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Date <br />ApDlication For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Owner <br />Applicanl <br />Describe Proposed Work _ <br />Project Aadress (if known) <br />Plen Check No: 8 40225 <br />Applicat.Date: 04/13 93 <br />Job Address: 4741 ILMINGTON .1VE <br />Owner: RICHARDS JOAN <br />Tenant: <br />Propoeed Use: CAZEBO <br />Deec. of Work: <br />GA2EB0 – 196SF <br />OFFICE SET JOB SET_ <br />APPROVED FOR PERMIT: DATE_/_/_ <br />SEPA <br />BY <br />PUCLc works Permil • <br />eiao. oro�. • — <br />PublieWorkaFes s <br />Total Fea <br />La�� Apo� Fee Pu0 S <br />B�bnce Due S <br />Phone <br />� Phone <br />Attacn four (4) copies of ptans for proposed work - Draw to scale and note the lollowing as appiicabte: <br />• Property Lines <br />• Outline and dimensions ol ali existing and <br />proposed structures on the lot <br />• Exlsting and proposed utilities <br />• Centerline of street <br />• Indicale North <br />• Show any proposed grading changes <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All celis for inspectbn shall be made 24 hrs. in advance • phone 259�881 O. <br />2. All work shall be peAormed in eccordance with lhis permit and current City of Everetl Design and Conatruction <br />Standards and Specificatfons <br />3. Cell Location Underground Service 48 hrs. before you dig. TUIL FREE NUMBER 1•800-424•5555. <br />PUB��C WOpKS PEqM1T <br />NOT REOUIRED <br />BY <br />DATE `% /S - � � <br />Approved for Construction Date <br />FIM1AL INSPECTION Date <br />Approved as Construded <br />�A�I�PUBLIC WORKS DEPAFTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259�8870 <br />ACKNOWLEDGEMEM1i OF CONDITIONS <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and sav�i harm- <br />less the City of Everetl irom any and all claims lor damages costs, <br />�xpenses, or causes of action Ihst may arise because of in!�allation <br />and mainlenance of Ihe improvement or other right-ohway use hereto <br />applied for and further agrees to remove same upon notice from the <br />Ci�v and to replace public property damaAed thereby. <br />Signature oi Applicant '7ate <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTE� W�THIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTIY PURSUED TO COMPLETION. THIS PERMIT MAY 8E <br />CANCELLED BY THE CITY UPON ANY STOPPAGE CF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />