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Date_ <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Owner <br />Applicant <br />Describe Proposed Work _ <br />Project Address (it known) <br />Plan Check Not 8 38219 SEPA <br />Appllcat.Dates 09/30/92 <br />Job Addrst 3003 W CASINO RD 40-04 <br />Owners BOEING <br />Tenants <br />Proposed Uses STORAGE OF HAZARDOUS <br />Deac. of Works <br />T.I. — INSTALL CHEM CRIB <br />OFFICE SET JOB SET <br />APPRVD FOR PERMITt DATE_/_/_ BY <br />Pubbc Wars* Pelmll e <br />Bldg. Dept. e <br />Publ¢Works Foe -- <br />Total Fee / <br />Les*ApPL roe Polls <br />Salome Due / <br />Phone <br />1 Phone <br />Attach four (4) copies of plans for p,oposed work • Draw to scale end note the following as ,pplicable <br />• Property Lines <br />• Centerline of street <br />. • Outline and dimensions of all existing and <br />• Indicate North <br />proposed structures on the lot <br />• Show any proposed grading changes <br />• Existing and proposed utilities <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. In advance • phone 259-8810, <br />2. All work shall be performed In accordance with this permit and current City of Everett Design and Construction <br />Standards and Specification& <br />3, Call Location Underground Service 48 hr& before you dig. TOLL FREE NUMBER 1.800-424.5555. <br />Approved for Construction <br />FINAL INSPECTION Date <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Coder Street <br />Everett, WA 98201 <br />Phone: 259.5810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />H <br />0 <br />ca <br />0 <br />M3 <br />0 <br />a <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the City of Everett from any and all claims for damages, costs, <br />expenses, or causes of -action that may arise because of installation <br />and maintenance of the Improvement or other right-of-way use hereto <br />applied for and further agrees to remove Barre upon notice from the <br />City and to replace public property damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />