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� <br />� <br />NPE OR PRINT ONLY <br />Owna� <br />Applicant <br />Appliutlon For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Ceder Strent <br />Eveiott, WA 98201 259-8810 <br />Describe Proposed Work _ <br />PROJECT ADDRESS Qf known) <br />�ta <br />a�ti� works Pem,n w <br />Building Pertnd M <br />Public Works Fee S <br />Plan Chack No: 8 62178 S6PJ► <br />Applicat.Date: 04/15/99 Phone <br />Job Add�er: HROORTRIIUTFPROPRLLP <br />Tenants YUKON TRADING CO <br />Propoeed Ueos OFFICE phone � <br />Deec. of i7orks <br />TENANT IMPROVENENT <br />OFFICfi SET JOB SST <br />APPROVED FOR PERMIT: DATB_/_/_ BY <br />Attach four (4; copies of plans tor proposed work - Drew to scale and note the folbwing it eppikable: <br />�p�o;�erty Lines `Oidline and dimensions of all existing and proposed strucWrea on the lot •Exisling and proposed utilHtes <br />•Centerline ot street •Indiwte North 5how eny proposed greding changes 'Show measw �ments <br />PERMIT CONDITIONS: <br />1. All calls for inspectfon shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordence with this pertnit and current City of Everett Design and <br />Construction Standards and Specificetions. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-55b6• <br />?UQLIC WORKS �ERM1� <br />tvOT�j� UIRE! <br />: Y, ._J1 j •l- . <br />•nrE.---•- � ���— <br />Approved for Construction � Date <br />FINAL INSPECTION Date ' <br />Approved as ConsWcted <br />W <br />� <br />� <br />� <br />� <br />� <br />O <br />a <br />ACKNOWLED(3EMENT OF CONDITIONS <br />The undersigned owner/ap?Iicant hereby agrees to hold end save h�rmhss <br />Me City ot Everett t: �m e�ry end ell cleims lor damages, costs, expenses, or <br />causes of aclbn that mey arise becauae ot installatbn and rtalntenance of <br />the Mnprovement w other right-of-wey ux t�eto epplled for end furthx a9reas <br />to ramova same upon nollce from tM Clry an.: to replace p�blic piopMY <br />damaged thereby. <br />Signature of Applicant Date <br />COMPLEf10N.RT1-I�S ERMIT MAY BETCANCELLED BY THE CINIUPON DANY STOP AGE OF WORK ON THISNPROJECT �VER 60 DAYS WRATI�Y PURSUED TO <br />