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Pub��c.Work�Pnrmil� -� <br /> B�dg�eD��• ^ <br /> Date _ <br /> qpplication For <br /> vun��c wo��s Fee 5-- <br /> PERM IT ,��°�°°° <br /> PUBLIC W�RKS �ess>ooiFeePa�05�� <br /> Ba�a�ce O�e S��—� <br /> Print or Type ���Y Plan Check No: B 44813 <br /> SEPA <br /> Applicat.Date: 07/O1/94 <br /> Job A�neL;40LSONIt4+RKT�p LANE <br /> TenenY.: �n pnnnr. <br /> propoeed Uee: GARAGE/SFR <br /> Owne� Deec. of Work: <br /> NEW GARAGE W/OFFICE ABOVE — <br /> JOB SET��iP Phone <br /> OFFICE SET� <br /> qpplica�t <br /> APPRVD FOR PERMIT: DATE_/_�— B <br /> ----- <br /> Describe Proposed Work _ — <br /> _ ----- - - ------- W <br /> ------------------ ---- -- I- <br /> ___------ _ <br /> Prolect Address Ot knownl -----� � <br /> Attach lour l41 coP�es o� P�ans lo� UroPused�+'�J'+ � Drav: ta s�:.ii?.�:»n:,te.��Ce�;pwine nl sl ee�ab�e: <br /> � prpper�y LineS • I^Cicai? No�ih <br /> • Outline and dimensions ol aii eaishn9 a^d <br /> � cnow a��Y r,ronoseA gradiny chanae5 � <br /> proposed strucWres on the tot � Show measurements <br /> • Ex�sting and Proposed utilities O <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS � <br /> 1.All calis tor inspection shall be marfe 24 hrs.in advance•Phone 259•881�• <br /> 2.AI�work shall be pedormed in accordance wilh Ihis permit and current City ot Everetl Design and Construclion � <br /> Standards and Specilications. <br /> 3.Call Location U�derground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•B00'424•55 • O <br /> � <br /> PUBLIC W�pKS PERMIT � <br /> NOT REOUIRE� O <br /> �,y — <br /> �ATE �� a <br /> ACKNOWLEDCiEMENT OF CONDITIONS <br /> The�.:^d?reianed Eve erltapolm2any and aa9cea ms�fo�l dama9e5e h�s s. <br /> ---"--'-"� less ;he C�ry o <br /> ; e.penses. o� causes of actic� that may aris^ because ot instailation <br /> . . -�'_ a�,p��d'flor and Qurtherea9re sVto eemove,sameu P n' not ce I!mrlhe <br /> Date � G�;y a�:d 10 replace Pubhc propertY damaged Ihereby. <br /> APP�O onslructi i <br /> Date <br /> Date <br /> =1NAL INSPECTION Si9nature ol ApPlicant <br /> ��pproved as Constructed WORK AU7HORIZED BY THIS PERMIT MUST DE STARTED WITHIN <br /> PUBLIC WORKS DEPARTMENT BE DDLIGENOTLY�PURSUED TOICOMPLE�TIOND HIS PERMIT MAY BE <br /> ���� 3200 Cedar Slreel CANCELLED BY TNE GIT�Y UPO N A�N1 STOPPAGE OF WORK ON THIS <br /> Everell.WA 98LJ1 •' <br />