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Date ��18/91 , � vuenewomv..mn. 9��Z <br /> � � . aieoo.o��gl/? <br /> Applicatlun For� <br /> PUBLIC WORKS PERMIT weTaWr�F�� s T`e <br /> a C Lo��oo�io a�m S� <br /> � �. . . <br /> � O r., 'i .� r� . B�Imc�Ou� � <br /> Print or Type Only °� ',: �' =' ", , �" � � <br /> r � <br /> ci' <br /> a O� ir� ;n ;� �: p h r+ r i.� � <br /> O p ..l . ; � ' <br /> C- <br /> b) n P1 �i :.; f': l.�i Y:i ` r� ��� • ' '' <br /> � : <br /> Zbld Develo ent Oo 33801 ist�Wa S. �N281 � Federal Wa `Zip 98003 �' <br /> 661-7485 <br /> o �. r; � �. : �:�, Phone <br /> Owner MelNnp Addreeei ic �� Y; sy , �CItY ; i.�� r�.i �. �� ` ,, �' ci �' =;. <br /> � <br /> � c �a �.-: u - r: , ' f. �i z -, i� n i� � �i F� t�� � <br /> �. n .lmar.�� �- ^. ._ <br /> i r� o -< :t I. tt � �,i :: -. a p" �� ':325-2553 <br /> � nl ;. r.r. n r r r� r.i .._ u� �„ _. -r ,• <br /> Iance Mueller 6 Assoc. (Architects) �� � <br /> qpplicant Mailinp Addrens Clty Zip Phone <br /> Deecrlbe Provoaed Work 66 474 lt —ten t dustrial buildin <br /> z�� W <br /> Prolecl Addreea(II known) XXXX W. Casino Rd• � <br /> .— � <br /> Attach lour(4)coplee ol plana lor proposed work•Drew to acale and note Ihe lollowing es epplicable: � <br /> � p�ppeAy Llnae • Cent9Alne ol ntraet � <br /> •Outline and dimenalons ol all exleting end • Indicete North <br /> � � propoaed alructuree on lhe lot . • Show eny propoaed pradinp chengee <br />,���`._; ^i � • Exietinp and propoeed ut�Illiae •�Show meaeuremenle . M <br /> W <br /> � ' DO NOT WFITE BEL W THIS LINE O <br /> � �v � ,� <br /> ` PERMIT CONDITIONS � <br />�.�`��?:� ; '� L All ulls for Inapectlon ehall be mede 24 hro.in edvence•Phone 259-881 O. <br />" - 2.All work ehall be pedormed In eccardance wllh this paimit end currenl Ciry ot Everett Dealgn and Conatructlon <br /> Standetde and SpecBicatlonn. � <br /> 3.Cell Locetlon Underpround S��rvlce 4B hro.bafore you dip.TOLL FREE NUMBER 1•800�424-5555. <br /> � �� �or�� � � s c/�� y�3 -g/ O <br /> � <br /> H <br /> / _ � � <br /> � % C r�,v`_ O <br /> a <br /> � / � ACKNOWLEDQEMENTOFCONDITIONS <br /> Tha undersigned owner/appllcent herehy eprees to hold end save herm� <br /> less Ihe City ol Everelt Irom eny end all cleims lor demapea costs, <br /> xpenses, or causea 1 ectlon Ihel may arlae because of Inslallatlon <br /> ' /p and melnl ance o e improvemenl or other right•ol�wey uae hereto <br /> epplled t end ar egrees lo remove neme upon notice I�om ihe <br /> Approve Cona ruct 8 Cily e e publie Oroperty demaged thereby. <br /> �du� /��3 <br /> FINAL INSPECTION Dele pale <br /> Approved as Constructed Sign ure I Applicent <br /> WORK AUTHORI2ED BY TH�S PERMIT MUST BE STARTED WITHIN <br /> � PUBLIC WORK3 DEPARTMENT 1B0 DAYS OF DATE PERMIT IS ISSUED AND TH[REAFTER IS .TO <br /> 3200CedarStreel DE DILIGENTLY PURSUED TO COMPLEiION. THIS PERMIT MAY BE <br /> Everelt,WA 98201 CANCELLED BV THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> � Phone:259•8810 PfiOJECT OVER 90 DAYS DURATION. <br /> M�� <br />