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Date/a -/-f z- — -- <br /> PUCYe Werlu Ppm�t• <br /> Appllc�lion For eao.owt• 3 s Z� Z <br /> PUBLIC WORKS PERMIT �aKW�^�F� <br /> ,o�.�F.. t <br /> �...��<<....a • <br /> Print or Type Only auz.o�. t <br /> Owner .. .. . . Phone <br /> Plan Ch�ek Noe B 3823Z 86P11 <br /> 11pp11cat.D�t�: 10/O1/92 ' <br /> Job Addr�t 3003 W C118SN0 RO 40-21.Z <br /> Applk�nt Arn�r� BO�ING CO <br /> T�nant= Phone <br /> Propo��d U��: 01fIC68 <br /> D��c. of Nosk� <br /> �s�crlW Propo�ad Work _ 011IC6 RENOVATION ON BECOND FLOOR (TI� <br /> iooao <br /> — — or�ics aer aoe asr <br /> — APPRVD IOR Pii1M2Tt DATt_/_/_ 8Y <br /> W <br /> Proleel Addns�(il known) — --- � <br /> Attaeh lour(1)copis�of plant for proposed woik•Daw to�cale�nd not�1�a lollowlnp�e�ppliublr. � <br /> � Proqrty Lln�� •C�nt�dins ol�trNl � <br /> .�Outlln��nd dlm�nsion�ol all�Nltlinp and • Indlcat�NoAA <br /> propo�ed�tructum on th�lol •8haw�ny propos�d pndlnp eh�np�� <br /> • Exi�tlnp�nd propa�d utlllti�t •Show me�wnm�nU � <br /> I OPERMIT CONDITIONB <br /> 1.All plb fa In�cllon�hdl W m�d�21 hn.ln�dwnu•phona 269�8810. � <br /> 2.All work�MII b�p�AormW In�ccordme�wNh Ihi�p�rmH�nd curtant Clty ol Ewnq D�slpn�M Con�tnrctlon <br /> 81�ndud��nd 8p�cilkatlona <br /> 3.CNI Lautbn Und�tpround 8�rvlee Ie hn.balon you dlp.TOLL FII[E NUM�E111-OOG4Z4a66�. � <br /> , �U�—� G�m/+z �piy�...c�f�af� O . <br /> �- �� ✓ y <br /> �o_�.� �z O <br /> a <br /> ACKNOWLEDaEMENT OF CONDITIONS <br /> The undersigned owner/�pDlleant henby�prses lo hold and uvs harm• <br /> le« Ihe Clly of Everett from �ny and all clalms lor a�m�peti coeta <br /> axpanses, or eawes al �cllon Ihat m�y ul�e b�c�u�s of Intl�llatlon <br /> � . and malntenancs of lha�mprovemenl or olher rly�Fo4w�y ws herelo <br /> applled lor �nd luNher �pna� to remov� um� upon notlee Irom the <br /> Approwd for Con�tructlon � Dale Clty and to replaes Dublic proparty d�map�d Ihenby. <br /> FINAL INSPECTION Date <br /> ApD�oved a�Conetructed Slpnature ol ApDllcanl Dale <br /> ' � PUBLIC WORKS DEPAHTMENT WORK AUTHORIZED BV THI9 PERMIT MUST BE 8TARTED WITHIN <br /> 3200Csdu8lroet 180 DAYS OF DATE PERMIi IS ISSUED AND THEREAFTER IS TO <br /> Everel4 WA BB201 BE DILIOENTLV PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phons:258�BB10 CANCELLED 8Y THE CITY UPON ANY STOPPAOE OF WORK ON THIS <br /> PROJECT OVER 90 DAY3 DURATION. <br />