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Date -���,:wo,.sPe�m��. � — I <br /> I B:av.Deoi.� � �: �' <br /> Aaplication Fr. ' <br /> i <br /> F'JBLIC iNORKS AEPMIT PobbcH'orkaFee g_ � <br /> 11 Toul Fee � <br /> L!5]R00�Fr.e Paia 5 i <br /> BalanCe[Jue S I <br /> Print or Type Only <br /> — � <br /> O�Hnei �1an Check No: B 36253 SEPA Phone � <br /> Applicat.Date: 04/08/92 ' <br /> Job Addrs: 242b 3lTH AVE , <br /> Owner: HURPHY TIM L ' <br /> Applicant Tenant: SOUTH COUNTY TOF7ING �none <br /> Proposed Use: OFFICE STORAGE <br /> Desc. of Work: <br /> PLACEtdENT OF JOB SHACK <br /> Describe Proposed Work _ <br /> OFFICE SET JOB SET <br /> APPRVD FOR PEktMIT: DATE_/_/_ BY _ <br /> � <br /> Projeci Address(if known) — � <br /> Attach fo�r(4) copies of plans for proposed work- Draw to scale and note the tollowing as applicable: �� <br /> • Properry Lines • Centerline of street ♦� <br /> • Outline and dimensions of all existing and • lndicale North V� <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measuremerts /�/� <br /> - . W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PI=RMIT CONDITIONS <br /> 1,All calis for inspection shall be made 24 hrs.in advance-phune 259•8810. � <br /> 2.All work shall be perf�rmed in accordance wilh this permit and current City ot Everett Design and Construction <br /> Sland.rds and Specitications. �� <br /> 3.Call Location Underground Serv':e 38 hrs.before you dig.TOLL FREE NllMBER 1•800-424•5555. � <br /> O <br /> . ' � . . � , � .. . , . .. .� �� � <br /> ; <br /> . . � � , . .j.. � <br /> _. : , .. . -� �JI/ <br /> a <br /> ACKNOWLEDGEMENT OF CON�ITIONS <br /> �a�� The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the Ciry ot Everett from any and all claims for damages, costs. <br /> Iexpenses, or causes of aciion that may arise becaus= of installation <br /> and mamtenance ot the �mprovement or other righFof-way use hereto <br /> applied lor and further agrees to remove same upon notice from the <br /> Approvetl for Construction Date City and to replace public property damaged thereby. <br /> FINAL INSPECTION Date - Date <br /> Approvetl as Consiructed Signature ol Applicant <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � PUBLICWG.`.KSOEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEFEAFTER IS TO <br /> � 3200 Cedar�treet BE OILIGENTLY PUfiSUED TO COMPLETION. THIS PERMIT MAV BE <br /> Everetl.WA 98207 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON TNIS <br /> Phone:259•8810 onn �_�� n��qe n� nnvc ni i4nnnN <br /> -._,... ._.�-_'___.___'._.:<.._,�.,-_'.^'_'__. __•.. <br />