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Ins TING —� ° <br />u <br />Application For u <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPA*ENT <br />3200 Cedar St"ee� <br />Everett. WA 98201 2�-8810 <br />TYPE OR PRINT ONLY �p <br />Robert Mitchell 2611 Pacific AVE' Tega 511140P' <br />Date _ _ 55-�20--96 _ <br />Pubic Works Permit a <br />Building Permit a _ 51779 <br />Public Works Fee E <br />Zip Phone <br />414—ID73 <br />Owner McCabe's Bar 6 Grill $ I'd s w 5 n phone <br />yi1 Malting Address City Zip <br />Describe Proposed Wyork restaurant restoration W <br />PROJECT ADDRESS (if known) 3120 Hewitt Ave /a <br />Attach four (4) rXJplee of plane for proposed work . Draw to scale and note the following If applicable: O <br />gropsrty l,irtes KkMk s and dimensions of all existing and proposed structures on the lot 'Existing and proposed utilities <br />sCenfert ne of street ethdrate North 'Show any proposed grading changes 'Show measurements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-9810. and O <br />2. All work shall be performed in accordance with this permit and current City of Everett Design <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 14MO-424-5555. <br />cry, s��� 4� �o�>4 <br />q 14 y6ron20( �nGr E�ti Gc O <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applloant hereby agrees to fold and save harmless <br />the City of Everett from any and all claims for damages. costs, expenses. or <br />causes of action that may anse because of installation and maintenance of <br />the improvement or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace Pudic Property <br />dama jed thereby. <br />Signature of Aq licant Date <br />WORK AUTHORIZED By THIS E STARTED <br />COMPLETION THIS PERMIT MAYBE BWITHIN <br />BE CANCELLED BY THEE CITYUPON ANY STTOPPAGE OF WORK ON THIS PROJE THEREAFTER <br />T Ol ER 90 DAYS DULPURSUED TO <br />RATION.Y <br />