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il <br /> � .._.�ication For ' . <br /> PUBLIC 1h.)RKS PERMIT Date <br /> PUBLIC WORKS DEPARTMENT Public Works Permit# <br /> 3200 Cedar Street <br /> Evere�t,WA 98201 259-8810 Building Permit W <br /> TYPE OR PRINT ONLY Public Works Fee 5 <br /> Plan Check No: B SSd55 S::PA <br /> Owner Applicat.Date: 06/16/97 Phone <br /> Job Address: 10424 lOTH DR SE <br /> Owner: DEMARC� SAM <br /> Tenant: <br /> Applicant Proposed Use: GARAGE Phone <br /> Desc. of Work: <br /> NEW DETACHED GARAGE <br /> Describe Proposed Work _ t " <br /> OFFICE SET JOB SET W <br /> , APPROVED FOR PERMIT: DATE_/_/_ BY � <br /> � <br /> � <br /> PROJECT ADDRESS (if known) w0 <br /> Attach tour(4)copies of plans for proposed work-Drew to scale and note the following if applicable: ` <br /> •Property Lines 'Outline and dimensions of all exisling and proposed structures on the lot •Existing and proposed utili�ies (� <br /> •Cenlerline of street •Indicate Norih •Show any propased grading changes •Show measuremenis �� <br /> DO NOl"WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1. All calis for inspection shall be made 24 hours in advance - phone 259-8810. O <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 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. ` <br /> 1— <br /> ;� : ♦^ <br /> !/� <br /> , O^ <br /> I - ��/� I/ I_ 1� <br /> � � �� J'I � V'1Ulfh-S {�M�T �eG_✓,V�� • <br /> I (� ��� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless <br /> the Ciry of Everett fmm any and all claims tor damages,costs,expenses,or <br /> Approved for Consiruction Date causes of action ihat may arise because of installation and maintenance of <br /> ihe improverr�ant or other right-of-way use herelo applied for and further agrees <br /> to remove same upon notice fmm the City and to replace puhiic pmperty � <br /> damaged thereby. <br /> FINAL INSPECTION Date <br /> Appmved as Consiructed <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 CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />