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1 � <br /> `./ I�IIL8��0l1 POf <br /> PUBLIC WORKS PERMIT �a1e li—lz-9a <br /> PUBLIC WORKS DEPARTMENT Public Nbrks Pertnit N -r'f Z I <br /> 3200 Cedar Strest <br /> Everett,WA 98201 259-8810 Building PertnR M 60795 <br /> TYPEORPRINTONLY TO POSTING IAN O 3 Y001 publicWorksFeeS JZS�4I <br /> VOLUNTEERS OF AMERICA 1230 BROADWAY EVERETT 98201 259-3191 <br /> Owner Malling Address City Zip Phone <br /> .�oG� <br /> DYKEMAN ARCHITECTS - il�i� NIEMI 259-3161 <br /> Applicant Malling Address City Zip Phone <br /> Describa Proposed Work NEW BUILDING (FOOD BANK) � <br /> � <br /> � <br /> � <br /> PROJECT ADDRESS(if known) _ � ti✓ � <br /> Attach four(4)copies of plans lor proposed work•Draw to sca�e and note the(ollowing applicable: O <br /> •Property Lines 'Outline and dlmensions of all axisting and proposed structures on the lot •Existing and proposed utilities <br /> �Center,ine of street 'Indicate North •Show any proposed grading changes 'Show measuremenis � <br /> DO NOT WRITE BELOW THIS LINE ;, <br /> PERMIT CONDITIONS: � Z <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. . O <br /> 2.All work shall be performed in accordance with this pertnit and current City of Everett Design and <br /> Construction Standards and Specifications. „ <br /> 3.Call Location Underground Service 48 hrs. beiore you dig. TOLL FREE NUMBER 7-800-4�4-5555• � <br /> � ,; � , � <br /> � �s � , ����� ���Pd � �_ � ��� : O <br /> � � ,��,��� <br /> �����_� _� ,,.� t a <br /> , �,�, <br /> G�i±iEk 13t�,:�.� <br /> . 13;. ;,. <br /> '�1cR �42E. - <br /> c;, . <br /> _rHEF 'E <br /> f'4'/i�1Rd _. . _ <br /> �ci/iNEP .. .. <br /> ACKNOWLEDGEMENT OF CONDI110NS i <br /> G � The undersigned owner/applkant bereby agrc�es to hold and save hartnless �� <br /> 2 the CNy ol Everett hom eny and eil claims for tlameges,costs,expenses,a <br /> Ap�etl tnr Constn�non �� Dale causes of action that may erise Lecause of Installatbn and malMenance ot , <br /> / the improvement or other right-oi-way use herato applieA for and lurther agrees <br /> ���' i � to remove same upo otice fiom the ' and to replace public property <br /> ���`--- Gr -L-v u damaged ihe <br /> FINAL INSPECTION Date <br /> Approved as Constructed /�' <br /> T <br /> t te <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTF.D WIiHIN 180 DAYS OF DATE PERM UED AND THEREAFfER IS TO BE DILIGENiLY PURSUED TO <br /> COMPLEf10N.THIS PERMIT MAY BE CANCELLED BY hIE CITY UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER 90 DAVS WRATION. <br />