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Date_ t . �.wKwomc.,mu._— <br /> � eiac�o•n.. — <br /> ppplicalion For _ <br /> RUBLIC WORKS PERMIT °°°:o:�."' _ <br /> �....�«.,o.,a s <br /> e.u�c.no. s <br /> Print or Type Only <br /> Plan Check No: B 40965 SEPA <br /> Owner Appllcat.Dete: 06/11/93 Ip Phone - <br /> Job Addzeee: 10115 EVERCREEN WY <br /> Owner: S-H-JEFFERSON-BENC r:L <br /> Tenant:'t`hRMG+F HOM E CENTER <br /> 4oV�icant Propoeed Uee: RETAIL ERNST p P�one <br /> Oeec. of work: <br /> REMODEL E%ISTING 50�OOOSF STORE <br /> Doscri0e ProPosetl Work_ ,TOB SET <br /> OFFICE SET �� <br /> APPROVED FOR PERMIT: DATE_/_/� BY�— � <br /> _ W <br /> Proiecl Address(il known) � <br /> AIIaCh lour(4)COpieS al plans lOr proposed work�Dlaw l0 SCale and no�e Ibe IoiloWing as applitable: � <br /> • Property Lines •Centerline ol street 'A <br /> •Outlina and dimensions ol all eaisting and •Intlicate 4orih V� <br /> proposed structures en Ihe lot - •Show any propos^d g�atling cnanges <br /> •EzlstlnB and o�oposetl utllities •Show measuremenls M <br /> W <br /> �O NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1,All calls for inspeclion shall be made 24 hrs In advance-phe�e 259•8810. � <br /> 2.All work s�all be perlormed in eccxdanca wilh ihis pormil end current City ol Everett Design antl Construction <br /> Standartls end SDecilicetions. <br /> 3.CaIILocatlonUndergrourd5ervice48hrsbe/oreyoudig.TOLLFHEENUMBEHI•800�4245555. � <br /> O <br /> � <br /> PUBIIC WORKS PERNIT � <br /> NOT qEOUIRED � O <br /> BV ��_,���. <br /> DATE �^' /�� a <br /> ACKNOWLEOGEh1ENT OF CONDITIONS <br /> T�e undersipned awner/applicant hereby agrees to hold and save�arm� <br /> less t�c City ol Everet� Irom any end all claims lor damaecs,cosls, <br /> ea0enses. or tauses ol action Ihal may eriso ber,�uso ol Installallon <br /> and maintenance ol lhe impwvement or other�ighbobway use�e�elo <br /> appl!�tl for and lur�her agrees lo remove same upon nolice Irom Ihe <br /> APO�Oved N�COnsimL�iOn Date C�ty and�o�eplace public pro0erry damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Conslmctetl Signalure ol Applicant Date <br /> � PUBLIC WOFNS OEF>RTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 100 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CedarStreet BE DILIG�NTLY PURSUED TO COMPIETION.THIS PERMIT MAV B[ <br /> Everelt P//98:01 CANCEILEU BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259-E810 PROJECT OVER 90 DAVS DURATION. <br />