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D01B � � we�cwon�p.�mx• �.! <br /> ApDlicelion For B10p o�p1.•^S �a T <br /> PUBLIC WORKS PERMIT '�°e;:�:`� : <br /> �o��oo�r.a o.w 5 <br /> e.a.c.o,,. S <br /> Print or Type Only <br /> Plan Check No: B 38354 SEPA <br /> I�ppllcat.Deta: 10/13/92 <br /> Job Adtlres 6004 GLENWOOD dVE p P�ona <br /> Owner Owner� SNONOMISH CO PUD fl <br /> Tenant: <br /> Propoeed Uea: ELECTICAL SUBSTATION <br /> Deec. of Works <br /> APp11te�� FOUNDATIONS FOR ADDITIONS TO EXISTING ip phone <br /> 5U85T11TION <br /> OFFICE SET JUB SET <br /> DescrlCe Proposed Work _ - <br /> APPRVD FOR PEpHITt DATE_/_/_ gy <br /> W <br /> Prolect AEtlrese�il known) � <br /> Attac�four(4)copiea ot o�ans for proposetl work�Draw lo scele and�ote the lollowinp es apDlicable: � <br /> •Pmpehy Lines •Clnledine ol sueet /w <br /> •Outline entl dimenniona ol all e�latln0 entl •Indicete Nort� y� <br /> propmatl aWCiu'e9 an IAe bt •$�ow any propo58C qletling C�anBes <br /> •Existlnp and D�oposed utilitlee •Show maewmmenta � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All caila lor Inapectilon ahall be mada 24�ra in ativance-phone 25&8810. � <br /> 2.All xrork EhallOe peRormed In ecwrdence wlt�thia parrt�lt anA curtent City ol Everett Design and Conslruclion <br />� StandeMeandSpeclllutlonn <br /> 3.CelllxallonUnderyrounnServlce4B�n.heforeyoudlp.TOLLFREENUMBEq1-800�4245555. � <br /> � " �,�� � <br /> f��L-c:t �._:,-:s� �sr���:,:.:f'��,t�.�:.«< : <br /> �� � H <br /> /n '/�; N <br /> 0 <br /> a : <br />� � <br /> ACNNOWLEDGEMENT OF CONDITIONS <br /> The untlenipnetl owner/aOPlicenl hereby aBreee to�010 and seve�arm• <br /> leaa Ihe Gity al Evera�l Irom eny an0 all claims lor Cameges conis. <br /> ex0enseA or causes ol actlon I�et may ariae because ol Inslallatlon <br /> and mainlenence ol l�e improvemenl or ot�er riq�t�ol�way uso�eralo <br /> aDPlled lo�and lurl�er aqrees lo�emova seme upon nolice trom Ihe <br /> ApO�a�ed lor Conatruc�ion Oate Cily anE to raplace public proDerty dameQeE Ihereby. � <br /> FINAL INSPECTION De�e � <br /> ApOrovaO ae Canslruc�e0 Signature al AOG�icent Dete <br /> � PUBLICWORKSDEPAflTMENT �"/ORK AUTHORIZED BY THIS PERMIT MU57 BE STARTED WITMIN <br /> JYOOC�GrSireet 180 DAVS OF �ATE PERMIT IS ISSUED AND TMcREAFTER IS TO � <br /> E•.erot�WA9BY01 BE DILI6ENTLY PURSUED TO COMPLETION.THIS PERMIT MAV BE <br /> Pnone:Y56BB10 CANCELLED BY THE CITV UP��N ANV STOPPAGE OF WOHK ON THIS <br /> PROJECT OVER 90 DAVS DUHATION. <br />