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r,mi�cwo,�.n.�mn. _ - <br /> Date oiac oeo� • --- <br /> qpplicalion For <br /> PUBLIC WORKS PERMIT Pu0i2WerM�iee <br /> ;o�.�.e. s-- <br /> ln��oo�fee Pr�a S__' -- <br /> o.i.nce oae s--� --- <br /> F 'int or Type Only <br /> Plan Check Nos B 39532 SEPA <br /> Appllcet.Date: 02/09/93 _ <br /> 'Job Addreee: 2525 W CASINO RD 8-C � phone <br /> .- '— Owner: CUSt1ING II <br /> Owner TenanL': DAL-TILE <br /> Propoeed Uees OFFICE <br /> Deec. of Work: —--- <br /> T.I. - OFFICE SPACE � Phone <br /> Applican� <br /> OFFICE SET JOB SET _ <br /> Describe Proposed Work _ APPROVED FOR PERMIT: DATE_/_/__ BY <br /> - W <br /> Prolect Addiess(il knownl � <br /> Atlach four(4)copies ol plans lor proposed work- Drnw to scale and nole Ine lollowing as applicable: � <br /> • properry Lines • Centerline o1 slreet <br /> • Indica�e Nor�h <br /> • Outline and Aimensions ol all ezisting and � Show any proposed greAmg changes <br /> proposed siruc�ures on iha lol � Show measuremenls M <br /> • Existing end proposed utllities W <br /> 00 NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS � <br /> 1.All cells lor inspection ahall be mede 24 hrs.in edvence-phone 259•8810. <br /> 2.All work shall be pedormed in accordance wi;h this permit end current City of Everetl DesiBn end Construction <br /> Standerda end Specificalions. � <br /> 3.Call Location Undorg�ound Servica 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424•55 . <br /> O <br /> � <br /> PUALIC WOHKS PEHMIT N <br /> N� REOUIRED O <br /> UY � �� <br /> DATF�� ' � /. : � <br /> AGKNO�:'LEDGGMENi OFCONDITIONS <br /> The undersigretl ovner/epPlicanl horeby agrees to hold and save harm� <br /> -- ------- less the Gry ol Everetl irom any end all clalms im demeges, cosls, <br /> — � expenses, or causes ot ection �hat may arise hecause of instellalion <br /> end maintenance ol Ihe improvemenl or other right�ol�way use heieto <br /> epplied lor and furiher egrees to rem�ve same upon notice Irom the <br /> Approvr A lo�ConsVuction Dale Cily and lo rep�ace public property damaped thereby. <br /> FINAL INSPECTION Date — Dnie <br /> Signalure ol Applicant <br /> ApVrnved as Constructed yypqK AUTHORIZED BY THIS PERMIT �.:UST !�E STAPTED VJITNIN <br /> �A`I4� PUBLICWORKSDEPARTMENT 1B0 DAVS OF DATE PERMIT IS 155�� ED AND THEReAFTER IS TO <br /> 3200 Cednr Streot BF DIUGENTLY PURSUED TO COMP�IiTION.THIS PERh11T MAY BE <br /> Everelt.\VA 98201 CANC[LLED BY THE CITY UPON ANY :.�OPPAGE OF WORK ON THIS <br /> Phona :69-PA10 <br /> PROJECT OV[R 90 DAVS DURATION. <br />