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2 <br />Da In _ __ C. <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only Plan Check No: 8 40845 SEPA <br />Applicat.Date: 06607/93 <br />Job Address: 142 SE EVERETT MALL WAY <br />Owner: TITANIC ASSOC <br />Tenant: SEAFIRST ATM'S <br />Owner Proposed Use: RETAIL <br />Deed. of Work: <br />REVISION OF ATM LOCATIONS <br />i.nr. arm. r •n— _._ ___ .._._. <br />Wini rn„ s -- <br />4.,.,xlwl <br />e,l, nnW. s <br />Zip Phone <br />Aophcant OFFICE SET JOB SET Zip Phone <br />APPROVED FOR PERMIT: DATE_/_/_ By <br />Describe Proposed Work <br />u <br />Project Address lit known) H <br />Ailacn lour 14) cop., of plans for proposed work - Draw to Scale and note the following as applicable: <br />• Property Lines • Centerline of street /I <br />• Outline and dimensions of all existing and • Indicate North v <br />Proposed structures on the lot • Show any proposed gracing changes <br />• Existing and proposed utilities • She. measurements <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 this permit and current City of Everett Design and Construction <br />Standards and Specllical <br />3. Call Location Undergrour. him before you dig. TOLL FREE NUMBER 1.800-424.5555, <br />IIBLIC WORKS PERMIT " !r <br />By NOT OUIRED <br />DATE �-� S=_ � <br />C <br />0 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownenappbcant hereby agrees to hold and save has <br />less Ind Cdy of Everett from any and all claims for damages, CO:: <br />expenses, or causes of action that may arise because of insiallati <br />and maintenance of the improvement or other ngh4ol-way use heir <br />applied for and further agrees to remove same upon notice from it <br />Approved for Construction Date Cfty and to replace public pronely damaged thereby. <br />FINAL INSPECTION Data <br />Appwd ed as Constructed Signature of Applicant Cali - <br />PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITH <br />I80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS <br />WE J':W Cadnr Street BE DILh3ENTLY PURSUED TO COMPLETION. THIS PERMIT MAY I <br />ewirat. WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON TIi <br />Phone J59'111110 PROJECTOVER 90 DAYS DURATION. <br />