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Date 9-12-94 <br />Application For <br />PUBLIC WORKS <br />Print or Type Oniy <br />Owner <br />Applicant <br />a< <br />� <br />PERMIT � <br />R <br />G <br />Q <br />x <br />� <br />N� <br />(•J <br />Bourne 415 124th P1 SW Ill <br />V9aiiinq 4�dress <br />Describe Proposed Work <br />rn:��i��n ndd�._ss <br />espresso stand <br />/ <br />PuO�m lYarMs Pnrmll a_I ��J_�.[}�' � <br />eian oeo� , 45525 � <br />Pul�lic 1Yores Fee <br />Tatal Fae 5 <br />I LP55 4001. Fnp P;�ip S� <br />oono i �jC <br />p � p � � �aianceDuc S _'77 � <br />If] �h Ifl �7 �j ,/ p <br />It� M Ni tliQOG�)�2�7'���V.3/ <br />erett W� 98'�04 348-3803 <br />�'��v .r rr_ 3 x Zip <br />pi O[.'�1'> b] <br />C`l O�[J H(L <br />\ O J fY_ (`' <br />o au�uicaU <br />�_-- City �ip <br />aroject nddress �u known� 9730 Evergreen Way__ <br />Altach four (4� copies of plans foi propo;ed wo;�: - Drav: �o ;,-,u,; ,u�,y note th,� !ollu:vinq �� 3pUlicabie: <br />• Property Lines • Centeriine r�f shee! <br />• Outline and dimensions of all exi;hny anh • Indicate North <br />proposetl shuctures on the lo� • Sho:; any r.roposed grading r,hanycs <br />• Existing and propOsed uiilities • Show measurements <br />rr.one <br />Phone <br />PERMIT CONDITIONS <br />7. All calls for inspection shall be made 24 hrs. in advance - phone 259•8810. <br />... 2. All work shall be pedormed in accordance with ihis permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-$00-424-5555. <br />�-��cl r��� a�, <br />,�,� r 7" r, s P` �+v ►-- <br />7`r <br />Approved fpr Constru ion y��,�t, -� <br />��I � <br />a� j�� S�: �� <br />FINAL INSPECTION � Date <br />Approved as Constructed <br />� PUBLICWOFKSDEPARTMENT <br />320C Cedar Street <br />EveretL WA 98201 <br />Phone:259�8810 <br />1 z-iz-96 <br />� <br />O <br />H <br />� <br />� <br />a <br />ACKNOWLEDG[PnENT OF CONDITIONS <br />Thra undersiqned owner/applicant hereby agrees to hold and save harm- <br />less ;he City ot Everett from any antl all claims for damages, costs. <br />ex{;enses. or causes of aclion that may arise hecause ol installation <br />and ma��•.tenance o! the improvement or other right�oFway use herelo <br />�PN�ec' br 2nd lurther agrees to remove same upon notice Irom the <br />C�!y .�rtl to replaca pubhc property damaged thereby. <br />� /n��� <br />Siona�APPlican��` Date <br />4NORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />�80 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT �v1AY E3E <br />CANCELLED BY THE CI7Y UPON ANY STOPPAGE OF WORK ON THiS <br />PROJFCT OVER 90 DAYS DURATION. <br />