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Date <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Plan Check No: B 36970 <br />SEPA <br />Applicat.Date: 06/09/92 <br />Job Addre: 300 W CASINO RD 40-35 Z_p <br />Owner owners BOEING Co <br />Tenant: <br />p8oWork: rposedUse' AIRCRAFT MFG <br />Zip <br />CHEMICAL STORAGE C <br />Applicant <br />RIB <br />OFFICE SETS— By JOB SET��— <br />— <br />Describe Proposed Work <br />APPRVD FOR PERMIT: DATE_I— — <br />Project Address (if known) <br />Public Wplha Pe,me <br />tlldq Oepl <br />Public Woiha Fea _ <br />TorelFn s ��� <br />Lau xppl Fea PUE s � <br />Balance Due !< ��� <br />roposed work . Draw to scale and <br />Attach four (4) copies of plans for pnote the following as applicable: <br />0 Property Lines <br />0 Outline and dimensions of all existing and <br />proposed structures on the lot <br />• Existing and proposed utilities <br />• Centerline of street <br />• Indicate North <br />• Show any proposed grading changes <br />• Show measurements <br />Phone <br />Phone <br />PERMIT CONDITIONS <br />1. All calls for Inspection shall be made 24 hrs. in advance • phone 259-881 <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 />48 hrs. before you dig. TOLL FREE NUMBER 1.800.424.555 <br />5. <br />3. Cell Location Underground Service <br />Date <br />4pproved for Construction <br />Date <br />=1NAL IN SPECTION <br />4pproved as Constructed <br />6LPUBLIC WORKS DEPARTMENT <br />3200 Ceder Street <br />Everett, WA 98201 <br />Phone:2598810 <br />W <br />H <br />O <br />z <br />O <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to huid 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-ol-way use hereto <br />City l'and for and <br />eplacether Publ cgrees tpropertyremove same n notice from the <br />damaged hereby. <br />Dale <br />Signature of Applicant <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 />