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x t�"��] <br />trl b9 <br />C�H <br />ayv� <br />y Z t�-i <br />K c� <br />H Xl <br />'�sJ H �TJ <br />V] H <br />t7 O [�7 <br />H t7 <br />O H <br />H L�TJ O <br />G1 � C] <br />9 H� <br />i <br />r HH <br />g� <br />H <br />c� C7 � <br />� e� r <br />� <br />H O f�i� <br />Date <br />Application For <br />PUBLIC `WORKS PERMIT <br />Print or Type Only <br />Owner <br />Ppplicant <br />Describe Proposed Work . <br />Project Address (if known) <br />Plan Chack No: B 39772 SEPA <br />Applicat.Date: 03/04/93 <br />Job Address: 9601. EVERGREEN WY <br />Owner: ICAIJERIS GEORGE <br />Tenant: SHOTZE'S INC <br />Proposed Use: BEER GARDEN <br />Desc, of Work: <br />OUTSIDE DECK/FENCE <br />OFFICE SET JOB SET <br />APPROVED FOR PERMIT: DATE_/_/_ By <br />Altach lour (4J �opies ol plans for pwposeC worY. - Draw lo scale antl note the following as applicable: <br />• Properly Lines <br />• Oulline and dimensions oi all eaisticg and <br />proposed structures on the lot <br />• ExiSti:.g and proposed utilitie5 <br />Publm WOrks Pormll a <br />6�ag. Deol. • <br />PuGI¢WorksFee � <br />Total Feo <br />Less PpO� Fea Paid $ _ <br />�alance Duo $ <br />Phone <br />Phone <br />• Centerline al sireet <br />• Indicate Norih <br />• Show any prcposed graa�ng changes <br />• ShOw mea5uremenL^ <br />iINE <br />PERMITCONDITIONS <br />i. All calls lor inspection shall be made 24 hrs. in advance � pho,ie 259•8810. <br />2. F.II work shall be peAormed in accordance with ihis permit and current Ciry ot Everett Design and Construclion <br />Standards and Specifications. <br />3. Call Location Underground Service 4B hrs. helore yoa dig. TOLL FF'eE NUMBEFl 1-800•424-5555. <br />Approved lor Construction <br />PUBNOT qEpUIRE�R�l7 <br />eY =Yr � <br />onre�;./�� <br />Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />i' PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone:259-0810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />w <br />�/ <br />Z <br />A <br />♦�� <br />V♦ <br />� <br />a <br />The undersi9ned ownedapplicant hereby agrees to holu and save harm- <br />less the Clry ol Everett Irom any and all claims lor damages, cosls, <br />eapenses, or causes ol action that may arise because of installation <br />and maintenance ol the improvement or other righbof-wa/ use hereto <br />applied for and lurther agr=es to remove same upon nclice irom ihe <br />Ciry and lo replace public properry damaged thereby. <br />Signature ol Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERAIIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CAIJCEILED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OV[R 90 DAYS DURATION. <br />