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� ' <br /> , <br /> ;i <br /> ; <br /> � � �ir � Pv01ic Wa�ki Vermil• <br />� � �?��F�L14�.�'. � <br /> � . Date e�ao�oau�+ <br /> Applicalion Fof <br /> PUBLIC WORKS PERMIT P��IicWorksFee s _ <br /> Totel Fee <br /> �<!a�DO�F!!PaiE s <br /> Balance D�a s <br /> � � Print or Type Only <br /> Plan Check No: B 39690 SEPA <br /> Applicat.Date: 02/25/93 Phone <br /> s y y -- Job Addrese: 10301 EVEAGREEN WAY Z�P <br /> �yx Owner py�ner: SPIEKER PAATNERS <br /> H >� Tenant: IHOP <br /> H x Proposed Uee: RESTAURANT <br /> �< n D e s e. o f W o r k: Z i p Phone <br /> � 'v qpplicant INTERIOR REMODEL <br /> '�N� <br /> yy JOB SET <br /> yi x Describe Proposed\York OFFICE SET _. — <br /> td O� APPROVED FOR PERMIT: DATE_./_,/_ $Y <br /> O N �i <br /> Qe 1 � 1 <br /> �°g -- �++ <br /> M ` <br /> x.�� - ' <br /> sr� �. _ <br /> ty �1 Project Address(if known) <br /> N H <br /> t7 fA H Atiach lour(4)coV�es-ol plans for propesed work-Draw to scale and note Ihe!ollowing as applicable: � <br /> • Proparty Lines • Centerline ol street <br /> n p(p • Inditate Norih <br /> ��j • OuUine and dimens�ons ol all eaisling and � Show any propnsed gradiag changes <br /> �k� proposed strucW res m the lol � ghow measurements M <br /> � • Existing and proposed utilitias W <br /> W ODO NOT WRITE BELOY!THIS LINE <br /> �� PEfiM1T CONDITIONS ^ <br /> t.All calls lor inspection shall be made 24 hrs in advance•phone 259-8810. <br /> 2.All work shall be pedormed In accordance wllh this Oermit and currenl Cil•/o(Everett Design and ConsVuctian ♦ <br /> 1 Standards and Specilicalions. � <br /> . �� 3.Call Location Underground Service 4B hrs.belore you dig.TOLL FREE NUMBER 1•800�424•5555. <br /> � O J <br /> i <br /> 1 <br /> I �� PUBUC WORKS FERMIT � <br /> . �, . NOT REDUIRED � <br /> BY__S� O <br /> L�, �,� <br /> I �� DATE � <br /> � �LI 1 <br /> ACKNOWLEDGEMENT OF COIJDITIONS <br /> � The undersigned owne4a0P���ant hereby agrees to hold and save harm• _.,�f <br /> less the Cily ol Everett Irom any and all claims for damages, costs, r+ <br /> ��� expensee, or causes ol action ihat may arise because of installatior, _v r�+ <br /> and maintenance of the improvemenl or olher right•of•way use hereto <br /> � ;,pplied for and further agrees lo remove same upon notice from the _� �:- <br /> i' <br /> Approved lor Consiruclion Date City:��d lo replace public property tlama9ed thereby. , tdA <br /> FINAL INSPECTION Date Date <br /> Signature ot APPlicant <br /> Approved as Consiructed WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � PUBLICWORNSDEPARTMENT 180 DAYS OF UATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> � 3200 CedarSlreel BG DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everelt,WA 98201 CANCELLED BY THE CITI'UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259•8870 PROJECT OVER 90 DAYS DURATION. <br />