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� PUBLIC�JORKS PERMIT ��- �� <br /> PUBUC WORKS DEPARTMENT p�y���y�e p�h� <br /> 32W Cedar Strest <br /> Everett,WA 88201 259-8810 Buliding Permk N <br /> TYPE OR PRINT ONLY Publb Worla Fee S <br /> Plapn Chack Nos B 6184/2 s8F1► <br /> Owner �PJobclWdr��� 4B�15kV=R6REEN W11Y <br /> Own�r� PAN PACIlIC DBV �o� <br /> Tenants CI.1�Ft8MONT VILL7IGS STORE <br /> Propo�ad Uu= R8T71IL <br /> Applicant D*tc. o! Works <br /> REPI.ACB STOAE FRONTS (4809 TO 4917 Phone <br /> EVERGREEN WAY) <br /> DBSCribe Proposed WOr pFFSCE SBT JOH S8T � <br /> APPROVED FOR PERMITs D]►TE_/_/_ BY � <br /> � <br /> PROJECT ADDRESS(if known) � <br /> Atlach four(4)coples o}plens for proposed work-Draw to scale and note the tolbwing i}epplkable; � <br /> •Property L1nes �putllne end dimenslons of ell ezisHng and proposed shucturea on tM bt 'Existing and propoxd utllRies O <br /> 'CentMlne of street `Indlcate North 5how enY WoP�d 9�M9��9es 'Slww measuremenb � <br /> DO NOT WRITE BELOW THIS LJNE <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspection shall be made 24 hours in advance- phone 259-8810. <br /> 2.All work shall be pertormed in accordance wfth this pertnit and current Cky of Everett Desfgn and O <br /> Construction Standards and Speciflcations. <br /> 3. Call Location Ur,derground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-6666. � <br /> 'UDLIC ORKS �ERMIi � <br /> le F C7�Ij�J� O <br /> eY_ • � a <br /> �ATc------.. �4--� <br /> ACfQJOWLrlN33EMENT OF CONDI11pNS <br /> The undarsigned uwneNappNcant hereby p�ees to hold and save harmbss <br /> the City of Everett trom any arW ell clalms for damages,oosts,expensee,a <br /> Approved for Consiruction pe�e ���°����Y��uss M kutelletbn and malntenarica of <br /> tha Impovetnent or otl�s r{phFof-way use I�Mo epplied for end further agrees <br /> , to ramove sams upon ratice fiom the CHy end to replxe pubiic prppMy <br /> dameged theraby. <br /> FINAL INSPECTION Date ' <br /> Approved as Constructed <br /> S!gnatuie of Appikant pe�e <br /> WORK AUTHORIZED BY iHIS PERMR MUST BE STARTED WRHIN 180 DAYS OF DATE PERMR IS ISSUm AND 7HEREAFfER IS TO BE DILI(iENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORI(ON 7HIS ppWECT OVEA BO DAYS WRATION. <br />