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� PuEli-:Wo�ka Parmit� �---�— <br /> Date. e�a,.o�o�• <br /> ApPlicalioi�.�r _ <br /> PERMIT Pab11<�VorkaFee g <br /> � �� PUBLIC WQRK� ,�."„ - <br /> Lea�Poo�fee P�iE 5�--� <br /> '�p y Btlmce Due $— � <br /> �ozx <br /> a y a-+i print or Type Only SEPA <br /> t-' P1an,Check No: B 40610 <br /> N � � A licat.Date: OS/14/93 <br /> y H <br /> pPob address: 1203 SE EVERETT MALL WAY ,4M <br /> K y � Owner: KEY INVESTMENT phone ' <br /> O x O Tenant: EMPTY SPACF.—NO TENANT Z�P <br /> � y H Ow.ior proposed Use: RETAIL <br /> Desc. ot Work: <br /> y z MODIFICATION OF STOREF::ONT <br /> Z�� Phone <br /> � H d �P� JOB SET�-- <br /> O H OFFICE SET�� <br /> H �g <br /> �V � /,?pROVED FOR FERMIT: DATE_/__�.— B <br /> Oescribo ProposPd Y <br /> xy � ^— <br /> � Hy W <br /> � �OdCN <br /> � [�1 t� proiect Addmss(it known) � <br /> [+l ♦^ <br /> y �� Altach lou�S"1 copies ol plans lor proposed wo�k•Draw lo scale and note�Cen'te li�e ot sheel a e, v� <br /> • Property Lines� • Indica�� Norlh <br /> • Outline and dimensions of afl exislin9 and � Show any Proposed grading changes � <br /> �,��u,., „ proposed strudures on the bl • Show measuremenls <br /> • Ezisting and proPosed ulilitiE�s <br /> �� p(�NOT WRITE BELOW THIS LINE � <br /> i ^ <br /> �r ♦ <br /> _=I PERMIT CONDITIONS <br /> 1.All calls tor Inspection shall be made 24 hrs.In edvance•Phone 259•8810. <br /> ' 2,pll work ahalt 6e pedormed in accordance wilh this permit and current City of Everett Design and Gonstmction � <br /> Standards and Specllications. <br /> � '��� 3.Call Lucation Underground Servico 48 hrs.before you di9.TOLL FREE NUMBER 1-500•424-555 . <br /> I �r � <br /> '` � <br /> � � V <br /> y <br /> PUBLIC �'�'ORKS PERMIT . O <br /> !s NOT REOUIRED <br /> 1 I f' a <br /> � BY `� J <br /> DATE <br /> � /� : . <br /> .�' <br /> ACKNOWLEDGEMENT OF CON�ITIONS <br /> The undersigned owner/applicanl hereby agrees lo hold and save cosls, <br /> less the City ol Everell Irom any and all claims lor damages, <br /> expenses, or causes of action lhat may arise �ecausa ot installation <br /> and mainlenance of Ihe improvement or olher righ4ohway use hereto <br /> Date <br /> �Pylland'�o eplacue,publl 9peopertyrdama9ed hereby,n nolice irom the <br /> Approved lor Conshucllon <br /> — Date Dato <br /> FINAL INSPEGTION Signalure ol Applicar.l <br /> ApPr�ved as Conslructed WORK AUTHORIZED BY THIS PERMIT MUST BE ST��RTED WITHIN <br /> A(� PUBLIC WOR�(S OEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS �TO <br /> �A���� 3200 Cedur Street . 9E DILIGENTLY PURSUED TO COMPLETION.THIS PERMI i MAY BE <br /> Everelt,W°98201 GANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�8:10 PROJECT OVER 90 DAYS DURATIGN. <br />