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`� Application For ���ie - <br /> '` PUBLIC WORKS PERMIT <br /> Public Works Pormit # <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Slreet <br /> Everett, 4V?.98201 (425) 257-8810 Building Permit� <br /> TYPE: OR PRINT ONLY Public Works Fee� <br /> Owner Plan Chetk No.: C9909-004 N'.:B 99-021 phone <br /> Job Address: 10614 7TH AVE SL <br /> Owner: MARSHALIySARAH <br /> Applicanl Tenant: Pho�:a <br /> Appliwtion Date: 9/7/99 � <br /> Desc:ribe P�oposed Work _ Proposed Use: GARAGE <br /> Type of viork: REPLACE FIRE DAMAGED GARAGE � <br /> Office Se�— 7ob Set Fire/Planning Set � <br /> I <br /> Approved For Permit: Date: BY� //� <br /> �i/� <br /> PROJECTAUDRESS (if known) �""' <br /> � <br /> Attach four(4)copies plans lor proposed work-Draw to scale and note the following if applicable: � <br /> •Property Lines •Outline and dimensions of all existing and proposed structures on the lot •Existing and propo^,ed ulilities <br /> •CenteAine ol street •Indicate(Jorth •Show any proposed yrading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERPdIT CONDITIONS: o <br /> 1. Ali calls for inspection shall be �nade 24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be performed in uccordance 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. ♦�'i <br /> V! <br /> :'UGLIC WOP,K� ��q�Al�: � <br /> r:or �y,{��Mut��,a �y <br /> '`��-- -l�.' Y. <br /> �Ar�--_--_�--�-� . <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> Tha undersigned wmer/applicant hereby agrees to hold and save hartnless <br /> Ihe Ciry of Evereri irom any and all claims for damages,costs,expenses,or <br /> ate causes of action that may arise because of installation ar�d maintenance of the <br /> pprove or onstruction improvement or other right-of-way use herelo applied for and further agrees to <br /> remove same upon notice from Ihe City and to replace public property dam- <br /> aged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructetl ate <br /> ignawre o pp icant <br /> WORKAU71i0RL�ED BYTHIS PERMR MUST BE STAHTED WRiiIN 1&7 DPYS OF DAiE PERMR IS ISSUEC 1d:U THEREAFfER IS TO RE DIUGENTLY PURSUEDTO <br /> CAMPLETION.THIS PERMfT?MY BE CrWCELLED BY TH6 Gfll'UPON ANY STOPPAGE OF 4VORK CN THIS PRQIECT OVcR 90 DAYS DUFvaTION. <br />