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Date 2-20-92 <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Public Works Permit e <br />Bldg. OePl.e 92/35690 <br />PPbllC Works Of s -- <br />Total Fee <br />Less APPr Fro Paid S <br />Balance Me i <br />Boeing Company PO Box 3707 11S OF-76 Seattle WA 98124 342-5878 <br />Owner Mailing Address City Zip Phone <br />Owner <br />Applicant Mailing Address City Zip Phone <br />Describe Proposed Work storage platform <br />Project Address lit known) <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: <br />• Property Lines • Centerline of street <br />• Outline and dimensions of ail existing and • Indicate North <br />proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 him in advance - phone 259r8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 his. before you dig. TOLL FREE NUMBER 1.800-424.5555. <br />�t <br />...r-{/(%+fr %'FVGe� <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3201 Cedar Strsat <br />claret, WA 98201 <br />Phone: 259-8810 <br />2 - Z a- q 2! <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />F- <br />N <br />OIBill <br />L- <br />I <br />O <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. costa <br />r 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 same 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 />i <br />