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__ _ _ <br /> -----,� <br />� <br /> Date 10-3-91 - __ <br /> Puolic work�Permn• <br /> �� <br /> APPIiw[iDnFof Biey.Deo�e_ 91/27873 <br /> PUBLIC WORKS PERMIT �e�.�Wo�.F�, <br /> .o�.�F.. s__ <br /> �e�+ADoI Fae 7aip S <br /> Print or Type Only BalanceDue 5.�� <br /> Colb Associati.on PO B L nnwood 98036 <br /> Owner Ma(Nng Address 775-4611 <br /> City Zip Phone <br /> Stephen Lewis <br />' AppliCanf z59-07D7 <br /> Mailing qddress City Zip <br /> Phone <br /> Describe Proposed Work tavern TI <br /> Project Address(il known) 2608 Colb Avpf � <br /> Attach four(4)copios ol plans lor proposed work- Draw to scale and note the lollowing as applicable: � <br /> � Property Lines • Centerline of street � <br /> • Outline and dimenstons of all existing and � <br /> proposed structures on Ihe lot • Indicate North <br /> • EzisNng and proposed utilities � Show any proposed grading changes � <br /> • Show measurements <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS � <br /> 1.All calls for inspection ahaii be made 24 hrs.in advance-phone 259�8810. <br /> 2.All work ahell be peAormed in accordance with this permit and current City of Everett Design and Construction � <br /> Stantlerda and Speciflcatlons � <br /> 3.Cell Location Underground Service 48 hra before you dip.TOLL FREE NUMBER 1-$00-4Q45555. '' <br /> � <br /> �� �.�� .� �— ��� �� �,.,,�' � <br /> /��r�'"���z =�;, ��.�,��� �, ,w� �„ <br /> /�Q.�'4 .-�� CYO lz,�C./�h� C,,-.GGL�•% ,�J - (/�� <br /> /�L'✓LIC,��,.f GO/ O ( <br /> i O 1A[ <br /> �n a <br /> �� /� / � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> 1-- The undersigned owner/applicant hereby agrees to hold and save harm <br /> � less the City ol Everatt from any and all claims for damages, costa <br /> expenses, or causes of action that may arise because ol mstallatior <br /> and maintenance of the improvement or other right•ol-way uce heretr <br /> Appraved for Construction Date aPp11ed for and turther agrees to remove same upon notice from thr <br /> Ciry and to replace public p�operty damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Consfructed <br /> Signature of Applicant Date <br /> PUBIIC WORKS DEPARTMENT WORK AUTHORIZED BY 7HIS PERMIT MUST BE STARTED WITHIP. <br /> 3200CederStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TC <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLCTION. THIS PERMIT MAY BE <br /> Phone:259-8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THI: <br /> PROJEC70VER 90 DAVS DURATION. <br />