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V-ZO -zy-S' � Z � <br /> Date 6-10-93 p Cq n (� v�oucwo�Msroo�n. <br /> TO 1031�l�1/___. �_�-�� BitlgDepl • 40900 <br /> Application For <br /> PUBLIC WORKS P�RMIT °°°ToWFoeF�° $ <br /> Less Aool Feo Pa�a g��.y��,� ( �/ — <br /> Bal�nco0uc $ � ��/� ��u — <br /> Print or Type Onty <br /> �Gr-Fw�.G�a.cv�Ecc _. Z�,�-- <br /> McDonalds Corp 10220 NE Points Dr Ste 300 Kirkland 98033 827-9700 Jerrv Kesselrine <br /> Owner Mailing Address City Zip Phone <br /> Owner <br /> Applicant Mailing Address City 7ip Phone <br /> Describe Proposed Work new restaurant <br /> � <br /> Prolect Address(il known� Z�Z� �om bard AvG � <br /> Atlach four(4) copies ol plans for proposed work• Draw to scale and note the followirg as apphcable: � <br /> • Property Lines • Centerlinr of street � <br /> • Outline and dimensions ot all esisliny and • Indicate Plor�h <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existin9 and proposed utilities • Show mezsuremenis M <br /> W <br /> DO NOT WRITE BELOW THIS LIIJE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shall be made 24 hrs.in advance•phone 259-8870. � <br /> 2.All work shall be pertormed in accordance with this permit and current City of Everetl Design and Consiruction <br /> Standards and Speci(ications. <br /> 3.Call Location Underground Service 48 hrs.belore you dig.TOLL PREE NUMBER 1-800•424-5555. � <br /> �• Q 5 �GY p�Z�vt 5 Zi��� zwtC�i G�kCc� (C�/G �c13 . O <br /> � <br /> � <br /> O <br /> a <br /> ACKNOWLEDG[MENT OF CONDITIONS <br /> The undersigeed ov:neUapphcani he�eby ag�eeSlo hold anA 5ave haim� <br /> -- � iess Ihe C�ty ol Everett Iwm any 2nd all claims lor damayes, costs. <br /> /f ��/^/ ezpenses. or causes of aclion that may arise because ol inslallalwn <br /> ----1��"""" /i/v y rii /l)/�� and main .nance ol the improvement or other nghPot-waY use herelo <br /> �LY/�� v � <br /> �:, applietl 1 r and lu Iher agrees �o romove samc upon notice irom Ine <br /> ApprovedtorConsiruction .-. ��a�e Ciryantl replac. pbli propeitpdainayedthereby <br /> � <br /> n L / / '� <br /> i <br /> .-\.. �'i� r` (j -/L ' �fi <br /> FINAL INSPECTION Date -- -- <br /> Approved as Cunslructed S�9� ure pPlican �����- <br /> �A�6,9� PUBLICWORKSDE�ARTMENT W HORIZED B TNIS PERMIT MUST RE START[� WITHIN <br /> 3200CedarStreet � U OF DATE RIAIT IS ISSUED AND THEREAFTER IS TO <br /> DI ENTLY PURS [D TO COh1PLET10N. THIS P[RMIT MAY 8[ <br /> � Everclt.WA 98201 C4NCELLED BY THE CITv UaON ANY S iOPPAG[ OP l4'ORK GN THIS <br /> Phone:�S9�Bt310 PROJECT OVER 90 DAYS DU9ATION. <br />