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Date <br />Applicatlon For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Plen Chack Nos B 46204 <br />Applicet.Dstas 11/14 94 <br />7ob Address: lObl BROADW�Y <br />Owner: BBST PRODUCTS CO <br />Tenents BEBT'B <br />Owner proposed Use: RETAIL <br />Applitant <br />Deecribe Aropoaed Work _ <br />Pro�ect Addrees (i1 knownl <br />SEPA <br />INC <br />Daec. of Works <br />INTBAIOA REMODEL OF RET7IIL 811LE8 FLOOR <br />OFFICB S6T JOB 8LT <br />71PPAOVED FOA PEAMITt DATE_/_/_ BY <br />VUUIIe WorM�P�rmll • <br />eieo. o•o�� • .— <br />Pu01K WorMI R� <br />Tol�l F1� � <br />Uo �ool fo PBU i_ <br />B�I�nN Ou� { <br />:Ip Phone <br />:Ip Phone <br />Attech four (4) copiee ol plana for proposed work • Draw lo acale and nota Ihe followinq ae epplicahle: <br />• Property I.Inea • Centerline of streel <br />• Oulline an0 dlmeneione of all eziatinq end • Indltale North <br />proposed slruclurea on Ihe lot • Show uny pruposed qredinp chenpae <br />• Exlsling and propoaed utllities • Show meaeuiemente <br />PERMIT CONDITIO�S <br />1. All celle for InsOectbn ehall be made 24 h�a. In advance • phone 25�8810. <br />2. All work ehell be peAormed In eccordence wlth this permit and current City of Evered Deelpn and Conetructlon <br />Stendarde end SOecllludlona. <br />3. Call Locetlon Underpround Service 4B hre. belore you dlg. TOLL:IIEE NUMlE111 •800�4i4�bss6. <br />�)BLhOtWR OUIREw MIT <br />�� <br />�Y_ // iA ., <br />:� AT E <br />Approved lor ConstrucUon Dete <br />FINAL INSPECTION Date <br />Approved as Const�uct�ad <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Sireel <br />Everett, WA 98201 <br />Phone:259�8810 <br />ACKNOWLED6EMENT OF CONDITIONS <br />W <br />H <br />� <br />� <br />The undarelB^ed owner/epplicent hereby eBreea lo hold end seve herm� <br />lesa Ihe Clty ol Everett Irom any and all clelms for damages, cosle <br />BMpensBs, or CaueR! Of aclfon Ihat inBy arllB beceuae ol InB�eIlBifon <br />and malnlenence of the Improvement or ether rlghl•ol�wey use herelo <br />npplied lor and lurther epreea to remove eeme upon notice Irom the <br />City and to replece Dublic proparty damepeA thereby. <br />Slpnelure ol ApP��canl Dele <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTIY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCEILED BY THE CITY UPON ANY STOPPA6E OF WORK ON THIS <br />PROJECT OVEF 90 DAVS DURATION. <br />