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� <br />► <br /> I <br /> Date P„o�,�wo,��P.,m,�. <br /> App�icafion For eicq oeo� • <br />' PUBLIC WORKS PERMIT �°°°°W°K,F« <br /> r�.�«� s <br /> iess<oni F.e pa•o 5 <br /> Print or Type Only �a�^" r,�� s _ <br /> Plan Check No: B 45574 SEPA <br /> Owner Applicat.Date: 09/14/94 Pi <br /> Job Addreee: 3118 BAOADWAY AVE <br /> Owner: WILLIAMS DON & SHIRLEY <br /> Tenant: CASCADE BAIL 80NDS <br /> Propceed Use: OFFICE _ _ <br /> Appi�cant Desc. of Work: �nor,e <br /> STORAGE ADDITION OF OFFICE <br /> Describe Proposed Work — OFFICE SET JOB SET -- <br /> APPROVED FOR PERMIT: DATE / / BY -- <br /> W <br /> Proiect Address Gf known! . _.__ — � <br /> AI�OCh fOuf(4)COpleS OI P�Bns lo� PrOp05Bd w0'K � Diav: to �t.iic an�7 ni,le I��e!c�luvnng as apG���ab�e�. � <br /> • ProPerty Lines • Centerhno of street /^ <br /> • Outline and dimensions oi ali existmg and • Icdica�= North V� <br /> proUosed strucWres on the lot • �now any r,renosed gratlmg changrs <br /> • Eris�ing and Proposed uiilities � Show mrasurrmen�s � <br /> DO NOT WRITE BELOW THIS LWE O I <br /> PERMIT CONDITIONS j <br /> 1.All calls for inspection shall be made 24 hrs.in advance-phone 259-8810. <br /> 2.All work shall be performed in acco�dance with this permit and current Ciry ol Evereq Design and Construction � I <br /> Slandards and Specifications. ' <br /> 3.Call Localion Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424•5555. � II <br /> O <br /> PUBLIC WORKS PERMIT � <br /> NOT REOUIREL� � <br /> 3Y > O <br /> :�ATE � /S /�S� <br /> a <br /> ACKNOVJLEDGEIdENT OF CONDITIONS <br /> Thn�.inder�iqned owner/apphc2nt hereby aqrees t0 hold and 5a�'e ha�m- <br /> � - � less ;he Cdy ot Fverel� Irom any and ad claims for damages. cosls. <br /> ; exprns=5. or causes o� action Ihat may arise be[ause ol ins:allation <br /> � anA mamteaanr.e o! the improvement or other right�obway u5E heretn <br /> Iapp��ad lor and lurther aqrees to remove same upon notice hom Ihe <br /> Approved for ConstrutUon �%°��' � G!y ai;tl tn replace pubhc prooerty damaged thereby. <br /> i <br /> I <br /> FINAL INSPECTION Date <br /> Approved as Consiructed S�gnature ol AnGlican! Date <br /> �I1IFe� PUBUCWORKSDEPARTMENT WOP.Y. AU7HORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> t90 DAVS OF DATE PEqMIT !S ISSUE� AND THEREAFTER IS TO <br /> p 3200 CeAa�Street <br /> � �E DILIGENTLY PURSUGD TO COMPLE110N. THIS PERMIT 'dAV �E <br /> Everett,WA98201 CA!lCELLED E?V THE CITY UPOI� ANY STJPPAG[OF WORK ON iHIS <br /> Phone:259�8810 j PROJECT OVER 90 DAYS DURATION. <br />