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Date <br />qpplication For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Owner <br />App��cant <br />Describe Proposed Work __ <br />Plan Check I:o: B 46307 SEPA <br />ApplLcat.Date: 11/28/94 <br />Job Addre: 250b TAYLOR DR <br />Owner: LOWELL PAUL <br />Tenant: <br />Propoeed Uee: SINGLE FAMILY RESIDENCE <br />Desc. of Work: <br />NEW DETACHF.D GAAAGE <br />OFFICE SET JOB SET <br />APPRVD FOR PERMIT: DATE_/_/_ BY <br />PuOLC WOr1f Fermit • <br />BieQ. Deo� � — <br />PUEIit Wor�3 Fee s <br />Tolel Fee <br />Less �DO� Fee PaiE S <br />BalanceDue � <br />Proiect Address (il known) <br />Altach four (4) copies of plans lor proposed work - Draw to scale and note the following as applicable: <br />� Properry Lines • CerAedine of street <br />• Out�ine and dimensions of all ezisting and • Indicate North <br />proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />Phone <br />Phone <br />PERMIT CONDITIONS <br />t. All calls for inspection shall be made 24 hrs. in edvence • phone 259•881 O. <br />2. All work shall be peAormed in accordance with this permil end current City of Everetl Design and Construction <br />Standerds and Specifications <br />3. Cali Location Underground Service 4B hre. before you dip. TOIL FREE NUMlER 1•800�424•5555. <br />AUBLIC WORKS PERMIT <br />NbT REOUIRED <br />�Y ��� <br />aaTe �'-��' - � `� <br />Approved lor Construction �ate <br />FINAL INSPECTION Date <br />Appmved as Constructed <br />�Ar�PUBLIC WORKS DEPARTMENT <br />3200 Cedar Streel <br />Everett WA 98201 <br />Phone; 259�8810 <br />�. Z � <br />' . , 1 ��.:�'L <br />� � I,�v�' �' <br />�NITIAL INSPECTION <br />KIRK BROOKS <br />DATE ��-�"`� <br />W <br />H <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />�%('.c-,.�- ��.-�� �z � <br />The �L ��, ��'' r nd save hann� <br />less vC: •` y— _ � � k�� ��, map.,s. c,,ats. <br />exp �vo `�I(/' ot �nslallation <br />and ay use hereto <br />app,��� �..� e��.. �,,.,,�... ..n� ...... ... ........._ .,_..... _._.. ..�tice Irom the <br />City and to replace public Properry damaged thereby. <br />Signature ol APPlicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAV BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />