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[s: : <br />� <br />:r; <br />R <br />��� <br />A�x <br />,C"., H <br />a�x� <br />H ZH <br />� H� <br />"�s� H'+] <br />rn �+ <br />� O� <br />HG <br />O H <br />H�g <br />� V �] <br />zy� <br />�HH <br />gy <br />H <br />C7 Cl !/� <br />��Cr! <br />H O fyA <br />/ ' � <br />Date — <br />qpplication For <br />PUBLIC WORKS PEF?iViIT <br />Print or Type Only <br />Owner <br />Applicant <br />�escribe Proposed Work _ <br />Plan Check No: B 37746 SEPA <br />App:icat.�ate: OB/19/92 <br />Job Addr=- 1402 SE EVERETI' bfALL WAY <br />Owner: TITANIC ASSOCIATION <br />Tenant: SMART SI2E <br />Proposed Use: RETAIL <br />Desc. of Work: <br />TENANT IMPROVEMENT <br />OFFICE SET .708 567' <br />APPRVD FOR PERMIT: DATE_/_/_ BY <br />Fu01iC Y101k9 Peflfli� J <br />eieq. ooc�.� — <br />PubLCWorFSFm 5 <br />To�el Fee <br />Lesf ADO'• Fae Paitl 5 <br />Baiance Duo $ <br />#10:p ., '• .. Phone .. <br />ip Phone <br />pwjed Add«!ss (il known) <br />Attach lour (4) copies ol plans lor proposed work • Draw to scale and note ihe lollowing as applica6le: <br />• Property Lines • Centedine ot streel <br />0 Outline and dimensions of all exisling and • Indicate North <br />proposed structures on the bl • Show any proposed grading cnanges <br />• Existing and proposed ulililies • Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspeclion shall be made 24 hrs. in advance- phone 259•8810. <br />2. All work shall be pedoimed In accordance wilh lhis permit and currenl Ciry of Everett Design and Constmct�ur <br />Standards and Specllications. <br />3. Call Lucalion Underground Service 48 hrs. before you dig.'lOLL FREE NUMBER 1-BOQ•424•5555. <br />�L�� GUOz/'r' f�:'-P/�-,.uf /�✓c�,-CE�GC.t� C� <br />7j�� <br />9-Z`� �? <br />Approved lor Consiruclion Dale <br />FINALINSPECiION <br />Approved ns Constructed <br />v� PUBLIC WORKS DEPARTMENT <br />�-- 3200 Cedar S�reet <br />Everell, N!A 98201 <br />Phonc: 259�8870 <br />Date <br />W <br />� <br />�w <br />9 / <br />� <br />� <br />F"' ;, <br />t�l\, <br />\/ <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicanl hereby agrees to hold and save harm- <br />less the Cily of Everett from any and all claims tor damages, costs, <br />eapenses, or causes ot action �hat may arise because ot installation <br />anJ maintenanc� ol ihe improvement or olher right-ol•way use hereto <br />applied lor and turlher ac�rees to remove same upon nolice from the <br />City and lo replace public property damaged Ihereby. <br />Signature of Applicant Date <br />WO(iK AUTHORIZED BY �fHIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DA\'S DURATION. <br />