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� <br />Applicafion For <br />PUBLIC W�RKS PERMIT Date 6-26-96 <br />TYPE OR PRIN"i ONLY <br />Glen Smith <br />Owner <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Sireet <br />Everett, Wq g8201 259-8810 <br />�a �osTiNc ""� ° �'� <br />Johnson <br />Address <br />Describe Proposed Work espresso stand <br />PROJECT ADDRESS (if known) <br />6503 Ever <br />Everet <br />CHy <br />Public Works Permit # Y(� / j�¢ <br />��� <br />Building Permit il 52 <br />Public Works Fee 5 3,s UD <br />Ba <br />Zip <br />Attach four (4) copies of plans for proposad work - Draw to scale and note the following if applicable: <br />•Property Lines •Outline and dimensions of all existing and proposed structures on ihe lot •Existing and proposed utilitles <br />•Centedine of sireet 'Indicate North •Show any proposed grading changes •Show measurements <br />� <br />✓� <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-9810. 07/li/96 �==46f'H OOOARo <br />2. All work shall be performed in accordance with this permit and current City of ���p �sign and <br />Construction Standards and Specifications. ELEC #.i5.00 <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUM�I�OQ-�i24-5555. <br />J • JJ <br />E�DG .54,00 <br />.Sf�� � fo f�� Lc�� f� d��..-, Q�if4 c�� a� s'�fc/ , oFi�wv szo. o0 <br />FLhl CH s:;s. io <br />CNECf; 3148�6D <br />/i �I/7c*c�� z lc�i3�9�o <br />Approved for G6nsW hon a�e <br />�,���/ <br />% �aY-J.� <br />FINAL INSPECTION ` Date <br />Approved as Constructed <br />/ <br />PGKNOWLEDGEMENT OF CONDITIONS <br />Tha undersigned ownedapplicant hereby agrees to hold and save harmless <br />tha City of Everett from any and all claims for d�mages, coals, expenses, or <br />causes of action Ihat may arise because of Installatlon and maintenance of <br />ihe improvement or other right-u4way use hereto applied for and furiher agrees <br />lo remove same upon notice �rom the City and to replace public property <br />.,n . <br />WORK AUTHqRIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS 157UED AND THEREAF7ER IS TO BE DILIGENTLY?URSUED TO <br />COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />