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� <br /> Appbcatwn For <br /> �w�� PUBLIC WORKS PERMIT Date _ � <br /> PUBUC WOFKS DEPARTMENT Public Wolks Permil N <br /> 3200 Cedar Streei <br /> Evereit,WA?�8207 259-8810 Building Pertnit It — <br /> TYPE OR PRINT ONLY Publir.Wo�cs Fee S <br /> Plan Check No: E 57481 SEPA � <br /> Owner 1�pp licat.DaZe: 12/19/97 pho�e <br /> 3ob Addreee: 29i1 COLBY AVE <br /> Owner: EVERETT THEATER SOCIETY <br /> Tenant: EVERE'iT TNERTER <br /> Propoeed Use: THEATdR �k <br /> Applicant Deec. of Work: Phone , <br /> AENOVATION OF tiAIN AUDITORIUM (PHASE I) ,y <br /> � <br /> Describe Proposed Work _ oFFicE SET JOB SET � � <br /> APPROVED FOR PERMSTs DATE_/_/_ BY � � <br /> � � <br /> a <br /> PROJECT ADDRESS (if known) _ M <br /> Attach four(4)copies of plans for proposed work-Draw to scale antl note the following it applicable: 'i�+ � <br /> •Property Lines •Outline and dimensions o1 all ezisting and proposed structures on the lot •Ezisting and proposed utilNies O y <br /> •Centerline of street •Indicate Nonh •Show any proposed grading cM1anges •Sbow measurements � � <br /> DO NOT WRITE BEIOVJ THIS LINE � � <br /> PERMIT CONDITIONS: <br /> 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. O <br /> 2. Ail work shall be performed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Cail Locatiun Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800-424-5555. ` <br /> r <br /> � <br /> � <br /> a <br /> 'L�Rlit, 1�URK� �61►MI� �, <br /> KO�/i,,�R�AUPlIIsA I <br /> t Y__I1!' <br /> •nTF ..._!. , /9`�_97 <br /> / _ .-- <br /> ACKNOWLEGGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees to hold and save harmless <br /> the City o1 Everetl from any and all claims lor damages,costs,expenses,or <br /> roved for Construdion Date causes ol action that may adse because of installation anA maiMenance of } <br /> APP ihe improvemeM or other dght-oFway use hereto 3pplied for and 1uAher agrees � <br /> to remove same upon notice from the CHy and to replace public propeAy <br /> damaged thereby. <br /> I <br /> FINAL INSPECTION Date <br /> Approved as Constmcted � <br /> Signature of Applicant Date ' <br /> N!ORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 7B0 DAYS OF DATE PERMIT IS ISSUED AND THEflF1{FTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPL6710N.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANV STUPPAGE Of WORK ON THIS PROJECT OVER 90 DAYS DUMTION. i <br /> d <br />