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i <br /> : <br /> � � `' ._._ <br /> Date 10-24-97. ^� /� n �'j �" i.. /� <br /> H c` L` I I I I � �+ I � ybbc WorkS �G.^.�I _, <br /> 1 1 �1\ �J 1 r_ <br /> �/ L'J � LJ I B fe.oeF�.. 91/280i <br /> qr� Application For <br /> ��� PUBLI�' VI;ORKS PERI� JAtd 1 � 1°(�� '°��°W°��°`aa <br /> JJ� TalalFxe 5--- <br /> ��N L�ss Aopl Fee Paid S� <br /> F.� ..... .............................. JU <br /> �o t��o Pr.nt or Type Only CITY OP EVERETT �'"°`ao°a �'�S�— <br /> ��"�f 8uildinc� Oivision <br /> H�� <br /> G Pizza Hut Inc 911t E. Douqlas W:'chita KS 67201 F00-835-0934 <br /> O H Owner �tailing AAdress Ciry Zip PMne <br /> ��g <br /> �` n Pizza Hut Inc 7020 Koll Center Pky Pleasanton CA 94566 (510) 42G-3124 John Derr � <br /> H gg — <br /> �?C y� Applicant Mailing Address City Zip Phone , , <br /> �Hy , <br /> �� Describe Froposed Work ' ,�, <br /> �yr i <br /> L�7 ��I <br /> �o� _ � _ W ' <br /> , <br /> � 9830 Everareen Wav � I <br /> Project Address(if known) -- I <br /> Attach four(4)copies of plans foi proposed work- Draw to scale and note ihe followin'as applicable: � � <br /> • Proparty Lines • Centerline of streel /�^ i <br /> • Ou�line anA dimensions of all existing and • Indicate North V a <br /> proposed structures on the lot • :,how any proposed grading changes i <br /> • Exisling and proposed utilities • Show measuremeNs M . <br /> W <br /> " DO NOT WRITE BELOW THIS LINE � �� <br /> I� ' <br /> ��'' PERMIT CON DITIOt�S <br /> � 1.All calls Por inspection shall be made 24 hrs.in ativance•phone 259•8610. � <br /> . � �� 2.All work shall be peAormed in accordance with this permit and curreN City of Everett Design and Construction <br /> ! Standards and Spec�lications. <br /> 3.Call LocaHon Undergiound Service 48 hrs.before you dig.TOLL PREE NUMBER 1-500•424-5555. 7 <br /> � ` <br /> I _ ' O i <br /> r <br /> � . � /-�[�mypZ.�.i� i�i .-�:��a.<s� G�GLYsci� /Ct!1l"�CCc7'� Cn"' ��(a:i I <br /> 9 � /J � V ,�i / I <br /> � �/ �O .SY. /ilO7L�O.[I Rnot(� .�Z�J�CLUB lULC/�� �G�! �G��� /C.�Gi�� � <br /> I �� �} p <br /> !� ��id� 4�.��`}n.tJ /ZGZ /t�y [L,�uflZ2l/' �.�0.$-f{ zl. ��(, vI <br /> � � I <br /> � � � I <br /> �I �' S C.�'-��J GG[,� cj,er�l`� G�/� Se.-Cdt/.�� 2Cis.u�a � �� <br /> o ��J >• x'lv �cf�::. <br /> '� .rl.r'�n_��tieci 2�i*ic� ���/ ��fb / <br /> � / �Ti.tJ �//.� ..S��Ll.•.7f ..YJp)zZz.J,cl�r_�0/�.i �"�(f;� � <br /> ✓ � Q � <br /> '. <br /> �-.u/� .,:��3��.:,9� .��o[ «-�%307. <br /> I + <br /> ACKWOWLEDGEMENT OF COtdDITIONS <br /> I ='_� The undersigned ownedapplicanl hereby agrees to hold and save harm� II <br /> 1 less ihe City ol Everetl trom any and ail clnims for damages, cosls, <br /> � // expenses, or causes ol action ihat may arise because ol installation <br /> � ,�(� �/ /l �f� � /_ ,� and maintenancc ol the improvement or other ri�htrohway use herel° II <br /> //f /J9 �� applied tor and furlher agrees lo remove same upon nolice Irom ihe <br /> Appwved lo�Constru f on Date Cily and�o replace public properry dama3ed thereby. <br /> /— � <br /> �/���� �/�_� � <br /> FINAL INSPECTION Data <br /> Appmved as Consimcled SignaWre of Applicant Date <br /> � PUBLIC.WORKSDEPARTMENT WORK AUTHOFIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200Ce�1arStreet 180 DAYS OF DATE PERMIT IS ISSULD AND THEFEAFTER IS TO <br /> Everett,W�A 98201 BE DILIGENTLY PURSUED TO CnMPLETION.THIS PERMIT MAY BE <br /> Phone:25y-0870 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS I <br /> PROJECT OVER 90 DAYS DURATION. . <br /> i ' <br />