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I � � ' �^ �'�STING APR 0S 1 96cWorh�Permn• ��� - <br /> � Date�L31195 <br /> I Biap Dep� • 46f1f6 ' <br /> �.-� <br /> • � qpplicetlon For <br /> PUBLIC WORKS PERMIT PueTa��eefea � , <br /> � Lea��oo� FeeP�ia 5 �I <br /> � Print or Type Only ' - e.�,��a o�� s +�° I <br /> 95 _'_. <br /> Ayer, Bob G 6nrb 6525 Nevurly Ulvd Cverett 9A203 353-17G1 I <br /> Owner Maihng Atldress . City, � - Zip; . Phone � <br /> OMi1ai _ � ' . , , . . ... , " . � <br /> Applicant Mailing Address City 2ip Phone <br /> Describe Proposed Work New coc�mercial buildln2 ' <br /> � <br /> W ' <br /> �� , <br /> P�oject Address�if knownl ���� ' ��`�� ������ ���-�' � � <br /> i <br /> A�tach four(4)copies of plens lor proposed work• D�aw to scale and nole the lollowing as applicable: � I <br /> • Properly Linas • Centerhne of street � �� <br /> • Outline end dimensions ol ell e�isting and • 'ndicale Norih , <br /> proposed structures on the lot • Show any p�oposed grading changes <br /> • EKiating end proposed utilities • Show measwements � I <br /> DO NOT WRI7E BELOW TMIS LINE O � <br /> PERMIT CONDITIONS i <br /> 1.All cells for InepecUon shell be mede 24 hrs.In advence•phone 259•8810. � I <br /> 2.All work shell be perto�med In accordence wlth thle permit end current Clty of Everett Dealgn and Conatrucllon <br /> Stenderds and Soecificetlons. ', <br /> 3.Cell Localion Underpround Servlce 48 hrs.belore you dig.TOLL FREE NUMBER 1•800�424•5555. � ; <br /> I <br /> . ��f, ..lC'l� � � („ � i <br /> � c� fC i Gi�� �.r � i� ��fii :�-✓L✓ � <br /> %��/ L��/�� ���/ �'/fi��4(...% � � �I <br /> � <br /> �.� ,!' �' ��%�. � � '�� <br /> Syn;� �,,. ff. �F �' /, i - of-i. ,./� ,;� �„�� ✓' . <br /> \i�7::� /-< �,. , � � /s,y ��'�.✓ 7��%n, f/�_ !%��v , +;�r /,�- � � . <br /> �r��f 9r � </'j�/ /�C� }/i14r, ��� O '' <br /> 6. . � , <br /> ` � .. ,, lCf o� ��t ` � I <br /> i� �C��'/di/�v o/�� � �(�n r \ <br /> .�iv�; r���; l.f /.� ��.' /�1,.�'lic f..O.I. • /. /',_ ,,.i��/ � <br /> �J � <br /> /n � • l/>>pi�;�� ✓ f �/_j/�Q A i <br /> ' \ <br /> � ACKNOWLEDGEMENTOF�ONDITIONS i <br /> The undersigned owne�/applicant hereby egrbes�o hold end seve harm� i <br /> , less the Cily of Everetl Irom eny antl all clai�s for dpmages, coats, i <br /> e■penses. or causes ol action Ihat mey erise becausa ol Inslallation <br /> ��� -i �� � _and mnintenance ol ihe improvement or other ri�h�•ol�wey use harelo ! <br /> R` �'" applied lor and furlher agrees to remove seme upon noilce Irom the i <br /> App(oved lor Con cli _ � �e�e Cily and lo replace public property dameged thereby. <br /> .�� 6�r 9 ,�• , - i <br /> FINAL INSPECTION �a�e � � � � / � <br /> App�oved es Consirucled Signalure ol ApPlicent Dete i <br /> WORK AUTHORI2ED BY THIS P6 MIT MUST BE STARTED WITHIN � <br /> i;io�/ PUBLICWORKSDEPAPT.rAENT 1B0 DAYS OF DATE PERMIT 19�ISSUED AND THEFEAFTER IS TO I <br /> 3200 Ceder Slreet BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIi MAV BE � <br /> Everet6 WA 98201 CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS �, <br /> Phone:259�8810 PROJECT OVER 90 DAYS DURATION. i <br /> I <br />