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�-- <br /> Applicelbn Fa 9-21-96 <br /> PUBLIC WORKS PERMIT D81e__ <br /> PUBLIC WORKS DEPARTMENT Publfc Nbrke Permit N _��.3�1 <br /> 3200 Ceder Street <br /> Evared,WA 98201 259•BB10� �{ ] � Bullding Pertnit M 53031 <br /> To POSTING �-�� Publ�NbrkaFeeS�Z� � <br /> TYPE OR PRINT ONLY — <br /> FriPndly Food Mart Inc 2125 NE 112th NE A6-100 Bellevue 98004 453-9155 _ <br /> Owner Melling Address City Zip Phone <br /> BCR Architecte Contact: Jeff Brown 206-627-4367 <br /> qpp����� Meilinp Addross Clty Zfp Phone <br /> Describe Proposed Work 6as/convenience etore � <br /> � <br /> � <br /> -- N <br /> PFiOJECT ADDRESS(If known) �2S � /�Q �� M <br /> Atlech tour(4)coplea ol plene lor propoeeC work-Draw ta scele end note ihe lollowing II appliceble: O <br /> 'PropeAy Lines �Outllne en6 dimenslons of ell exlsting and proposed atructures on Ihe lot 'Exlsting antl proposed utllitles <br /> �CenlMine of avaet •Indlcate North 'Sliow eny ploposed gradinp chenges •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: <br /> 1.All calls for inspection shall be made 24 hours In advance- phone 259-8810. <br /> 2,fJl work shall be performed In accordance with this permit and current Clry of Everett Design and <br /> Constructlon Standards and Speclficatfons. 11/26/96 2:09PM OOORN882 k r <br /> 3. Call Locatfon Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1<800-424-6b66. � <br /> N00053031 <br /> s� ,�,� oy�p o�-�a� p �i►+.s � �eL !�• ZJ• 9�°s se:2.r N <br /> r a c�c sa.� O <br /> �/ / qD0009206 <br /> uar� s�so.�o a <br /> n000z�oz <br /> sEw� s�o.00 <br /> 1100096430 <br /> OTHER 570.00 <br /> FW/REV 590.?1 <br /> P6J/IH5 f563.93 <br /> CHECY 52401 46 <br /> ACKNOWLED(iEMENT OF CONDITIONS <br /> The underslpned owner/eppllcant hereby egreea to Iroltl end sava harmiass <br /> / i� tha Clty of Everett Imm any end ell clalms fw demeges�costs,ezpensee.or <br /> br C on y�B ceuses of actlon thet may edse because oi Inatalletbn end malntanance ol <br /> tM Im{+rovement a other rlghtol-wey usa heieto epplleA for and lurther egreas <br /> to ramove same upon notfce hom tha City end to replece puGlic proparty <br /> B ' ( .. '7� �� damoged thereby. <br /> FINAL INSP TION Dete �� � � ��� <br /> Appraved as Canstructed �/ <br /> Signetuia of Appl ent � Dete— <br /> IWORK AUTHOH�ZED BY THIS PERI�IIT MUST DE STARTED WI7HIN 180 DAYS OF DATE PERMR IS 16SUED AND THEREAFTER IS TO BE DILIQENTLY PURSUED TO <br /> COMPLEf10N.THIS PERMIT MAV BE CANCELLED BY THE CITY UPON ANY STOPPAOE OF WORN ON THIS PRQIECT OVER BO UAVS DURATION. <br /> .� <br />