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Def9 2-18-92 �' v�m��wa,..v.,mu. <br /> Applicatlon For ema osoi . �Zf�S(76 <br /> PJBLIC WORKS PERMIT °°';o,:FeeF•a . <br /> Leu�OPI Fee PaIA f <br /> B�i�nr.e�ue f <br /> Print or 1'ype Only — <br /> • <br /> Boeinc, Co. PO Box 3707 M/S OF-76 Senttle, WA 98124 J42-5878 <br /> Owner Malling Address City Zip Phone <br /> Applicent Mailing Address City Zip Phone <br /> Deecrlbe Propoeed Work Conetruct new aircra£t aasembly buildinq <br /> ---- W <br /> Pro1ec1 Addresa pl known) - H <br /> Attech four(4)coples ol plane lor propos�•d work- Draw lo ecale end note the following as epnlicable: � <br /> � Property Lines • Centerline ol etreet � <br /> � Outline end dimenelons ol ell e�lelinp end • Indi�ate North <br /> proposed structures on the lot • Show any proposed greding chengea <br /> • Exieting end propoaed utllities • Show meesurements � <br /> UO NOT WRITE BELOW THIS LINE O <br /> PEfiM1T CONDITIONS <br /> 1.All cells for Inepectlon shall be mede 24 hre.In edvence•phone 259•8810. � <br /> 2.All work ahell be peAormed In eccordence with ihle permit end current Clty ol Everett DeslBn end Conatruction <br /> Stenderdn end Speclllcetlona. <br /> 3.Call Locatlon Underpround Servlce 48 hrs.betore you dip.TOLL FREE NUMBER 1•800�424•6655. � <br /> �U 6� c��-,�e,�f�2�-�.� .�o�- � <br /> ,�il� a.�.« . �� ✓ ~ <br /> z��-Pz N <br /> � <br /> a <br /> ACKNOWLEDGEMENT OF CGNDITIONS <br /> The underelgned owneqapplicant hereby egrees lo hold and save harm- <br /> less the Cit1r ol Everelt Irom any and all clalms lor damages, coets. <br /> eKpenses, ar ceuses ol ectlon Ihat may erise beceuee of inatallatlon <br /> and maintenence of Ihe improvement or other ripht-of•wey use hereto <br /> epplled lo� end furihe� egrees to remove same upon nolica Ircm Ihe <br /> Approved lor Conalruction Dete City and to replace public properry demeyeA Ihereby. <br /> FINAL INSPECTION Date Dete <br /> App�ovad as Conslructed Signature uf Applicenl <br /> WORK AUTHORIZED BY T!iIS PEHMIT MUST BE STARTED WITHIN <br /> PIIBLICWORKSDEPARTMENi 180 DAYS OF DATE PEHM�T IS ISdUED AND THE(iEAFTER IS TO <br /> 3200CaAarSiraet BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAV BE <br /> Everet4 WA BB201 CANCELLED BY THE CITV UPON ANV STOFPAGE OF WORK ON THIS <br /> 1'hona:259�8810 PROJECT OVER 90 DAYS DURHTION. <br />