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�n�: ,., <br /> a,:,__ � "� <br /> � � <br /> . �atg 1 1-7–Q 1 Pu01ic WorkS Parmll• ����.�� � <br /> eiano�o�.• 91/2808'S,�`�_-_— <br /> Application For j <br /> PUBLIC WORKS PERMIT P°°"<'"°'"„eB ' — <br /> To�a�Fo� s <br /> IC Lesa Aop�Fee Paie $ v t <br /> ��� PrintorTypeOnly TO P�JSTING �_ a-==-'3- e°�'°`eo°a s 3�/ D.r{5 <br /> m�x <br /> 9 H N pIGNATARO 10500 HIGNWAY 99 S0. EVERETT 98204 348-3141 <br /> H 3 M�iling Adtlress Ciry Zip Phone <br /> y �y H Owner <br /> fC C� <br /> H 70 <br /> � H� , BERSCHAUER PHIL IPS PO AOX 6264 OIYMPTA 9R507 754-5788 GREG BAILEY <br /> y H Applicant Mailing Address Ctly Lp Phone <br /> � H C Describe Proposed Work NEW CONSTRUCTION 400,000 SF BLDG. <br /> �/� �g <br /> y�Y C� _ <br /> zy� W <br /> � ~y Pmlect Address(if known) J�� ��— E�`�-��=r•� �C�" ~ � <br /> N <br /> O C N Attach four(4)copies ol plans tor proposed work- Draw to scale and note the following as applicable: � <br /> • Properry Lines • Centerline of street ,A <br /> � �L•1 • Outline and dimensions of all existing ar� • Indicate Norih V� <br /> y 0 y proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE o <br /> FERMITCONDITIONS <br /> 1.All calls for inspection shall be made 24 hrs.in advance•phone 259•8870. � ' <br /> 2.All work shall be performed in accordance with ihis permit and current City ol Everett Design and Conslruction <br /> � � Standards and Specifications. <br /> � � � <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER�•8�0-424•5555. � <br /> � /I'�,,• �s,q��r,�� �J,�- �t'cl� /Z- /Z-9/ O I!, <br /> o" "i i �/ � <br /> � s �w <br /> 'w '' _I <br /> �� <br /> � � � � � � � <br /> '—' �ari � - ,s�z a <br /> � _ . . .......................... <br /> ��� CITY OF EVERE7T <br /> ncKNow�eoceMetlLWdlfi�'�ama <br /> The undersigned ownedapplicanl he�eby ac�rees ro hold and save harm- <br /> � less the Ciry ol Eve�ett Irom any and all claims for damages, costs. <br /> ''' � expenses, or causes ot action lhal may arise because o� installatinn <br /> and maintenance of the improvement or other righ4of-way use hereto <br /> � � applied �or and furiher agrees to remove same upon �wiice Irom ihe <br /> � � Ap r ed f �onstry ti n � Ciry and to replace p lic properry d d thereby. <br /> / i' i i <br /> �l ' �J �, y� �8-92-, <br /> FIN t I SPECTION �� � Date Date <br /> Approved as Consiructed Si9nahire t Affplican <br /> WORK AUTHORIZED BY THIS ERMIT MUST BE STARTED Y11THIN <br /> � PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Cedar Stieet BE DILIG[NTLY PURSUED 70 COMPLETION. THIS PERMIT MAV BE <br /> EvaretL WA98201 CANCELLED BV THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�8810 PROJECT OVER 90 DAYS CIURATION. / <br /> � <br /> � <br />