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^ Puolic Wo�s Parm�t• <br /> Date emo o�o+.• <br /> APPlication For <br /> PERMIT P"ei¢Wo.aFea s <br /> PUBLIC WORKS Tot�lfee <br /> Less AOOL Fse PnE f—�� <br /> BH�oc�Du� s <br /> Print or Type Only <br /> Plan Check No: B 39473 <br /> SEPA <br /> Applicat.Date: 02/OS/93 <br /> Job Addraea: 2721 WBTM�AE AVE Phone � <br /> Owner OaMri SMITH B08 <br /> Propoeed�Ueas NASS11G8 T*RAININGSCHOOL <br /> Deac. of Work: phone <br /> � T,I, - INTERIOR� NON-BfiARING WMLL <br /> Applicenl REI.O�ATION� REC1�RpBT b R�pAINT INTfiRIOR <br /> OFFICB SET��J�B SET- <br /> Deecribe Proposed Work _ AppROVED FOR PSRMIT: DATE_I��_ HY <br /> W <br /> Prolect Address(il known) � <br /> Attech four(4)copies ol Plans for proposed work• Draw to scale and note.�CB^�;eWine of stPee't able: � <br /> • PropertY Lines • Indicate North <br /> � Outline and dimensions ot ell exisfing end � Show any proposed gradin9 chanBes <br /> proposed st�uctures on the lot � Show measurements M <br /> • Exiating and proposed utllities W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS ' <br /> 1.All calle for Inspectbn aholl be made 24 hra.in advence•phane 25�8810. <br /> 2.All work shell be peAormed in eccordance with thia perm�t end current City of Everett Desiyn and Constructlon <br /> Standerda and Specitications. � <br /> 3.Call Locetion Underground Service 4B hra.be�ore you di0.TOLL FREE NUMBER 1•800�42455 Ci. <br /> O <br /> � <br /> PUBLIC WORKS PERMIT � <br /> NOT REOUIRED O <br /> BY � <br /> DATE S 3 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold end save harm• <br /> less the Ciry of Everetl Irom any end all cleims for demegea coats, <br /> ezpenses. or causes of aclion thet may arise because of Inslallation <br /> and maintenance ot Ihe improvemenl or other right-ohway use hereto <br /> applied for and furlher agrees to remove seme upon notice Irom tha <br /> Approved for Construction <br /> Dale City and to replace public property damaged lhereby. <br /> FINAL INSPECTION Date Date <br /> Signature ol APP�icant <br /> Approved as Construcled ydpRK AUTHORI2ED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � PUBLICWORKSDEPARTMENT 100 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TU <br /> 37.00CedarStreet BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett WA 982�� CANCELLED BY THE CITY UPON ANl'STOPPAGE OF WORK ON THIS <br /> Phone:259-8810 PROJECT OVER 90 DAYS DURATION. <br />