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� <br /> ��� FPPliwnon For � I <br /> PUBLIC WORKS PERMIT Date 6-6-96 �� ' � <br /> PUBL1C WORKS DEPAR1MEM ?ublie Works Permit# _� <br /> 3200 Cedar Street o� <br /> Everett,WA 98201 259•8810 <br /> Building Permit p 51928 <br /> iYPEORPRINTONLY TO POSTING l� -� g /Pu ncWorksFeeg .��� <br /> Chad Knowles 3027 Broadway Everett WA 98201 252-5388 �� <br /> Owner Mailing Address <br /> Ciry Zip Phone <br /> Worldwide Expresso <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work espresso stand <br /> W <br /> F- <br /> - <br /> PROJECTADDRESS(if known) 3027 Broadway � <br /> Attach four(4)copies ot nl�ns for proposed work-Draw to scale and note the following if applic�ble: � <br /> 'Property Li:�as `Outline and di.rensions ol all existinc�and proposed strvcturas on the!ot •Ecisting and proposed utillties O <br /> 'Centerlinf of street •:�alcate NoAh •Show any proposed gratling changes •Show measurements <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. <br /> 2.All work shall bo performed in accordance witn this permit and current City of Everett Design and O <br /> Construction Standards and Specifications. <br /> 3. Call Location Undemround Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> V/ <br /> O <br /> a <br />! � � M � � , <br /> . a � <br /> JUN 2 6 19g6 <br /> . . .... . . . ... <br /> CITY OF EVERETT <br /> BuIICir. �i�ision <br /> b.� C.rfL�.�.Cd. <br />` ACKNUWLEO(iEMENTOF CONDITIONS <br /> � Tha iindersigned owneNapplicant hereby agrees to hold and save harm!ess <br />� q�/J��.e.j[L, � a��� the City of Everett from any anC all ciaims for damages,costs,eaoenses,or <br /> Approved for or�etrucl(on pa� causes of action that n��ay arise 6ecause of installation and main:enance of <br /> �� the improvement or other right-of-way use hereto applied for and further agrees <br /> to remove same upon no ica fro the City and to replace public property <br /> ��� ��,,��- g_y_SG dama hereb . <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> 6 <br /> Signature of Applicant Date <br /> WORK AUTHORIZED BY TH15 PERMIT MUST BE STAIiTED WITHIN 180 DAYS OF DATE PERM17I5 ISSUED AND THEREAFTEq IS TO BE DILIGENTLY PURSUED TO <br /> COMPlEfION.THIS PERMIT MAY BE CANCELLED BY THE CIIY UPON ANY STOPPAGE Of WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />� <br />