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�ate puDlie Worh�Parmit• <br /> Application FOr B�Oq.De01.• <br /> PUBLIC WORKS PERMIT Pu01icWOrktFee <br /> Ta�l Fae f_ <br /> ln�AOUI Fee P�id S <br /> Print or Type Onl� Plan Check No: B 46347 SEPA e,i.�c.��e f <br /> Applicat.Date: 12/01/94 <br /> Job Addreee: 2825 COLBY AVE <br /> Owner: SROTDAL ART <br /> Tenant: HASC7�I. SJOHOLM <br /> Propoaed Uee: OFFICE <br /> Owner Deec. of Workt Zip phone � <br /> TENANT IMPROVElfENT <br /> '. . . � - ' '7;� <br /> App�icant OFFICE SET _JOB SET . <br /> Z�P Phone <br /> APPROVED FOR PERMIT: DATE_/_/_ BY <br /> Describe Proposed N <br /> W <br /> Pro�ect Address(if known) � <br /> Attech lour(4)copies ol plens for prou��sed work• Oraw to scale and note the following as applicable: � <br /> � Property Lines • Centerline of street /w <br /> • Oulline and d?mensions of nll existing and • Indicat^ North Vr <br /> proposed structures on tha lot • Show any proposed grading changes <br /> • Existing and proposnd utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> t.All calls for Inspecibn ahell be mede 24 hra.:n advonce-phone 259-8810. � <br /> 2.All work shall be performed in accordance wlth thls permit end curtent City of Everett Design and Constructlon <br /> Standarcla end Specificationa <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> O <br /> `I:BLIC WOpKS PEPMIT � <br /> M1O� REOUIREII <br /> �Y � � <br /> ��aTE � 2 -�-9r� O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm• <br /> less the City ol Everett from any and all claims for damages, costs, <br /> expenses, or causes of action that may arise because of inslallation <br /> and maintenance of Ihe improvement or other right-nf•way use hereto <br /> applied for and fiirther agrees to remove same upon notice Irom the <br /> Approved br ConstrucNon Date City and to replace public property damaged thereby. <br /> FINAI INSPECTION Date <br /> Approved as Congtructed Signature ol Applicant Date <br /> PUBLICWORKSDEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CeCarStreet 1B0 �AYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259•BB10 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS � <br /> PROJECT OVER 90 DAYS OUf1ATION. <br />