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�� <br />TYPE OR PRINT ONLY <br />Owner <br />pliwtlon For <br />PUBLIC �vORiCS PERMIT <br />PUBLIC W OFlKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA98201 259-BB10 <br />—�� <br />ApFlicant <br />Describe Proposed Work _ <br />Public Works Pennit N <br />Building Permlt N._ <br />Plan Check No: 8 50829 <br />SEP7+ <br />ppplicat.Date: 02/09/96 <br />Job AQW�er:BDICKSONECYNTHIA� <br />Tenant: <br />Propoeed Use: HAIR SALON <br />Deec. of Work: <br />ADDITION <br />OFFICE SET�JOO SET <br />APPAVD FOR PERMIT: DATE_/�I_ BY <br />�cs Fee 3 <br />Phone <br />Phone �� <br />PROJECT ADDRESS (if known) <br />Attoch four (4) coples of pinns tor proposed work - Draw to scale and note the Iollowing if applicable: <br />•Prope .ry Llnes 'Outline and dimenslons ol'll existi�g end proe�Osee�s^N ahanges ,h•Show meaeurementsro�sed utilities <br />•Centerline of streel •InElcale North Show any propo 9 9 <br />..,. .�.,r �e�oirc nF� (1W THIS LINE <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - ptione 259-8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards a�d Specifications. <br />3. Cali Location �nderground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-555 . <br />0 <br />qpproved—�N����� Da�e <br />FINAL INSPECTION <br />Date <br />Approved as Construded <br />v�`cc (���' �'rn.� � <br />� <br />�,�9 <br />� � <br />J <br />�"�% <br />W` <br />r <br />�//� <br />V♦ <br />� <br />O <br />� <br />Z <br />O <br />r�/� <br />Vi <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save hartnless <br />the City of Eveiett trom any and all claims for damages, costs, expenses, or <br />the Improvemenl or othe rnght ot way use herelo,applied for and lurtheregrees <br />to remove same upon aotice fmm ihe City and to replaw public property <br />damaged thereby. <br />Date <br />Slgnature ot Applicant <br />COMPLETION RTHES ERMIT M YRBE CANCELLEDTBYTHE CIT�YIUPON ANY S�TOPPAGE OF WOIRK ON THIS PROJECT OVEER 50 DAYS DULRATIGNLY PURSUED TO <br />