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- �plication For J � <br /> � PUBUC �.JRKS PERMIT Oata 6-21-96 <br /> ��s�� <br /> PUBLIC WORKS DEPARTMENT Public Works Pertnit k Y�c���SC�c <br /> 320�Cedar Strest <br /> Everett,WA 98201 259-8810 <br /> TO POSTING BuildingPermitk 52086 <br /> TYPE OR PRINT ONLY APR 0 8 199� 3� an <br /> Public Works Fee$ - � �' <br /> Price Stan/Colleen 3401 Tulalip Ave Gverett 98�01 252-1467 or��-4232 <br /> Owner Mailing Address Cit <br /> y Z�P Phone <br /> Ownei <br /> Applicant Mailing Adtlress CNy Zip Phone <br /> Describe Proposed\'Jork �ew commnrcial bldg <br /> W <br /> 07.'01!9c 5=01F!1 DOD�ae:i� ; �'� ! � <br /> PROJECT ADDRESS(if known) 3232 Broadway F OK NOOUSc^OEb w♦ <br /> Attach four(4)copies of plans tor proposed work-Draw to scale and note ihe following if applicable: �'.CHRG E4.50 � <br /> •Propeny Lines 'Outline and dimenvions of all ezisting and proposed structu�es on the lot •[xist:n and roA RAIfa °JwI' $i'+S.�1 � <br /> 'Centerline of street �Indicate Norih �Show any proposed greding changes •Show measurements p�U���/)�` <br /> ... SEWER 370.OD � <br /> DO NOT WRITE BELOW THIS IINE � �� � <br /> PERMIT CONDITIONS: � <br /> 1. Ail calls for inspection shall be made 24 hours in advance- phone 259-8810. <br /> 2.All work shall be pertormed in accordance with this permit and curren;City of Everett Design and O <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. befure you dig. TOLL FREE NUMBER 1-6J0-424-55Ci5. � <br /> 4, Cr�/;'L (,dpr,E �v b� o�cne ��i- �OLoi� a�,aroue� /� � <br /> P�6C.� Guor�fr Gdt� � /-96 <CaPy q��c�� O <br /> > .9� �,.,4 � .,(D - ! � a <br /> f/ y ( �7C �.c��n4 Cr77/ .S�io�t.x-« n/ <br /> / � / / [ ✓ ' / J �7G �� <br /> D! %2�a/.�tC�G�J�4tCC�' Od Q���G4n7L <br /> / <br /> �. /rc,zP c�{y .r��r;�fs cle4 ;, �� QlC 7;��s _ <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> / /J The und=rsigned ownedapplicant hereby agrees to hold and save harmless <br /> �//��` 7'_�� 9�i ihe City of Everetl from any and all clalms for damages,costs,expenses,or <br /> Approved for Cons(ruction Date causes of action ihat may arise because of Installation and maintenance of <br /> ihe Improvement or other rigM-of-way use hereto applied foi and further agrees <br /> to remove same upon notice fmm the City and to replace public properly <br /> � G�� �-�_ 3-/ j - y 7 damaped thereby. <br /> FINAL INSPECTION Dete <br /> Approved as Constructed //1����'�' �_/._/ / <br /> L �G�%f� w <br /> Signature o1 Applicant Cate <br /> WORK AUTHORIZED 8Y THIS PERMIT MUST BE STARTED WITHIN 180 CAYS OF DATE PERMIT IS ISSUED AND THEREAFTER fS TO BE DILIGENTLY PURSUED TO <br /> COMPLEfION.'HIS PERAt1T MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />