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Date ( <br />Applicalion For <br />PUBLIC WOR4(S PERMIT <br />Prinl or Type Onty <br />Owner <br />Applicanl <br />Plnn Check No: 9 38458 <br />Appllcat.Date: 30/22/92 <br />Job Addrei 571� EAST OR <br />Ownec: BEAftY DON <br />Tenant: <br />Propoaed Uee: CAAACE <br />�eee. of F+ork: <br />POLE BUILDINC — 4805F <br />SEPi. <br />OFFICE SET JOB SET <br />DescrlCe Propasetl Wor APPRVD FOR PERHIT: DATE <br />_/_/_ BY <br />Pro�ect AEEmss (il known) <br />o�ek wort.>•�mnr <br />eao o.m • <br />a�wo�..M <br />,a.� �.. s _ <br />�....��.»P.< • <br />BY�rc�Du� S <br />Zip Phone <br />Zip P�one <br />Atlach four (4) copiee af plans lor proDosetl wark • �raw lo ecale and note t�e lollowinq ea eppllcaDle: <br />, • Propetly Lines • CenteOlne ol9troel <br />• Outline an0 dimenaiona ol all eristin0 end • Indicata Norlh <br />propOsed ntruc�uraf on I�e lol • S�ow any proposed Btetlinp c�anges <br />• Ea�sthg an0 pmposed ulllilies • Show measurementa <br />PERMIT CONDITIONS <br />t. All calla lor inspectian ehell Ee ma0e 24 hrs. in advanca- phona 259�8810. <br />2. All work shell be perlormed In accordance with ihia permit end curtent Clry of Everett DesiBn entl Canslructlon <br />StanEarde entl Soxllicaliona <br />3. Cell locetlon UnCeryrountl Service 48 hrs Eelore you di¢ TOLL FREE NUMBEN 1-800�4i45555. <br />PUBLIC WpqKS PERMIT <br />NOT REOUIRED <br />BV. •7fiS� ' <br />DATE ��'�._ "�`'��„_'=_ <br />AO�rovatl lor Conslruc�ion Dale <br />PINAL INSPECTION Date <br />AOPrOvoC as Cons�rucled <br />�PUBLICWORKSDEPARTMENT <br />9200 Cedar Slmel <br />Eve�etl WA 98201 <br />Phone:25B�8810 <br />ACKNOWLEDGEMENT OF CONOITIONS <br />Z <br />O <br />� <br />N <br />O <br />a <br />T�e undersigned owner/ap0licanl �ereCy agrees lo holC and save harm� <br />less t�e Cily ol Everett Irom eny and all cleims lor tlamaBes, costz <br />eapense0. or causas of acllon Ihat mey erise �ecause ol Instellalion � <br />entl maintenence ol Ihe impmvemanl or ot�er riq�4o4way use hemlo <br />aD71ieE for and luriher ag�ees to remove same upon nolice Irom t�e <br />Ciry and ro replace public pm0erty damaBed thereby. <br />SiBnOture ol AppllCeni Oate <br />WORK AUTHORI2ED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSIIE� AND THEREAFTER IS TO <br />BE DILIGENTLV PURSUED TO COMPLETION. TMIS PERMIT MAV BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS OURATION. <br />