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�•dte pyplic Works Permli• <br /> Application For e�ap.Deo�.• <br /> PUBLIC WORKS PERMIT P°°;;;°„F~ : <br /> leu Aool Fee Fu0 s <br /> B�una Dw s <br /> Print or Type Only <br /> Plan Check No: B 41609 SEPA <br /> Applicat.Date: 08/09/93 Zip Pho�e <br /> Owner Job Address: 2526 COLBY <br /> Owner: WALKER WENDELL 6 R[1TH � <br /> Tenant: CAPTAIN BUFFALOS <br /> Propoaed Use: RESTAURANT <br /> Applicanl DeeC. Of Wock: Zip PhonE <br /> T.I. — INSTALL KITCHEN AND BATEiROOM SPACE <br /> IN EXIS2ING BUILDING <br /> Describa Proposed Work OFFICE SET JOB SET <br /> APPROVED FOR PERMIT: DATE_/_/_ BY <br /> W <br /> Pro{ect Address(il known) � <br /> Attach four(4�copies ol plans for proposed work•Draw to scale and nole Ihe tollcwing as applicable: � <br /> � Property Lines • Centerline of street � <br />� • Outline and dimensions ot all existing and • Indicate North <br />� • Show an r g g g <br /> I proposed structures on the lot y p oposed radin c an es <br /> • Existing and proposed utilitfes • Show measurements M <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONUITIONS <br /> 1.A��ce��a ror�napection eha�l be mede 24 hrs.in advence-phone 259-6810. � <br /> 2.All work ehall be peMormed In accordence wilh thls permit and curtent City ot Everett Design and Construction <br /> Standardn and Spedffcatlons. <br /> 3.Call Locetfon Underground Service 48 hra before you dig.TOLL FREE HUMBER 1•800-4245555. � <br /> O <br /> PUBUC WORKS PERMIT � <br /> NOT EOUIRED <br /> 8Y /O �� � <br /> DATE , O <br /> a <br /> ACKNOWLEDGEMEIJT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the City ol Everett irom any end all claims for dameges, costs, <br />' expenses, or causes of aclion Ihet may arise because of Installetion <br /> and maintenance oF the improvement or other right•of-way use herelo <br /> applied lor and further agrees to remove seme upon notice irom the <br /> Approved lor Construction Date ���y and to replace public property damaged thereby. <br /> FINAL INSPECTION Dale Date <br /> Approved as Constructed Signature ol Applicant <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � PUBLICWORKSDEPAiiTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREpFTER IS TO <br /> 3200CedarStreet BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259•88t0 PROJECT OVER 90 OAYS DUFATION. <br />