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� olic�tion For � � . <br /> �i�� PUBLIC �rORKS pERP��T Date__ <br /> �c PUBLIC WORKS DEPAFTMENT Public Works Permit# <br /> 3200 Cedar Street <br /> � Everett,WA 982U1 259-8810 Bullding Permtt fl_ <br /> IYPE OF?RINT ONLY Public Works Fee$ <br /> �2�950048 SEPA <br /> Plan check No•I _ <br /> App'icat.Date• 11 15/95 Phone <br /> Ownar Job Addx'a:� EVERGRE�'N WAY. <br /> Owner: LEIBSOHN & CO <br /> Tenant: EVERETT P?.S�ZA <br /> Propoeed Uee: SHOPPING CENTER/RETAIL phone � <br /> Applicant NgWCCANOPY/BASCIA CONSTRUCTION ON EXISTING <br /> BLOG � <br /> Describe Proposed�Vor OFFICE SET JOE SET <br /> APPRVD FOR PERMIT: DATE_/_I_ BY � <br /> �� <br /> �/ <br /> PROJECT ADDRESS(if kno:vn) _ ._ m <br /> Attach tour(4)copies of plans ior proposed wor!c-Draw to scale and note the tollowing if applicable: <br /> •Property L1nes •Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities O <br /> •Centerline of street •Indicate North •Show any proposed grading changes •Show measurements ' � <br /> DO NOT WRIiE BELOW THIS LINE � <br /> PERMIT CONDITIONS: <br /> 1.All calls for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and 1� <br /> Const�uction Standards and Specifications. � <br /> 3. Call Location Underground Service 46 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br /> V♦ <br /> O <br /> �'t![iL�C WORKl� P&ry�� a <br /> !�O'f 9EQUJRGA <br /> �Y�8 <br /> �yAT=. , 1 , �1 9r <br /> �'..� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees lo hold and save hartniess <br /> tlie Ciry of Everett from any and all claims for damages,costs,expenses,or- <br /> — causes of actio�that may arise 6ecause of installation and maintenance of <br /> Appro��:edforConstruction Date thelmprovementcrotherrightof-wayuseheretoappliedforandturtheragrees <br /> to remove same upon notice from the City and to replace publir. pmperty <br /> � damagecl there6y. <br /> FINA'_INSPECTION Date <br /> Approved as Constmcted <br /> � Sirnatura of Applicant Date <br /> COMPLEfION RTIiIS ERMIT MAY BE CANCELLED BY THE CITYIUPON ANY STOPPAGE CFNNORK O�1�THIS PROJEC OVER 90 DA SEDUILRATIONLY PURSUED TO <br />