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. '�"� �M v„e��c wm��v..mn• — <br /> Date eiac o.o� • <br /> qpplicatlon For <br /> PUBLIC WORKS PERMIT r�e�mwmw�v.a <br /> tob��se s <br /> iea.�oo� r.�r��c S_ <br /> eaimce o�e S <br /> Print or Type Only <br /> � — Plan Check No: B 37780 SEPA , <br /> �� Appllcat.Date: 08/24/92 <br /> Job Addreee: 430 CASINO RD ,,p Phone <br /> y Owner Ownar: fIOSTE55 CAHE <br /> O� H Tenant: <br /> ��� Propoeed Uee: RETAIL _ <br /> Deec. of Work: :�P Phone <br /> M � Applicanl TENANT IMPROVEMENT 4500 SF <br /> ��� OFFICE SET JOB SET — _ — <br /> Describe Proposed Wark _ BY <br /> � APPROVED FOR PERHITt DATE /_/ <br /> �� <br /> o� W <br /> p` Projecl Atltlress lil knownl � <br /> �M <br /> >y Atlach lour(4)cop�ea�d P�a�s for proPosed work• D�aw to scale a�d note Iho lollowing as apPhcable�. � <br /> �'�M • Prqperty Line6 • Centedine ol slreel <br /> � • InJicele Nor�h <br /> • Outline end dmiensiona ol all exislmp antl � Show any ProposeC g�etling changos <br /> �Hy proposed etructurea on Iha lol � gpow measuremente M <br /> • E.ietinp end w000sed utilltiee W <br /> � DO NOT WRITE BELOW THIS L�NE O <br /> 1 <br /> F (A <br /> � PERMIT CONDITIONS � <br /> 1.All celle lor Inepbction shall be mede 24 hrn.In ativente�phone 259•881 O. <br /> 2.All work ehall be peAormed in eccordance with thi�permit end currenl City ol Everetl Desipn end Construcllon <br /> Slandard6 and Specillcatlons. � <br /> 3.Call Locetlon Underqround Service 48 hre.belore you dip.TOLL FREE NUMBER 1•800�424•5555. <br /> I �� _ . �. , .. . , . . . . i � O <br /> � 6: . <br /> I r �r �i/�, r � • - � ' , � <br /> I �� � <br /> O <br /> � __ <br /> a <br /> �- <br /> ' ACKNOWLEDGEMENT OF C�iNDITIONS <br /> � <br /> i The undersigned owner/apolicant hereby aB�eas lo hold end save erm� <br /> less Ihe City ot Everett Irom any and all claime Inr damuges, coels, <br /> I QFp2�5B5. 0! CBU58! 0� 8U100 IhPi 108y 8f16B bocause ot IO6IB�IB�lOf1 <br /> � and maintenanr.o ol Ihe im0�uvemerl or olher righPobwaY usa �ereto <br /> BpplieE �or and �i���her agrees �o rer�ovo seme upon i�otice I�om ihe <br /> \. Ap{;rove0�ur Cenalruction Dale C�ly and to�ep�ace puM�c property damegetl Ihnreby. <br /> FINAL INSPECTION Date Dale <br /> Signatwa ol Ap0licent <br /> ApP�oveAaaCo�slructed y�ORK AUTHORI2ED BV T41S PERMII MUST BE STARTFD WITHIN <br /> � PUBI�CWORK50EPARTMENT ;80 DAVS OF OATE PERMIT IS ISSUED ANO THEl:EAF'fER IS TO <br /> 7200 CeCar Slreat BE DILIGEN�LV PURSUED TO CUMPLETION. THIS PEANIT MP.Y BE <br /> Everell,WA 9820� CANCFLLEG BV THE CITY UPON ANY STOPPAGE OF WORI(ON THIS <br /> Phona:259�8810 PROJECT OVER 90 DAVS DURATION. <br />