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For <br />PUBLIC WOaReKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259.69r0 <br />TYPE OR PRINT ONLY <br />Date <br />Public Works Permit # <br />Building Permit #_ <br />Public Works Fee $ _ <br />Owner ry Plan Check iv,: B 52109 <br />Applicat.Date: 0624/96 SEPA <br />Job Address: 536 SW E•JERETT MALL WY <br />Owner: WA SANG ASSOC <br />Applicant ry ProposednUse: RETAIL <br />VIDEO <br />Desc. of Work: <br />Describe Proposed Work INSTALL PARTITIONSt1FOR OFFICE ANDRSTORAGE, <br />OFFICE SET JOB SET <br />APPROVED FOR PERMIT. DATE_/_/_ BY <br />PROJECT ADDRESS (if known), <br />Phone <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: m <br />'Property Unes 'Outline and dimensions of all existing and proposed structures on the lot 'Existing and proposed utilities <br />•Centerline of street •Indicate North •Show any proposed grading changes •Show measurements 0 <br />DO NOT WRITE BELOW THIS LINE + <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and O <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs, before you dig. TOLL FREE NUMBER 1-800-424-6565. <br />V♦ <br />PUBLIC WORKS PEPMI' O <br />NOr REOUIRE2 0L <br />AT <br />lx;l <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arise because of Installation and maintenance of <br />the improvement or other right-of-way use hereto applied forand further agrees <br />to remove same upon notice from the City and to replace public property <br />damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND TH.-REAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJE;T OVER 90 DAYS DURATION. <br />