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���� PU�LICt.JOR�KS PERMIT <br /> �. <br /> PUBUC WORKS�EPARTMENT Publlc Works Pertnit p <br /> 3200 Cedar Street <br /> Everetl,WA 98201 259•8810 <br /> Bullding Pertnit� <br /> TYPE OR PRINT ONLY Pub�tc Works Fee$ <br /> Owner Plpan Check No: B 6/0711 SEPA phene <br /> ApJobcAddreses lObll/EVERGREEN WAY <br /> Owner: HROWN & COLE <br /> Tenant: TULLY'S COFFEE <br /> Applicant Propoaed Uee: RETAIL Phone <br /> Deec. of Work: <br /> TENANT IMPROVEMENT <br /> Describe Proposed Work_ . . ■ <br /> OFFICE SET JOB SET W <br /> APPROVED FOR rERHIT: DATE_/_�_ BY � <br /> �� <br /> �/ <br /> PROJECT ADDRESS(if known) � <br /> Atlach four(4)copies of plans for proposed work-Draw to scale and note the following if applicable: <br /> •Property L1nes •Outline and dimensions of all existing and proposed structures on the lot •Existin i an i?roposed utilities O <br /> •Centerline of street •Indicate North •Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1.Ail calls For inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2. All work shall be performed in accordance with this permit and current " •of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE�aUMBER 1-800-424-5555. � <br /> Vr <br /> !UMI.IG L:VN�'.1i}e �t�q'xili '�b�iG;t`�r�J'rt.cs s����„ � <br /> f4GT REOUIRE�1 :.'yACQUIREw � <br /> r'( ..�r�„ S : :. <br /> ►Y ._...._ .r. „�nT� t " --=` '_;;�`� '» _,., <br /> • • �A���.ri-^f=4ti�:�.+,.c"5.�"` r —�.'r`..'_--�. <br /> „v ' <br /> . ,�ci<.'!;?c+ -`�, <br /> . ��_y '� .� . .. � 1 w.�t � <br /> fiq.i.'. ' '„'_.�_�. <br /> �1. .,. <br /> .. ..� �. �1� <br /> .!�kL'•:� •:�CRri3 pe17Ah1!� <br /> �:'Ji i:CQ��II�I�„ <br /> t';�_�_,_,� _. ACKNOWLEDGEMENTOFCONDITIONS <br /> - The undersigned owner/applicant hereby agrees to hold and save hartnless <br /> p';�li._....._........ -� the Ciry of Everett from any and all claims for damages,wsts,expenses,or <br /> Approved for Construction Date causes of action that may arise because of installation and maintenance o( <br /> the improvement or olher right-of-way use hereto applied lor and further agrees <br /> to remove�same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Consiructed <br /> Signature of Applicant Date <br /> WORK AIITHORIZED BY 7HIS PERMIT MUST BE STARTED WIhIIN�180 DAYS OF DATE PERMR IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLEfION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />