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O � x <br />>H!~A <br />�� <br />�H7�a <br />�!~pM�+ <br />Ci7 Q � <br />OH <br />��g <br />�� �❑ <br />9H[�d <br />y <br />t yy <br />g H <br />C7 C7 V� <br />��M <br />HOfyi� <br />� <br />� <br />I � <br />��� <br />Date <br />Application For <br />PUBLIC WORKS <br />Print or Type Only <br />j IPue�¢ Wo�1.s Per=—n • <br />Biop oeo�� • <br />PE R M I T I'°°'" ""°'"' "° 5 <br />ia�eiFee <br />Less Appl Fcc Pa�d $ <br />Oalanco ��e S <br />Plan Check No: 6 39094 SEPA � � Jl_i-���� <br />Applicat.Date: 12/28/92 ���_l,�,'_�� /���U���"' � <br />Owner ,7ob Address: 2408 SUMMIT AVE �� � <br />Owner: WA1'SON JACKIE . <br />Tenant: .� � �p`il-='.'�._ ' <br />Proposed Use: GARAGE ."�,�(,/iLt'y�C� �� <br />qpplicanl Desc. of Work: `� / - <br />4805F GARAGE / ! f,-,��Llj ,;��.- <br />Describe Proposetl Wark . QFFICE SET JOB SET <br />�;7��G�5 `�'C.!/t� � <br />� � ��2�7 <br />APPROVED FOR PERMIT: DATE__/_/_ gY_ ,.,l.rvi,�-' �i.�C.� .. � <br />/ <br />Proiect Address (if known) <br />Allach lour (4) copies o� P�ans fo� Proposed work - Draw lo scale and note the following as app <br />• Property Lines • Genterline ol sirei <br />• OutGne and dimensions ol all ezistin9 antl • Indiwte Norlh <br />proposed struclures on ihe lol • Show any proposed grading changes <br />• Existing and proposed utililies • Show measuremenis <br />PERMITCONDITIONS <br />1. All calls lor inspection shall be made 24 hrs. In advance • phone 259•8810. <br />2, All work shall be pedormed in accordance with this permit end current City ol Everell Design and Constmction <br />Slandards and Specilications. 9. TOLL FREE NUMBER 1•800•424-5555. <br />3. C�11 I ncalirn I Iminmrnund Sen�i�o na h.� ho��.�..�•• a: <br />�NITIAL INSPEC'ilOr <br />' ' KIRK BROOKS <br />DA7E ._�Z'.Z� -9V_ Z____ <br />� <br />�(� ��,� �' /)[-i t�ii � �- <br />6 r <br />�9���!{//(� f �'� ' <br />l �/�<" <br />Approved lor Construction Dalc <br />FINAL INSPECTION Date <br />Approved as Constructed <br />��r�PUBLIC WORKS DEPARTMENT <br />3200 Cedar Sireel <br />Everelt, WA 98207 <br />Phonc 259�9870 <br />PUBLIC WORKS PERMIT <br />NOT REOUIRC-D <br />DATE /`�'�-?� <br />L IJ <br />� <br />O <br />i <br />� <br />O <br />� <br />Y/ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersi9ned owner/appliwnt hereby agrees to hold and save harm� <br />less Ine City ol Everetl Irom any and all cla�ms for damages, wsls, <br />ezpenses. or causes ol action Ihat may arise because of inslallation <br />and maintenance ol lhe improvemen� or other righPobway use hereto <br />applied for and furthcr a9rees b remove same upon notice Irom the <br />City and to replace public property damaged therety. <br />Signature ol Applicant Dale <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DA7E PERMIT IS ISSUED AND THEREAFTER IS TO <br />8E DILIGENTLY PURSU[D TO COMPLE710N. THIS PERMIT MAY B[ <br />CANCELLED 0Y THE CITY UPON ANY STOPPAGE Of WORK ON THIS <br />PROJLCT OVER 90 DAYS DURATION. <br />� <br />