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Date <br />Applicallon For <br />PUBLIC WORKS PERMIT <br />Print or Type O�ly <br />Plan Check Nos B 43508 SEPA <br />Applicat.Date: 02 11/94 <br />Job 1lddreset 51 1 SUNSET LANE <br />Owners MELLICH HAEtRY <br />Owner Tenant: <br />Propoeed Uses CARPORT <br />Applicant <br />Dencribe Proposed Work _ <br />Prolect Address (fl known) <br />Deec. of Work: <br />CARPORT ATTACHED TO E%ISTING C71FtAGE <br />OFFICB SET JOB SET <br />APPROVED FOR PERMITt DATE_/_/_ BY <br />�-. <br />PuO��c WorR� P�rmlt • <br />B�Qp.Dso�-� - <br />as�K Wo�.. F.. s <br />Tol�l F�a <br />Last AppL Fae P��E s <br />Balann Oue � _ <br />Att�ch four (4) copies ol plens for proposed work - Drew to acale end note the following as applicable: <br />• Proparty Linea <br />• Outline and dimenaions of all existing and <br />proposed slructurea on the lot <br />• Exiatlnp and proposed utllNies <br />� Centerline ol street <br />• Indicate Nort� <br />� Show any Droposed qredi�p chenges <br />• Show measurements <br />Phone <br />Phone <br />PERMIT CONDITIONS <br />1. All calle for Inapection ehall be made 24 hrs. in edva�ce • phone 259�8810. <br />2. All work ehell De peAortned in accordance wlth tAis permit end curront City ol Everetl De61pn and Constructlon <br />Stendards and Specif{catlons. <br />3. Cail lxatlon Underoround Service 4B hro. belore you dip• TOLL FREE NUMBER 1-800-4�4•5555. <br />PUBLIC WOqKS PERMIT <br />NOT RE�UIRED <br />BV <br />DATE <br />Approved lor Construction Date <br />FINAL INSPECTION Date <br />Approved as Construcced <br />�PUBLIC WORKS DEPARTMENT <br />3200 Ceder Sireel <br />EvSrett. WA 98201 <br />Phone: 259•8810 <br />ACKNOWLEDGEMENT CF CONDITIONS <br />W <br />H <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersignetl ownerlapplicant hereby agrees to hold and save harm- <br />less the City of Everett Irom any and alt claims tor Cameges, costs, <br />ezpenses, or causes of action that may ariae because ol installetion <br />and main!enance of lhe improvement or other right-of•way use hereto <br />applied for and lurther agrees to remove same upon notice from the <br />City and to repiace public property damaged thereby. <br />Signature of Applicant Date <br />BORDA STOF DATE PERMIT ISEISSUED ANC THEREAFTER ISHTO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CI'. � UPON ANl' STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />