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�CMY���� t oPlicalion For _ <br /> PUBLIC �,�ORKS PERMIT Dai, <br /> PUBLIC WORKS DEPAqTME�IT Public Works Permit# <br /> 3700 Cedar Street <br /> Everett,VIA 98201 259-8810 Building PermH N__ _ <br /> TYPE OR PRINT ONLY Public Works Fee S <br /> Owner Plan Check No: H 59744 SEPA -- <br /> Applicat.Data: 08/04/9f1 Phone <br /> Job Addrese: 2118 46TH ST SE <br /> Owner: WILLIAMS WESTOtI <br /> Tenant: <br /> Applicant Propoaed Use: ACCESSORY BLDG Phone <br /> Deac, of Work: <br /> NEW DETACF3ED GARAGE/SHOP/STORAGE <br /> Describe Proposed Work _ � <br /> — OFFICE SCT JOB SET � <br /> APPROVED FOR PERMIT: DATE_�_�_ gy <br /> s <br /> M� <br /> PROJECT AODRESS (if known) � <br /> Attach four f4)copies of plans for proposed work-Draw to scale and note the following if applicable: <br /> •Property Lines 'Outline and dimenslons of all eristing and proposed structures on the lot •Exlsting and pmposed utilities � <br /> •Centedine of street •Indicate North •Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 7. All calls for inspection shall be made 24 hours in advance - phone 259-88 i 0. � <br /> 2. All work shall 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 40 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> M♦ <br /> 'UC�O?w�p� Eq � <br /> py ,/l'EOUIREh M�� � <br /> �i/{�� <br /> ��T�_��j �. <br /> � <br /> •- .. .{,)��' <br /> � � �- <br /> ACKNUWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicaN hereby agrees to hold and save hartnless <br /> the Ciry of Everett from any and all claims for damages,costs,expenses,or <br /> Approved(or Construction Oate causes of ac+ion that may arise Uecause of installation and maintenance of <br /> the improvement or other right-of-way use hereto applied for and further agrees <br /> to remove�same upon notice from the City and to replace public property <br /> damaged ihcrcby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed , <br /> Signature of Applicant Date <br /> WORK AUTHORI2ED BY THIS PERMIT MUST B[STARTED WIhiIN 180 DAYS OF DATE PERMIT IS ISSUED AND TN.:REAFfEF IS TO BE DIUG[�TLY PURSUED TO <br /> COMPLEf70N.THIS PERMIT MAY 8E CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER��0 DAYS DURATION. <br />