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; <br /> �IIC8U011 FO! ( � <br /> PUBLIC �ORKS PERMIT °e'e <br /> � PUBLIC WORKS DEPARTMENT Public Nbrks Permk M <br /> 3200 Ceder Street <br /> Everett,WA 98201 259•�810 Building Permit M <br /> f <br /> NPE OR PRINT ONLY Public Works Fee E <br /> p <br /> Plpan Chack Nos B 5/314/8 SiPR <br /> APJobCAddra�sa 89i085TH AVE W P� j <br /> Owner Owner: BLAI(E GAI1Y/HOLLY � <br /> Tenant: <br /> Propoeed Uee: CARAGL+ <br /> Deec. of Work: � <br /> Applicant NSW ATT4CHED GAR7IG:S Phone � <br /> �6SCflb9 PfOpOSBC�WOfk_ OFFIC$ SET JOB SET � <br /> APPROVED FOR FERHIT: DATB_/_/_ BY � : <br /> v <br /> � <br /> � I <br /> PROJECT ADDRESS(if known) M <br /> Attach four(4)coples o(plans for proposed work-Draw to scale and note the fo�lowing if appilcable: O <br /> •Property Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br /> •Centerfine of street •Indicate North "Show any proposed grading changes •Show measuremer.s � <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-SS'10. 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��UMBER 1-800-424-5555. � 1 <br /> ♦^ I <br /> �/ I <br /> �o ����;z Vl�r�s Perm�+ ��,�;m.� . O <br /> �°�'-� a <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The underelgned owner/applicant hereby agr9es to hold and save harmless <br /> the City ot Everett irom any and all clalms(or demages,costs,expenses,or <br /> Approved for Construction Date causes oi adion that may arise because ot installetion and maintenance of <br /> the Improvement or other righhof-way use hereto applied for and lurther agrees <br /> to remove same upon nolice hom the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION �ate <br /> Approved as Constructed <br /> S�gnature of Applicant pate <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMR IS ISSUED AND THEREAFfER IS TO BE DIUGENTLY PURSIiED TO <br /> COMPLEf10N.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY Sl'OPPAGE OF WORK ON THIS PR0.IECT OVER 90 DAYS DURATION. <br />