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Date 8��-9$ n,�n � c��.�.o..,m�i. <br /> APPlication For h��io n�r.� • ___44.�.40_ "���� _ <br /> Pt�BLIC WORKS PERMIT �.���;owopeFa� $ — — <br /> ,.•,,.��� Fa,.oa::, s <br /> Print or Type Only e.,�.,^ ^��, s <br /> Steve Fridell 1916 106th P1 SE Everett 96208 742-2085 or 316-0600 <br /> Own�t Ma�hny ,1r,Wr55 G�tY 7_ip Phonn <br /> Owner <br /> APPlitant h^.,�Inr;AAdu,ss --�-_---C�tv LP _- Phone -- --�-�� <br /> Describe P�o�osed work espresso stand (walk up) _ _ __ __ <br /> ---- <br /> ----_ --- ---- -------- W <br /> Prolect Address UI known! __ 1831 Silvet Lake Rd ■ <br /> Attaeh lom(41 coP�es of P�ans loi nrot�osed wor.. � D�ac: tn -r,J,. .u,,r r,�.�� ihe �oiluw�ng as annhcabh--.--_—__ — � <br /> • Pronerty Lines • �.�r��rLnn nf strr��1 � <br /> • Outline and dimensions o�all ex,Lng anA • Irdicab: Nor�h <br /> proposee siruclures on Ihe lol • �now ;^y ;,�000sed ypan,m�i chanyes <br /> • Fxisting and proposed utillties • Show mnasurements � <br /> , , DO NOT WHITE B[LOW THIS LME <br /> PERMITCONDITIONS Q <br /> 1.All calls for inspection shall be made 24 hrs.in advance-phone 259•8870. � <br /> 2.All work shall be peAormed in accordance with ihis permit and current City o(Everetl Design and ConsVuction <br /> Standards and Specifical;ons. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> ����s O <br /> ,�uRLfO WORKS PGR111� <br /> h0 qEpll{Ilin �L4�� /ja.�i�ce.,�J� �,.� �.'-- � <br /> #Y� /s ` <br /> �sATE._�-4>-'"/"Y"�„- �t/yC,rA'tTJo7/i^.i �j�...� /•c/tD.� /w <br /> � �x,���� ,�,�. �--�..� v� <br /> .� � � ���� � �� � <br /> d�� w���� a <br /> �` �1 ,�g �Qk$,-oo ks <br /> �� J�'`\�J �CKN06VLEDGEMGNTOFCONOITIONS <br /> �� l he unAnr�i�ned owneVapPliqant hereUy agrees to holtl end sa��e harm- <br /> p ��� ----i I��ss :h�r Gty of Evereii irom any and a�� claims lor dam;ic7eti, r.osis <br /> A�v�j {+�' � erpenses o� causes of ar.tion that m�y arise because ol mstai�at�on <br /> U •' � and mainten�nr.e of ihe improvement or o�her ngh�-of-way use hNre�o <br /> � E�� I a;n��er; for �nd further aqrees to remov� sam� upon notloe irom the <br /> APProved lor ConstrucG\tY�'O^9 O\Op ��te i f 'c .ii:A In rePlaca ouUhc p�erty d�m���herebY. <br /> . �V � <br /> B��\d I *4'��I���c � � <br /> FINAL INSPECTION Date <br /> Approved as Construcied i ': nat ir of Ann� an� Date <br /> /AI� PUBLICWORKSDEPARTMENT I '.l'O RK A UiH O RI Z F D D V T HI S P E R MI T M U S T E 5 A R T E D WI7HIN <br /> 3200Ceda�Street � "�90 DAYS OF DATE P[RMIT IS ISSUED AND THEREAFTER IS TO <br /> Everetl.WA 98201 j BE DILIGENTLI' PURSU[D TO COMPLETION. 7HIS PERMIT tdAV BE <br /> , CANCELLED BV THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> P hone:2 5 9�8 8 1 0 �� PqO.iEGT OVER 90 D4V5 DURATION. <br />