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��� <br />TYPE UR PRINT ONLY <br />Applicant <br />� .ation For <br />PUBLIC WORl�S PERMIT <br />Describe Proposed Work _ <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Stree� <br />Everell, WA 982�1 259-8810 <br />Plan Check No: B 57266 <br />ppplicat.Date: il/26/97 <br />Job Aa��er: FaOUNFE TERYLARRY <br />Tenant: <br />Propoeed Uee: ESPRE550 STAND <br />Deec. of work: <br />ESPRESSO STAND <br />OFFICE SET��J�B SEY <br />Date _--- <br />Public Works Permil u <br />Building Permit p,_ <br />P�blic Works Fee $ _ <br />SEPA <br />APPROVED FOR PERMIT: DATE_/�I� BY <br />PROJECT ADDRESS (if known) <br />Attach tour (4) copies o1 plans lor proposed work - Draw to scale and note �he following If applicable: <br />•PropeAy lines •Outline and dimensions ol all existing and proposed structures on the lot •Existing and proposed utilities <br />•Cen��?rline of street •Indlcate Norih •Show any prop�sed grading changes •Show measuremenls <br />'... .�nr �naiiTF RFLOW THIS LINE <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2, qll work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-555 . <br />Approved for Construction <br />Dale <br />FINAL INSPECTION <br />Date <br />Approved as Conslmcted <br />� a� � � �,c' �� <br />G�`�_ u� `�// <br />�-- <br />Z <br />O <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownedaFp:�cant hereby agrees to hold and save enseseor <br />the Gry of Everetl Irom any and all claims for damagr.s, costs, exp <br />causes ol action that may arise because ol installation and maiNenance ol <br />the improvement or other right-ol-way use herelo applied �or and lurther agrees <br />to remove samo upon notice from the City and to replace publlc praPeAY <br />damaged thereby. <br />Da1e <br />Signature of Applicant <br />COMPLZ 0�. TIHIS PERMIT MAY BE CANCELLED BY THE CINIUPOO �A�Y� 3oTOFFAGE OF WI OFK ON THIS PROJEC OVER 90 DOAYS DUIf7AT ONLY PURSUED TO <br />