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Date_ 4-24-92 v„m�cwo.asP�.mn. ya � Z <br /> Application For emo oeo�.� 36499 <br />� PUBLIC WORKS PERMIT v�bTolNFeeF� s <br /> LenAoo!Feev�iG S <br />. Balm<e Due � '35�, <br /> print or Type Only <br /> oaz-�az vo i�ss/ <br /> M2JD Partnership PO Box 6699 Lynnwood 98036 774-0444 <br /> Owner Mailing Address City ZiP Phone <br /> Owner Martin Robinett <br /> AppiiCant Mailing Address City Zip Phone <br /> Describe Proposed work office remodel and addition <br /> W <br /> Project Address(u known� 3601 Colb Ave � <br /> Attach four 14) copies of plans for proposed work• Draw to sCale and note ihe following as applicable: � <br /> • Properiy Lines • Centerline ol street � <br />` � Outline and dimensions ot all existing and • Indicale North <br /> proposed s�ructures on ihe�ot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls fo:inspection shall be made 24 hrs.in advance-phone 259-8810. � <br /> 2.Ail work shal�be pertormed in accordance with ihis permit and current City of Everett Design and Consirudion <br /> Standards and Specifications. <br /> 3.Cal!Location Underground Service 48 hrs.befnre you dig.TOLI FREE NUMBER 1•800•424•5555. � <br /> I <br />( � �<nnSfr'ucf" div�'�u�2j/ CU�6 CU)`O/n fo[by — �ed�c.:^ O <br /> f0 aZ�f T�. WiDc� e�t/�f�G.L��' 71i.es, Ste(�uai�.�. �Q.P/L C� <br /> ,�H,,,�'a,� j0 SA� 3oh t 307 , � <br /> � <br /> O <br /> a <br /> ACKNC ✓LEDG[A,IENT OF GONDITIONS <br /> The undersiyneh owneUapPlicant he•eby agrees to hold and save harm� <br /> !ess the City ol Everetl Irom any and all claims for damages, costs. <br /> e■penses. or causes of action thal may arise because of installat�on <br /> `/`���y„ � �9 �Z and mainlenance ol the improvement or other nqtt-obway use herelo <br /> applied for and furiher agrees to remove same upon notice from tne <br /> Approved lor Construc ion Date City and to replace pubhc p� rty damaged thereby. <br /> FINAL INSPECTIOIJ Da�e , <br /> Appwved as Construded Sig App ant ���� <br /> PUBLICWORKSDEPARfMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED �4'11HW <br /> /�� 3200Cedar5lreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREA,'TER IS TO <br /> Everetl,WA98207 BE DILIGENTLV PURSUED TO COMI'LETION. THIS PEi7MlT MA\' BE <br /> Phone:259-BP,10 CANCELLED BV THE CITY UPOW ANY STQPPAG[OF K'OGK ON iHl^. <br /> PROJECT OVER 90 DAYS DURHT�ON. <br />