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<br /> 5-1a-95 j0 POSTING �- PiAl2WorFSPamq• ���
<br /> Dete ' Bin� oem�+ 48384
<br /> Application For __
<br /> PUBLIC WORK� PERMIT D,� 9 °"°"`"'°."„r°
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<br /> The Cobalt Group PO Box 488 Everett ldA 98206 252-5167 F ,
<br /> O�vnP.r Ma�nn�; Ar.dress �''ty '�'�
<br /> Lewis Architects 2800 Northup tly 11100 Bellevue 98004 8ZP-5602_ Ph,nn ____.
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<br /> .,d����;;Address ctlY
<br /> Descrbe Proposed Work neW offiCe builditl�____—._-_-- ---�-—
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<br /> Project Address Pt known! 3525 Colby_Ave _____--�-- --- --- r
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<br /> F�ttach four141 coP�es ot Plans loi proP���U wnrn � O�av: t:�-cal�� anil nete ine'oilcwinp as aoPhcah�e. �
<br /> • Proper�Y �'°e� • Cenieihne n1 SI�eNi
<br /> • Indifate Nnrih
<br /> • Oufline and dimens�ons o�aU ex�stm9�^� � c��i��,•any n�oPosed il�adin9 �:hargt�s . � �
<br /> prOPosed strucWres on U�e�ot • Show mrasurements " � � � �- M
<br /> • [risting and proposed uti6ties W
<br /> DO NOT WRIIE BELOW iHIS LINE �-' � � , O
<br /> PERMIT CONDITIONS �. - . � .. � ^
<br /> 1.All calls tor inspection shall be made 24 hrs.in advance-phone 259•5810. . . .,
<br /> 2.All work shall be peAormed in accordance wilh this permit and currenl Ciry ol Eve�ett Design anB ConstrucUon,. ♦
<br /> Standards and Specitications. �
<br /> 3.Call Location Underground Service 40 hrs.before you dig.TOLL FREE NUMEER 1•800•424=5555.
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<br /> ACKNOWLECGEF.IENT OF CO�lDITIONS
<br /> The unAer�ipned owner�apphcant he�eUy agrees to hold and save harm�
<br /> �-- - -'—'"� less the Gdy o1 Everett trom any and aii elaims for damac�es. costs
<br /> / e.pr.nses. or causes ol action that may anse because ol installation
<br /> ' //� G � ��9/ ' and mau�ten�nr.e �� t��e improvemen� o� olher riqhl�ol�way cse he�eto
<br /> j� �.J��Pp. S � i;,pi,�,-: Ier and lurthe� aq�ees lo remove same upon nohce Irom ihe
<br /> ApProved for ConsUuctior� ate �� �.�� i�;d In ia.plac�� nuUhc Dronerty damaged thereby.
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<br /> '�,' ��I /' � 'rY�' I �A. �!�// �Anlit�/Y� � lP �5
<br /> FI—N�NSPECTION Date
<br /> ' I Si nat�re ot ApPlican! T'h� �M�Ys Nl'TLX7t Dale
<br /> Approved as Construc�ed pqy, p�1THO�iIZED BY THIS PERMIT MUST BE STARTED WITHIN
<br /> �A�� PUBLICWORKSDEPARTMENT i90 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO
<br /> 3200CedarSlreet I BE DILIGENTLY PURSUED TO COM1IPLETION.THIS PERMIT M19AY BE
<br /> Everett,WA 98201 CANCELLeU BY THE GTY IJPON ANY STOPPAGE OF WORK ON 7HIS
<br /> Phone:259•8810 I PROJEGT OVER 90 DAYS DURATION.
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