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Applka�bnFor Date 5/17/99 <br /> � PUBLIC WORKS PERMIT public Works Permit M � <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 (425)257-8810 Building Permit k B�� 1i2��0 <br /> TYPE OR PRINT ONLY TO POSTI N61ve�c.�9L— Public Works Fee S <br /> LIN SHU CHUAN 1618 BROADWAY EVERETT 98201 <br /> Owner Maili�Address Ciry Zip Phone <br /> CONTACT: IVAN 206-433-6481 <br /> Applicant Mailing Adtlress Ciry Zip Phone <br /> Describe Proposed Work ADDITION TO E7CISTING HOUSE FOR RETAIL L W <br /> � <br /> � <br /> � <br /> PROJECT ADDRESS (if known) 1618 BROADWAY � <br /> Attach four(4)copies plans lor proposed work•Draw to scale und note the lollowing if applicable: O <br /> •Property Lines •Outtine and dimonsions of all ezisting and proposed structures on the lot •Ezisting end proposed utilities � <br /> •Canterline ol street •Indicate North •Show any proposed greding changes •Show measurements <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: O <br /> 1. All calls tor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be peAormed in accordance with this permit a�d current Ciry oi Everett Design and � <br /> Consiruction Standards and Specitications., <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-BOtM24-5555. ♦A <br /> ♦// <br /> �, ��k�ti� ,��r �N��` �lan � ���j s�E� P���►s �3�F� �3 0 <br /> 5 , ��.��� �g w��as -�� p� s� �4� . a <br /> (p. �e ►'ICr� IvE �tv'•n� �.li►' �¢c�1a1 3-S,Z a-F' ,1-,L�':SSD <br /> 7� (��l�(� -f7J Me�t'`�O �i �Gr .S�it'✓i c� A` <br /> N� �� G,� �er� S,�S <br /> -k�,�S pS c <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> O /� The undersigneA owner/app�icant hereby agrees to hold and save hartniess <br /> the Ciry ol Everetl lrom eny and all ciaVms fo� demages,costs,ezpenses,or <br /> rove or ons nic� n a e causes ot action that may arise because of instellation ana meintenence ol the <br /> improve ent or othe rightvl•way use hereto applied for and fuMer agrees to <br /> remove me upon Hce from Me Ciry and to replaca pub�ic property dam• <br /> aged the b <br /> FINAL INSPECTION Date <br /> Approved as Constructed _ <br /> igna uro pp ican a e <br /> WOfiK AUT}K)R�D BY THIS PERMR MUST BE 5TAF7TED WfTHIN 180 DAYS OF DATE PERMR IS SSUED M1D 71�EFiEAFIER IS TO BE DLL1Gf:TlTIY PURSUm lO <br /> CDA�FlEl10N.THIS PERMR MAY BE CANCELLED BY THE CfTY UPON ANY STC7PPAGE OF VK7FilC ON TH�S PRQ�CT OVER 90 DAYS DURATKMI. <br /> � <br />