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Date <br />Applicalion For <br />PUBLIC WORKS PERMiT <br />Print or Type Only <br />Plan Check No: B 38797 SEPA <br />Applicat.Date: 11/24/92 <br />Job Addra: 8402 EVERGREEN WAY <br />Owner Owner: DABBAYH 140E _ <br />Tenant: CASINO Bp <br />Proposed Use: GP.S STATION <br />Desc. of Work: <br />GAS STATION TI <br />Applicant — <br />OFFICE SET JOB SET <br />Describe Proposec APc RVD FOR PERMIT: DATE_/_�_ gy <br />Projecl Address (ii knn�.cn) <br />PUUbc 5vcrks Pornul • <br />���o- ocoi.� _ <br />Publi� Woiks Feo <br />Tolal Fea $ <br />Less ADGI Fcc Paltl $ <br />�a���co o�� s <br />Attach fcur (4) copies ol plans for proposed work - Draw to scale and note Ihe IoOowing as applicable: <br />• Property Lines • Cenlerline ot street <br />• Outline and dimensicns ol all existing and v Indicate North <br />prop� sed structures on the lot • Show any proposed gradinc� changes <br />• Existing and proposed utilitics s Show measurements <br />Phone <br />i nonA — _ <br />PERMIT GONDITIONS <br />7. T:1 calls for inspection shall he rsade 24 hrs. in advance - phone 259-8810. <br />2. All work shall be oedormed in accordance with this permil and current City of Everett Design and Construction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. before you di,.?OLL FREE IJU�dBER 1-800•424-5555. <br />nno�aved tor Construction <br />PUBLIC 1NORKS PERMIT <br />NOT REOUIRED <br />./ �l lYl�� L +, <br />GY �• <br />DA7E �L" -9-�iZ . <br />te <br />FINAL INSPECTION Date <br />Approved as Cocstructed <br />��. PUBLIC WORKS DEPARTMENT <br />.,� 32W Cedar Slreet <br />EvereN, ::'A 98201 <br />Phonc: 2!i9�8d70 <br />�r <br />� <br />� <br />a/ <br />ACKNGW'.EDGEM1IENT OF CONDITIONS <br />The unJersi�ned ovmerlapplicanl hereby a9rees to hold and save harm- <br />less the City of Everetl Irom any and all claims for damayes, cests, <br />expenses. or causes ol action that may arise hecause of inst•rIlc,Pon <br />and maintenance of Ihe improvement or olher righFo(-way use hereto <br />applied for and further agrees to remove same oGon notice irom the <br />Cily and to replace public property damaged ihereuy. <br />S�gnature ol Applic�nl Da�e <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED V/ITHIN <br />1B0 DAYS OF DATE PERA1IT IS ISSUED AND THEREAFTER IS TG <br />BE DILIGENTLY PUHSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCE�IED UY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVEI� 90 DAYS DURATION. <br />