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Date 10/9/95 <br />Applir,ation For <br />PUBLIC WORKS PERMIT <br />Print or Type G�nly <br />Harold Ross <br />Owner <br />9105 9th Ave SE <br />i\4aifinr; �tldress <br />Everett 98208 <br />Cr,y <br />Pu[tlit l':o".a Vi.rnut v __ <br />G�:i9 DeP� a .--�JI <br />Pul:hc Works Fee <br />iatdl FCf `S - <br />L¢55 Anpl. Fne Pnitl 5_ <br />!�dl.'Inrr DuC .^i � <br />Phone <br />George Bradshaw 775-9227 _ ____ _ <br />AppliCan� Od:�ihr,q Address Ciiy Zip Phnn�� <br />Describe Proposed Work <br />New detached garage/shop <br />ProjedAddress�ilknow�n! ____9105 9th_ave_se__.__ <br />Attach fow (4) copies of plans foi Uroposad work � Dr. ��� t;� _c,ii�� .c��n neJir the'oilu�.ving as anP�ir.ab�e�. <br />• Property LLies <br />• Ouiline and dime�siors of all exishng and <br />proposed structures on the lot <br />• Existing and proposed u�ilities <br />• Ce�n�erlinr n� S�reet <br />• Indicab_ North <br />• Show any r.�opOsed c�ratl���i<� r.hanges <br />• Sh�s+ mrasuremeNs <br />PERMIT CONDITInNS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259•8810. <br />2. All work shall be pertormed in accordance with ihis permit and cunent Ciry of Everett Design and Consiruction <br />Standards and Specifications. <br />3. Cell Location Underground Service 48 hrs before you di9. TOLL FREE NUMBER 1•800•424•5555. <br />e'UBLfC WO�K3 PERM�? <br />^�O f 9EGtU1Rfc.� <br />$.Y_�B <br />�nT-. L _i � /.`�s`'�—^ <br />./ <br />�Li6�/6��� __.__ — <br />for Construction <br />FINAL INSPECTION <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 CedarStreet <br />Everett, WA 90201 <br />Phone:259•8810 <br />Dalr� <br />Date <br />ACKNOV✓LEDG[MENT OF CONDITIONS <br />� <br />0 <br />7he w�dersiqneA ownedapplicant hereby a9rees to hold and save harm� <br />� less ehe City or Everett 1rom any and all ctaims lor Aama9es. costs. <br />; expensos or causes of action ihat ma/ arise hA�a��^e �� installation <br />�, and maintenance of t'�e improvem. r,t or other nght-ol�way us� herolo <br />� anN�A�: �or and further agrees to remove same upon notice Irom the <br />� C'�;y and to replaca public property damaged thereby. <br />Signdture of Applican! Gate <br />INORK AUTf10RIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />i8p DAYS OF DATE PERMIT IS ISSUED AND THEFEAFTER IS TO <br />BE DILIGEIJTLY PURSUED TO COMPLETION. THIS PERMIT t�1AY BE <br />CANCELLED B'f THE CITY UPON ANY STOPPAGE UF WORK ON THIS <br />PRO.IEGT OVER 90 DAVS DURATION. <br />