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��� <br />m�x <br />C." N <br />YHf/� <br />� <br />yzh�i <br />�H7�tl <br />�H�ii <br />�n i"� <br />yx�' <br />�H�U' <br />OH <br />''��t-��o <br />�Y �q <br />9H[�7 <br />� <br />r(y HH <br />OVH <br />C'� C1 f/� <br />��tri! <br />ZHCn <br />H O Cn <br />r �, <br />Date 5/7.II/92 <br />` <br />qpplicallon Far <br />PllBLIC VIlORK� PF�iQViIT <br />Print or Type Only <br />Pub11c Wo�Fa Parmll � <br />oma o�o�� � 36857 <br />PuOiitWoibFon S <br />Tolal Fea <br />Lea5�o0� Fca Poid S <br />Balancc Duu > <br />Cascade Development Group 3605 - 132n3 Ave SE Bellevue, WA 98006 693-4300 <br />Owner M��iing Address City Zip Phone <br />Garv Parkinson. Arch. 2812�9�by R„er tt 96201 S- 1� H 36A <br />Applicant Mailing Address City Zip Phone <br />�escribe Proposed Work Tenant improvement (Combino 2 snaces into 1) <br />Prelect Address (il known) _ �oui nvercu � v- - <br />Attach lour (4) copies of plans for proposed work - Draw lo scale and note the lollowing as applicable: <br />s Property Lines � i Centerline ol street <br />• Outline and dimensions of all existing and • Indicate Norih <br />proposed slructures on the �ol • Sho•+v any proposed grading changes <br />• Existiny and propused u;ilities • Show measuremenls <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance • phone 259•8810. <br />2. All work shall be performed in accordance with ihis permit and current City ol EverAtt Design and Conslruclion <br />Standards and Specifications. <br />3. Call Location Underground Service 4B hrs. before you dig. TOLL FREE NUMBER 1•800-424•5555. <br />� . , <br />� �./�G.. Gc, zl�— ��� _,,, i/Z? c<� �... _..l <br />`' i . <br />�!�-/_�f:'V_. _ ✓ <br />Approved for Consiruction Oate <br />FINAL INSPEGTIOPI Date <br />Approved as Constructed <br />��PUBLIC WORKS DEPARTMENT <br />� 3200 �edarSlreet <br />Everett, WA 98201 <br />Phone: 259�8870 <br />�"''i �Z <br />ACKNOWLEDGEMENT OF CONDITIONS <br />� <br />� <br />The undersigned ov+ner/applicant hereby agrees to hold and save harm- <br />less the City ol Everett Irom any and all claims for damages, costs, <br />expenses, or causes of aclion thal may arise 6ncause of installalion <br />and mainlenznce ot ihe improvemenl or other righFoFway use hereto <br />applied for and lurlher agrees to remove s�me upon notice irom the <br />City and to replace public property damaged Ihereby. <br />Signature of Applicanl Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSOED AND THEREAFTEF IS 'f0 <br />BE DILIGENTLY PURSUED TO COMPLET;ON. THIS PERMIT MA'r BE <br />CANCELLEO BY THE CIN UPON ANY STOPPAG[ OF WORK ON THIS <br />PROJECT OVER 90 DAYS �URATION. <br />