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D8�0 � wmw wo.�.r.�mn. <br /> ApP�icatlon For eao.oeo�• <br /> PUBLIC WORKS PERMIT °�°�Kw°^,�„ <br /> ,a.�.„ s_ <br /> ln��oW He Pw 5 <br /> 8���a�0u� { <br /> Print r�r Type Only <br /> Plan Chaek Not B 4U4B4 SEPA <br /> Appllcat.Uate: OS/0./93 <br /> Owner dob Addret 2514 CaLBY AVf. Z�p Phone <br /> Owner: COLBY CREST PARTNERS <br /> Tenant: NEEDLEPOINTEN <br /> Piopoeed Uee: AETAIL <br /> Oeee. of Nork: <br /> AOV��enl TENANT SMPROVEMENT Zip Phone <br /> oescribe Froposed Work �FFICE SET .lOB SET <br /> APPRVD FOR PERHIT: DRTE_/_/_ BY <br /> W <br /> Pro�act AOdresa(il known) � <br /> Allach lour�4)coples af O�ane lor proposed work�Draw to s:ale and note Ine lollowing as applicab�e: � <br /> •Property Lines •Centedine ol slrael /A <br /> •Oulline end tlimenaions ol all e�isting and •Intlicale Norl� v� <br /> pro0o5eC 51mCIureS on Ihe lol •Show en)•proDased OradlnB C�ang98 <br /> •Eaislln8 an0 pmpased ulilities •Show measuremenls � <br /> U(1 NOT WRITE BELOW THIS IINE � <br /> PERMIi CONDITIONS <br /> 1.A��ca�is br inspecUon she�i ba maEe z4 nrs In aavance-Dhone 259•8870. ^ <br /> 2.AllworkshellbepeAormedinetcor0ancewlthlhlspermilandcurtonlCityolEvereliDeslqnentlCon6tiudion � <br /> Stantlerds anE SOKiliCatlons • <br /> 3.CaIlLocatianUnderpmund5ervice48hrs.babreyoudlp.TOLLFHEENUM8ER1$00-4243555. � <br /> O <br /> PUBLIC WORKS PERMI7' � <br /> NOT qEOUIREO <br /> BV__�� O <br /> o�TE s s � a <br /> ACKNOWLEOGEMENT OF LONOITIONS <br /> Tho untler6i0�etl owneqapolicenl�cre0y agrees b holA antl save harm� <br /> less ihe City ol Cmretl Irom any and all clafms lor tlamageS cosls, <br /> eKpenses, nr causes ol aclion Ihal mry arise beCause ol Inslallalbn <br /> antl mainlenenca ol Ihe improvemen�or ol�er riqh4o4way use�ereto <br /> aOGlletl b�and luriher agrers lo remove seme upon natica Irom Iho <br /> AOO�ovetl lor Conslmcllon Dale Ciry and to replace public pmperry damaBeE Ihereby. <br /> FINAL INSPECTION Oalo <br /> ApO�oveO as Constructetl Slpwlure ol ApplicaN �ale <br /> PU9LIC WONKt'•DEPARTMENT N'ORN AUTHOflRED BV THIS PLRMIT MUST BE STARTED WITHIN <br /> J200Coae�51ree1 180 DAYS OF DATE PERMIT IS ISSUED AND TMEREAFTER IS TO <br /> Evercll WA98Y01 B[OILIGENiLY PURSUE�TO COMPLETION.TMIS PERMIT MAV BE <br /> P��ne:259�8010 CANCELLED BY TME f,ITV UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAVS GURATION. <br />