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.--- _ <br /> Date 10/11/93 TO PQS71PdG___��w 5� >�p„�„,o,�„a,m,�. P.� v��� <br /> ApPhca�ion For Biop.Deo� • <br /> PUBLIC WORKS PERMIT P�����K'orkaFee <br />� � <br /> Tolel Fee <br /> Lesa Appl.Fee Pu0 $ I <br /> Print or Type Only e,�,��oo�� 5 3...�� �� <br /> OCZ-.�ZZ s�nii�-3/ <br /> Art Skotdal %S� PO Box 5267 Everett 98206 259-4354 i <br /> Owner MaJing Address City Zip Phone � <br /> Owne[ <br /> Applicant MailingAtldress City 2ip Phone I <br /> DescribeProposed Work Demolish eastern 25' of bldg - install new store fronts and plumbing li <br /> W <br />! Proied Address(if known� Z8U1 fi 2803 Colby � <br />� Attach lour(4�copies ol plan5 fOr propo5ed work- Draw�o SCale and note the following as applica7le� � <br /> • Proper�y Lines • Centerlinr ol street � <br /> • Outline anA dimensions ol all existing and • Indicate Norih <br /> proposed slructures on ihe lot • Show any proposed c�ratling changes <br /> • Existing and proposed ulilities • Show measurements � <br />! <br /> I DO NOT WRITE BEIOW THIS LINE <br /> PE(7MIT CONDITIONS O <br /> 1.All calls for inspection shall be made 24 hrs.in advance-phone 259-5810. � <br />� 2.All work shall be pedormed in accordance with this permit and current Giry of Everett Design and Construction <br /> Stantlards and Specilications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424-5555. � <br /> i Sl ���-o/� nr •�'-ur� ��.r'�sfi:� �'on�`'d�� ��w�,r�onr.-�.r O <br /> J ./UG'CU �S�7�ilt�f �'i!"in5' J�rt�� .J�: <L l77i/�il�'1 (iM C�T ,� y � <br /> i � <br /> C�<lSS' � � � <br /> � <br /> a <br /> ACKIJOWL[�GEM[NT OF CONDITIONf; <br /> The undersigned owner/applicanl hereby agrees to nnld ann save nann� <br /> less Ihe Cily o� Evere�t Irom any and all claims for damages. costs. <br /> �� expenses, or causes ol aclion that may arise because of installahon <br /> �,!/ '/�� /��,/yJ and maintenance ol Ihe improvement or other right�ol-way use herelo <br /> ��l y applied for and furlher agrees to remove same upon notice Irom th�� <br /> Approved lor Conslructio ale City and to replace public pronerty damaged thereby. <br /> /� � <br /> � � r-r-5y �Sll � _101-, f� � <br /> FINAL WSP6C� '"' — Date <br /> APP�oved as Consiruded Signalure ol Applicanl �ale <br /> � PUBLIC WORKS DEPARTMENT WORK AUTHORIZED OY TkiIS P[RMIT MUST BE STARTEO WITNIN <br /> �v�� 3200CedarStreet 190 DAYS OF DAT[ PERMIT IS ISSUED AND THEREAFT�F IS TO <br /> Everett,WA9B201 BE OILIGENTLY PURSUED TO COMPLBTION. THIS PERMIT MAY BE <br /> Fhone: 259�gt310 CANC[LLED �V THE GTV UPON ANY 570FPAGE OF 1YORK ON TH�E <br /> PH�JJECT OVCR 40 D,1YS LJRAT�O'!. <br />