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HOH <br />��� <br />9H <br />��x <br />C, H <br />>Hfn <br />�xb <br />H5H <br />�H� <br />h] H �+] <br />!n H <br />lTl O � <br />H l7 <br />OH <br />� � n <br />YH� <br />, <br />Hy <br />G� <br />O H <br />C7 t7 (� <br />��� <br />zHtn <br />H O Cn <br />Date z�4/92 <br />Application For <br />PU�LIC WORKS PERMIT <br />Print or Type Only TO POSTI NG � �! �t �' <br />iindal, Gmil J 2403 7th St Everett 98201 259-2837 <br />Owner Mailing Address Cily Zip <br />Bruce Kennedy 357-3443 <br />Mailing Atldress City <br />Describe Proposed Work Neo� garage/shop/solarium <br />Projecl Address (if known� 2403 7th <br />v�,ni��tivo�.sr„��,n. �C� L� ' L_ <br />oia� ; �,. • 35541 <br />PuOhc Works Fee <br />Tatal Foe $ <br />Less Aoo� Fee Paio S <br />-��,r <br />H.,i��o•o��• 5 � <br />Attach lour (4) copies ol plans for proposed work � Draw to scale antl note the lollowing as applicable: <br />• Property Lines • Centarline ol street <br />• Outline and dimensions ol all existing and O Indicate North <br />proposed shuctures on the lot • Show any oropused c�raGin� change=_ <br />• Existing and proposed utilities • Show measuremenis <br />NpT <br />PERMIT CONDITIONS <br />1. All calls lor inspection shull be made 24 hrs, in advance - phone 259•8810. <br />2. All work shall be pedormed in accordance with this permit and current City of Everetl Design and Construdion <br />Standards and Specilications. <br />3. Call Location Untlerground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1•800•424•5555. <br />1 - <br />, CLI7c:�CaG�i �J�'i�' C�/l-cc�'tv.� C"� Lc,.-�o«��� _ <br />;� r , i <br />S�a-��`12�i(l fl,3p� a,,.<.F' .LCcz`<.c.v '�3.5�.2 .. <br />J` .�`(�-�,?�2.•� ��iLJ.C�-r'A Cl'ZL4�e(l.�.C/ �'yL 7!/ <br />�;�-�y.��/�,f��J, S7" <br />/-lrJ!.Mr" 4':s(% �l-rt�tcU' • .�-LCU� U.jl["�.l f� �r . . <br />,f c� C � -.-��./� .S<cl[(_�'.:..�i�- <br />/'e-L _Cr��i�ui4 i<�� �:i'c;�� ...->�./ ..�GG . <br />� / <br />`� �Cc� �cz'� � '/c�9z <br />Approved for Constru5tion Date <br />C= <br />�1/ / <br />_% L,� ��� fG_.l �-��'�-� �.. 5- 7� Z <br />FINAL INSPECTION Da.e <br />Approced as Constructed <br />��PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />EveretC WA 98201 <br />Phona _59�dG10 <br />ACI(NOWLEDGEMENT OF CONDITIONS <br />The undersigned awner/applicant hereUy agrees to hold and save harm- <br />less the City of Everetl Irom any and all claims for dama9es, cosls. <br />expenses, or causes of action that may arise because of installation <br />and maintenance ohlhe improvement or other r:9ht�of�wa� usc herelo <br />applied lor and funlier agraes to remove same upon notice irom the <br />Ciry and to replac�ublic proPerty dama9ed thereby. <br />i / i' <br />—!/ ; /' / . <br />� �`,a��,��. / <br />Signatu��of Applicant Da1e <br />WORK/AUTHORIZED BY TNIS PERMIT MUST BE STARTED WITHIN <br />180�AYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PUFSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCEILED BY THE CITY UPON ANY STOPPF.GE OF WORK ON ?HIS <br />PROJECT OVER 90 DAYS DURATION. <br />