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( <br /> �2 zo'� <br /> PUG�m Wnds Pmmil/ <br /> � � � Date 6 7 91 TO P05TING (G����(�' map.oeN . 91/27118 <br /> � y Appliwtion For <br /> 6� PUBLIC WORKS PERMIT P°°��°a°��„°° 5 si� z -_ <br /> Q y y Toi I ieu <br /> Nr� Lesa RaO�Poa PaA $��] <br /> 1� � (� . . Ual.�ncr Juc .S S/ /� <br /> �°a M ro Print or Type Only � � . � � <br /> y N H�+ <br /> G 2 S <br /> � � � Foodmaker Inc. 2395 American nve Hayward� CA 94545 (415) 783-5680 <br /> H � � Owncr MailinqAtldrass, . , . Ciry , . ZiP Phone <br /> M . . i � ' ; , " '. . .. <br /> b y � (Azchitect ) ' � � �- �. ... <br /> �� �..� Applicant Maiiing Address City ZiP Phone <br /> N <br /> C N <br /> ro ��y., Descri6e Proposed Work �nstruct new fast food restaurant (Jack-In-Ttle-Box1 <br /> � O N ___ <br /> �1 <br /> Project Address lif knowN xxxx FVPmr on wa.. <br /> �7�� F l-P/V'�'��P�'1'�- �t lct�1 �. <br /> Altach lour(4)copies ol plans lor proposetl work�Draw�o scale and note Ihe lollowing as applicable: �� <br /> • Property Lines • Centedine of sireel � <br /> • OuUine and dimensions ol all eaisting and • Indicale Nor�h <br /> proposed siructures on ihe lol • Show any proposetl gradin9 changes <br /> • Existing and proposed u�ilities • Show measuremeNs � <br /> DO NOT WRIT[B[LOW THIS L�NE O <br /> �-� -'�-. PERMITCONDITIONS <br /> ����• 1.All calls lor inspectlon shall be made 24 hrs.in advance-phone 259•8810. ^ <br /> I �I 2.All work shall 6e pedormed in acwrdasce with this permit and current Ci�y ol Evere��Design and Conslruction � <br /> Standards and Specilications. <br /> 1 . 3.Call Location Underground Service 48 hrs.belora you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> �--� �. (�--w PAc-TECN �A/G�. �/c�r- C -/ , C - Z� <br /> -- �s� ,. 6u�iJ .��,�Ps �/u v` /+-/- �-- z, � - i ��L � <br /> � �__� �f� �-�.�/ �.6�;�J_ F/a v� � �� �� � <br /> � -- N� ��-s��� l � rs � <br /> � k�Q U � 2-��. � <br /> . <br /> -- >=�, ��-�_ s�s��r� a <br /> __ ��/777 / <br /> The undei ,�('/ ,- ,}�� e harm� <br /> �� � less Ihe i � �-L� .. cosls. <br /> I � <br /> O�.' � expenses allalion <br /> I '_�_ /%�� ? -, and main- / C�" �om Ihe <br /> l �- aPPlied f< r �n � �^ � <br /> �� Appro�d or Co Irus'� rf /• Dale Ciiy and t <br /> %" /�� <br /> ��V /r"!-��%— /n . 1 .�/ z �-`_��� �'`LCl-4'Z. <br /> Date ` <br /> FINAL INSPECTION Signature of Ap�!ict^� Oalc <br /> Approved as Consirucled <br /> � WORK AU740RIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> !� PUBLICWORKSDEPARTMENT 1B0 DAVS OF DATE PERMIT IS ISSUED AND iHEFEAFTER IS TO <br /> � 3200CetlarStroet BE DILIGEN7LY PURSUE�TO COMPLETION.THIS PERMIT MAY BE <br /> AT Everett WA 98201 CANCELLED Bi THE CITV UPON ANY S70PPAGE OF WORK UN 7H' <br /> Phona 259�0810 PqOJECT OVER S^DAYS�URATION. <br />