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� 'aiian For <br /> PUBLIC VIi�1RKS PERMIT ���� ' <br /> PUBLIC WORKS DEPARTMENT Public Works Permit# <br /> 3200 Cedar Street <br /> Everett.WA98207 259-8870 <br /> Building Pertnit q <br /> TYPE OR PRINT ONLY <br /> Public Works Fee$ <br /> Owner Plan Check No: B 55009 SEPA <br /> Mailing, App licat.Date: OS/02/97 <br /> Job Addresa: 12b4 41ST ST �ane <br /> Owner: BOITANO JAMES & EILEEN <br /> Tenant: <br /> Applicant Mailing, Propoaed Uee: SINGLE FAMILY AESIDENCE <br /> Deec. of Work: ione <br /> NEW GARAGE <br /> Describe Proposed Work <br /> OFFICE SET JOB SET � <br /> APPROVED FOR PERMIT: DATE_/_�_ gy � <br /> �� <br /> PROJECT.4DDRESS (if known) � <br /> Attach four(4):opies ol plans lor proposed work-Draw to scale and note ihe following if appiicable: � <br /> •Property Lines •Outline and dimensions of all existing and proposed structures on ihe lot •Existing and proposed utilities O <br /> •Centerline of street •Indicate Norih •Show any proposed grading changes •Show measuremenis <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: � <br /> 1. FlII calls for inspection shall be made 24 hours in advance - phone 259-8810. <br /> 2. All work shalt be performed in accordance with this permit and current City of Everett Design and � <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br /> �w <br /> r _I <br /> �Jo p�� �Z c�w�S ��� ,-� ����. a <br /> �� . <br />, <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees to hold and save harmless <br /> the City of Everett from any and all claims for damages, costs,expenses,or <br /> Approved tor Construction Date causes of action ihat may arise because of installation and maintenance ol <br /> the improvement or other nght-of-way use hereto applied for and further agrees <br /> to remove same upon notice Irom the City and to replace public property <br /> damaged�hereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> SiqnaWre of Applicant Dzte <br /> WORK AUTHORIZED BY THIS PERMIT A1UST�E S7ARTE0 WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PER�dIT M11AY BE CANCELLED BY THE CI1Y UPON ANY STOPPAGE OF V`JOFK ON i HIS PFOJECT OVER 30 DAYS DURATION. <br />� <br />