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Date � <br />APplltalla� Fo� <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Plan check No: B 39367 SEPA <br />Appllcat.0ate: 01/26/93 <br />.Tob Addreee: 1605 56 EVERETT HALL WAY <br />Ownar Owne[: NAGCEN FOODS <br />Tenant: TOP FOODS <br />Propoeed Uee: RETAIL <br />Deec. oP Work: <br />Applicanl TENANT IMPROVEMENT—SHELL FOR STARBUCRS <br />OFFICE SET .708 SET <br />Describe Proposetl Work <br />AP2ROVED FOR PERHIT: OA1'E_/_/_ BY_ <br />Prol^ct Atldiess QI knoNn) <br />` Ia�emwo�apmma. <br />aiaa. oeo� • _ <br />nueecwon.h. — . <br />Tdtl F�� t <br />1��� ADUI fu Vu0 S � <br />B�4nn0ur S <br />Zip Phone <br />ZIP Phone <br />AllaCh l0ur (4) COpieS ol plans lof propo5e0 wark � �raw lo SCale antl note IM10 lollowing as appliw6le: <br />• Properry Lines • Cen�etline al slreet <br />• Oulline and tlimensians ol all vaisling nntl • Intlicale Norih <br />propased structures on Ihe lot i Show any proposed gra0ing chanBes <br />• Ezisting and proposed utllilies • Show measuremenls <br />PERMIT CON�ITIONS <br />1. All calls lor inspectlon shall be made 24 hrs. in aEvance- phone 259-8810. <br />2. All work shall Oe pedormetl In occordance with iMs permil and currant Clty ol Everett Design and Construction <br />Stendartls and SDecilicetions <br />3. Call Location Underg� ound Service 48 hrs. bolcre you tlig. TOIL FREE NUMBEq 1•800�424•5555. <br />L a�,�s <br />i�/c � d � <br />lor Cons�mction <br />�UBLIC WORKS PERMIT <br />NOT REOUIRED <br />ov � <br />DATE Z� 9 3 <br />/ <br />L:,� ��e y <br />,$'c:wc'l- �/'�-+t� <br />Z <br />O <br />V/ <br />a <br />ACKNOWLE�GEMcNTOFCONDITIONS <br />TM1e undersignetl owner/applicanl he�eby a 7rees lo hold and save harm� <br />less Ihe Cily ol Evere�t Iwm any antl all claims lar damages, costs. <br />ezpenses, or cauees ol aclion inat may utlse because ol Installation <br />and mainlenance ol Ihe improvemenl or other tlghPa4way use herelo � <br />app�ieU lOr and luft�ef agrees Io removn bame upan noliCe Iram Ihe , <br />Cily antl lo replaCe publit Ompeiry tlamaped Ihereby. <br />FINAL INSPECTION Dale � <br />Approvea as Conslructetl Signature ol Applicant Date <br />Q�PUBLIC WORKS UEPARTMENT WORK AUiHORIZED BY THIS PERAIIT MUST BE STARTED WITHIIJ <br />�200CeEarSimet I80 DAYS O� DATE PERMIT IS ISSUED AND THEREAFTEfl IS TO . <br />��Ls� T Evcrcll WA90201 BE DILIGENTLY PUFSUE� TO COMPLETION. THIS PERMIT MAY BE <br />Phone:259�9Bt0 CANCELLED AYTHE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 OAYS DURATION. <br />