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12/4/85 <br /> �8t@ • Pu�lic Worke Parmn• _ <br /> � BICB.Dept.e85�157'S� <br /> Application For <br /> PUBLIC WORKS PERMIT P�blicWorksFee <br /> Tolel Fea s <br /> Lesa ApP�Fea Peid $ <br /> Print or Type Only Be�a�=<o�a S <br /> Foodmaker Inc. 2395 American Avenue Hayward Ca. 94545 415-783-5680 <br /> Owner Mailing�ddress City Zip phone <br /> Applicant Mailing Address City ZiU Phone <br /> Describe Proposed Work Greenhouse Addition <br /> W <br /> Prolecl Address(if known) 2106 Everett AVenue � <br /> Attach four(4)copies of plans lor proposed work- Draw to scale and note tiie fo�lowing as applicable: � <br /> • Property Lines • Centerline i.: sireet � <br /> • OuUine and Aimensions of all existing and • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed ulilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1. A�I calls for inspection shall be made 24 hrs in advance-phone 259-881 5. � <br /> 2. All work shr�ll be performed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specificationa. <br /> 3. Call Location Underground Service 48 hrs.6efore you dig.TOLL FREE NUMBER 1-800•424•5555. � <br /> ���� ���UG./� C�(JC(J.C',G��S �F.�/'J/Y iC�F�J/.L'F.l� O <br /> '�' `" ��5�- c�7',�i � <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CCNDITIONS <br /> The undersi�ned owner/applicant hereby agrees to hold and save harm• <br /> less the Cily ol Everett from any and all claims lor damages, costs, <br /> expenses, or causes ot aclion ihat may arise because of inslallalion <br /> and maintenance of lhe improvemenl or other righl-ol�way use hereto <br /> — applied for and further ac�rees to remove same upon notice Irom the <br /> Approved lor Construction Date City and to replace puhlic property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed Sic�nature ol�pplicant Date <br /> everetl PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � 3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Evere�t, WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. TH�S PERMIT MAY BE <br /> Phonc: �59�8815 CANCELLED BY Tl1E CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />