N 86�364 <br />Public WaAcs Fee S <br />30fi21 C:t2.PBEi.L 5232 WETIiORE i.VE cV'cRETT 98203 <br />Ovmer Mailfng Address Cfry Zp p�e <br />CONT�\CT: DAVID h:.D3iDGE 259-1311 <br />Applicant �Aeilinn Address Clry Lp Phone <br />Describe Proposed Work <br />NnW �ETaCkED G.IRAGE <br />PROJECTADDRESS (if known) <br />Attach four (4) copies plans for proposed work • Drew to uale and note the fdlowing II epplkable: <br />• Property LMes • Outline arW dimansions ol all existlng end proposed structures on Me bt • EKisdng and proposed utilitlas <br />• CenleAine o1 street • IrMicete North • Show any proposed grading chenr,as • Show measurementa <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shail be perfortned in accordance with this permit and current Ciry of Everett Design and <br />Construction StendaMs and Specitications. , <br />3. Call Location Underc�round Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800-424-5555. <br />�vbl�� Works <br />�r�r+� �� tx� �e��� re� <br />5/7/�'� �"'� <br />� Connu� r-¢a-��� rvti o�-� � si�e Se4��i✓ — <br />s�� �(, (��i�i v�1 PFirrh ;�, ,^C�,i i rP� <br />W <br />� <br />� <br />Y/ <br />� <br />� <br />O <br />a <br />� ACKNOWLEDOEMENT OF CONOITIONS <br />The unOerslg�ed owneNapplkaM hereby agreea M hold end save hertMess <br />Ihe City o1 Everett irom arry end all dalmn for dempes, co;ts, ez�xmsee, or <br />p or s on a e aeusea of actlon thet mey e�isa beceuae ol InalaNatlon and mdnbnence ol tAe <br />fmprovemant a other rlpMol•way use Mro[o spplbC for arW IuMer apross b <br />rertwve aame upon radce trom Ihe City end b roplece p�lk D�MnY �- <br />aped merehy. <br />FINAL INSPECTION Date <br />Apprwed as Constructed <br />gne re o <br />WOFiKAUTFiOR� BY7HIS PERMIT MUST BE STAHTID WfR1M 1B0 DAVS OF DAlE PEp�Afi131SSU� MD T}EFEi1FlER ISlOBE DIIOBiTLV RIRSUED70 <br />OONPlET10N.7}#SPEFMRMIIYBECPNCELL�9YT}EqTYUPrN�IANYSTOPFMOE OFVIUlitONTM3PFQ�CTOVERBDDAY3DUW11pN <br />