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` <br /> I <br /> i <br />� <br /> � �ication For � — , . <br /> LIC 1hJRKS PERMIT Date <br /> PUBLIC WORKS DEPARTMENT Public Woiks Permit p <br /> 3200 Cedar Street <br /> Everett,WA 98201 259-BB10 <br /> Building Permit q � � <br /> TYPE OR PRINT ONLY <br /> Public Works Fee$ <br /> Plan Check No: H 55961 SEPA <br /> Applicat.Date: 07/16/97 <br /> Owner Job Addrese: 99b1 24TH DR SE - <br /> Owner: �, & L VENTURES Phone <br /> Tenant: <br /> Proposed Use: SHED <br /> Applicant Deec. of Work: <br /> � STORAGE SHED Phone � <br /> I Describe Proposed Work _ oFFtcs SET JOB SET <br /> APPROVED FOR PERMIT: DATE_/_/_ gy � � <br /> � <br /> PROJECT ADDRESS(if known) � <br /> Attach four(4)coptes of p�ans for proposed work-Draw to scale and note the following if applicable: W <br /> . •Property Lines 'Outline and dimenslons of all existing and proposed structures on the lot •F�cistirg and proposed utilities O � <br /> 'Centerline of street •Indicate North •Show any proposeG grading changes •Show mea;urements <br /> ' DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: � <br /> � 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. <br /> 2.All work shall 6e pertormed in accordance with this permit and current C�ty of Everett Design and O <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE MUMBER 1-800-424-5555. <br /> � <br /> v/ <br /> "'URLIC G.ORK� i�{+E?I, O <br /> NO'i A GUTAl�?� a <br /> gy �ti_.._. ..� <br /> iATEr..—......r-�_ �--- <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and s::ve harmless <br /> the City of Everett from any and all claims(or damages,costs,expnnsas,or � <br /> Approved for Construction Date causes of aclion that may arise because of installation and maintenance uf <br /> the improvement or other right-of-way use he210 applied for and further agrees <br /> to remove same upon notir:e from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date <br /> 4pproved as Constructed - <br /> � Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLEfION.THIS PERMIT MAY BE CANCEIIED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />