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Applicalion For \ <br /> � PUBLIC WORKS PERMIT oate___ 12-17-98 <br /> ?UBLIC WORKS DEPARTNIENT Public Works Permit 8 - `�/�� <br /> 3200 Cedar Sheet <br /> Everett,WA 90201 259-8010 <br /> Building Permit a 61142 _ <br /> TO POSTING �UL 2 1 200D _ e3 <br /> 'fYPE OR PRINT ONLY Public Works Fee 5_�Q ��S _ <br /> Fred Meyer PO Dox 42121 Portland OR 97242 <br /> Owner Mailing Address City Zip Phone <br /> Freiheit 6 Ho Architects Vince Berndsen 206 394-4981 <br /> Applicant MailingAddress City Zip Phone <br /> Describe Proposed Work new Jack in the Box restaurant � <br /> — � <br /> � <br /> Y/ <br /> PROJECT ADDRESS(if known) B52o- Eve�a�-,��n ��.t.l=_ � <br /> � � <br /> Atlach lour(4)copies ol plans tor proposod work-Draw to swie and nole the lollowing il applicabie: O <br /> •Froperty Lines 'Ou�line and tlimensions ot all ezisting and proposed structures on the lot •Existing and proposed utilities <br /> 'Centerline ol street •Indicate Norih •Show any proposed g�ading changes •Shaw measurements � <br /> DO NOT WRITE BEI.OW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1. All calls fur inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2.All work shall be pertormad in accordance with this permit and current City of Everett Design and <br /> Construct�on Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> `� �-� c�P� ��/ct,- �/a/�� 3 - � -9 � � <br /> � � o C-�il O <br /> r�/ z���� o � o� � ��.�� �� f �i a <br /> 57`o rm wv�-•�—roYl � i.3 lo��D��� ort- <br /> ��.-Ia� /1�1e�e�' S/T�- • <br /> ACKNOWLED�iEMENT OF CONDITIONS <br /> �- The undersigned owner/applicant hereby agrees to hold and savo harmless <br /> — C e' the City o1 Everetl Irom any and all daims for damages.costs,expenses,or <br /> ed for C r wn y�e � causes ot action that may arise because of installation and maiNenance ol <br /> CA ' iheimprovementorotherright-ot-wayuseheretoappiiedlwandturlheragrees <br /> ` // i� 1I 1Ars� ' • ' to ramove same upon notice from the Ciry and to replaco public property <br /> �C�{ �-*u,�u,r �'��_ � damaged t reby. <br /> fINAL INSPECTION Date , <br /> Approved as Constructed /w,� , � / Q <br /> (//K( � � <br /> Signature ol Appliwnt Date <br /> WORK AUTHORIZED BY 7HIS PERMIT MUST BF STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THERFAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CIiY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. � <br />