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Date <br />Application For <br />F'UBLIC WORKS P�ERMIT <br />Print or Type Only <br />Plan Check No: B 46884 SEPA <br />Applicat.Date: 02/O1/95 <br />Job Addrnse: 8918 9TH PL W <br />Uwner Owner: CLARK JEFF <br />Tenant: <br />Proposed Use: SINGLE FAMILY RESIDENCE <br />Desc. of Work: <br />NEW DETACHED GAFAGE <br />Applicant <br />OFFICE SE7' JOB SET <br />Describe Proposed Work _ �,ppROVED FOR PERMIT: DATE_/_/_ BY <br />Project Address (it known) <br />PuOiic WorFs Parmi:+ <br />BIEq. DeO�� y _ <br />Pu01it Woiks Fea �, <br />To�aiFee <br />Lesa Appl Fee Paitl 5 <br />Balance Due g <br />�.ip Phone � <br />ip Phone <br />Attach lour (4) copies of pians for proposed work- Draw to scale and note the to�Iowing as applicable: <br />• Property Lines • Cenlerline of street <br />• Outline and dimensions of all existing and • Indic:�te North <br />proposed structures on the lot • Show �ny proposed grading r,hanges <br />• Existing znd proposed utilities • Show measurements <br />PERMIT �ONDITIONS <br />t. All calls for inspection shall be made 24 hrs. in advance - phone 259•881 O. <br />2. All work shall be pertormed in accordance with this permit and current City o! Everetl Design and ConstrucGon <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig.?OLL FREE NUMBER�-800�42�1•5555. <br />Approved lor Construction <br />FINAL INSPECTION <br />Approved aa Construcled <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98207 <br />Phone:259�8870 <br />Date <br />Date <br />WG <br />a� <br />Q <br />�� <br />YQ <br />� W <br />0 ¢ <br />3 , <br />� <br />J �� <br />m <br />� <br />r� <br />1 W <br />Ir <br />} < <br />K •:. <br />ACKNOWLEDGEMENT OF CUNDITIONS <br />� <br />� <br />�H/� <br />V♦ <br />O <br />� <br />The undersigned owner/applicant hereby agrees to hold and s�ve harm- <br />less the Ciry of Everett from any and all claims tor damag�s, wsts, <br />expenses, or causes of action that may arise because ot installation <br />2nd mainlenance ot the improvement cr other right-of���ay use hereto <br />applied for and further agrees to remove same upon nair,e (rom the <br />Ciry and to replace pu6lic property damaged lhereby. <br />Signature of Applicanl Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER iS TO <br />BE DILIGENTLY PURSUED TO CGMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOFPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />