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Date G- 13-8 S Puobc Works Permu e V !��� <br /> Appliwtion Fc� emo�oec�.. 7DLc�r� <br /> PUBLI� WORKS PERMIT PuElicWorkeFee <br /> Tot�i Fee s <br /> Le�aApP�Feef'��E S �O�- <br /> Oabnce Due S <br /> Print or Type Only <br /> Mrs Mary Hartman 2721 Wetmore Avenue Hverett , iVA 98201 258-3411 <br /> Owner Meiling Adtlrecs City ZiP Phone <br /> Newland Construction Co . , Inc . P.O. Box 958 Lverett , iVA 98206 259-9191 <br /> Applicant Mailing Address City Zip Phone <br /> GescribePropoSedWork Interior remodel of esist:rig oPfice bldg. including installing _ <br /> new stcrefront on ColUy Avenue (West) side of. Uldg. Rarricade 10 ' iaide strip <br /> adjacent to building on Coiby Avenue H•iih chainlink fence panels . <br /> -- W <br /> ProlectAddress�ilknown) Z939 Colby Avenue � <br /> Attach four(4)copies of plans lor proposed work• Draw lo scale and note the lollowing as applicable: � <br /> • P.operty Lines • Cenlerline ol street � <br /> • Oulline and dimensiona of all ezisting and • Indicate North <br /> proposed sfructures on ihe bl • ShOw any proposed arading changes <br /> • Existing and proposed utllities • Show measurements � <br /> DO IJOT WRITE BELOW THIS LINE O <br /> P[RMIT CONDITIONS <br />� 1. All calls for Inspection shell be made 24 hrs in advance•phone 259•8$1 5. � <br />� 2. All work shall be performed in accordance with this permit and current Ciry of Everett Design and Construction <br /> Standards and Specilicatlons. <br /> 3. Ca�l Location Underground Service 48 hrs. helore you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> O <br /> � <br /> � <br />� O <br /> i a <br /> �. 1 ' <br /> � �'�`��� �C" � ACKNOWLEDGEMENTOFCONDITIONS <br /> � �`g The undersigned ownedapplicanl hereby aqrees to hold and save harm� <br /> less the City ot Everett 1rom any and all ciaims lor damages, costs. <br /> expenses, or causes ol aUion that may arise because ol installation <br /> and maintenance ol the improvement or other right�of-way use: hereto <br /> applied lor and turther agrees to remove same upon notice irom Ihe <br /> Approved for ConstruclionL999 ///, Date City and lo r D+ e PubliC property damaged Ihereby. <br /> `\�%��.�f%�(�GE% _� /�- � '.•-��p ` � <br /> FINAL INSPECTI �ale v�w��� ` <br /> Approved as Constructed ignature o1 Applicant Datc <br /> evereti PUBLIC WORKS DEPARTMENT WOR�( AUTHORIZED BY THIS PERMIT MUST OE STARTED WITHIN <br /> 180 DAYS OF DATE PERMIT IS i;iSUEO AND THEREAFTER IS TO <br /> � 3200 Cedar Street DE DILIGENT�V PURSUED TO COMPLETION. THIS PEFMIT MAY 8E <br /> Everett.WA 98201 CANCELLFD BY TH[CITV UPON ANY STOPPAGE OF WORK ON THI� <br /> Phone: 259�8815 PROJECT OVE(i 90 DP.YS DURA?ION. <br />