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� ^olicatior.For / — <br /> PUBLIC VrORKS PERMIT Date 2-23-96 <br /> PU9LIC WORKS DEPARTMENT Public Works Pertnit# <br /> 3200 Cedar Street <br /> Everett,WA 98201 259-8810 Building i ermit q 50954 <br /> TYPE OR PRINT ONLY Public Works Fee$ <br /> Spieker Properties 915 118th Ave SE lI110 Bellevue 98005 455-4105 <br /> Owner Mailing Address City Zip Phone <br /> Merrick Lentz Arch 1800 136th P1 SE 11100 Bellevue 98005 747-3177 Dave May <br /> App:icant Mailing Address City Zip Phone <br /> Describe Proposed Work resta�•rant (TI) <br /> W <br /> H <br /> - <br /> � <br /> PROJECT ADDRESS(if known) 10121 Evergreen Way Outback Steakhouse � <br /> Attach four(4;copies of plans for proposed work-Draw to scale and nole the following if applicable: <br /> •Property Lines •Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities O <br /> •Centerline ot street •Indicate North •Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: 2 <br /> 1.All calls for inspection sliall be made 24 hours in ad��ance- phone 259-8810. O <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Undergro4nd Service 48 hrs. before you diy. TOLL FREE NUMBER 1-800 424-5555. � <br /> V♦ <br /> O <br /> 'U6LIC �vORKS FEBM+' � <br /> '�n�,�^ QUIP.E�I <br /> �Y�"�`1�- - _. <br /> e,sT=- ----��9 -��� <br /> ACKNOWLEOGEMENT OF CONDITIONS <br /> The undersigned owneNapplicant hereby agrees to hold and save harmless <br /> the City of Everetl from any and all claims for damages,costs,expenses,or <br /> Approved tor Conswction Date causes of action ihat may anse because of installation and maintenance of <br /> the impmvement or other righFof-way use hereto applied for and fuAher agrees <br /> to remove same upon notic� (rom the Gity and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> SignaWre of Applicant Date <br /> WORK AUTHORIZED BV THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER iS TO BE DILIGENTLY PURSl1=D TO <br /> CGMPLEfION.THIS PERMIT MAY BE CANCELLED 8Y THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAl'S DURATION. <br />