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�� <br /> D[3IE i pu01K Wur��Permil• <br /> Fppliwliari�or � ewa.oro�• <br /> PUBLIC WOFiKS PERMIT �OTo�Fe���� : <br /> �av�oc�ree rua 5 <br /> Print or Type Only a,�,��.o�. s <br /> Plan Check No: 9 39860 SEPA <br /> Rpplicat.Date: (`3/11/93 _ <br /> Ownor Job Addre: 1e00 SE EVERETT MALL SY Phone � <br /> OvneY: E.'ERETT PACIFIC COPP <br /> Tenant: PETCJ <br /> Piopoaed Uee: RE':AIL <br /> APp������ Uesc. of Woik: Phone <br /> 7'.T. - STROCTIIRAL UPGRADE <br /> Der.tribe Proposetl SVora __ OFFICe SE3' JOB SET <br /> _,__ APPAVD FOR PERMIT: DATE_/_/_ BY <br /> W <br /> Pmjea Address�il known) � <br /> Attach lour(4)copies ot plans tor pmpcsetl work-Oraw lo scale an0 noie I�e lollowing as applicable: � <br /> •Property Lines •Cenledine al street � <br /> •Outline and dimensicns ol all exisling and • Intllcaie North <br /> proposed structures on Ihe lot •S�ow any proposed gratling cnanpes <br /> i Exis�ing antl prop�sed utlli�les •St�ow measurements � <br /> 00 NOT WRITE DELOW TMIS LINE <br /> PERMITCONDITIONS � <br /> 1.All calls lor Inspec�ion shall be made 24 h�,in advance-phone 259•8810. � <br /> 2.All worrc shall be oedarmed in accorEancx wi�h this permit and wrrent CIIy of Everelt Design antl Constmctian <br /> S�andards and Specilica�ions <br /> 3.CaliLocatianUntler9roundService4�hrsbeloreyautlig.TOLLFqEENUM6Efl1•800-424•SS5:i. � <br /> O <br /> PUBLIC 140RKS PERMiT � <br /> NOT�EOUIRED <br /> BY vl q <br /> DATE 3 / 9 3 �� <br /> � <br /> ACKNOWLECGEMENT OF CONDITIONS <br /> The untlersigneE owner/apPlicant�ereby agrees lo hold and savc harm� <br /> � less ihe Gty ol Everetl Irom any antl all claim; lar damages, costs, <br /> expense;, or causes of action ihat may arise hecause of inslallalion <br /> and mainlewnce o/�he improvement or olher rig�lrohway use hereto <br /> applied lor antl lurt�er a9rees lo remove same uFon no�ice Irom ihe <br /> 1pOmve��or ConSlruCilon Date Ciry and to rep�ace Ou01ic prpperty tlamaged Ihereby. <br /> °IYPL INSPECTION Oate <br /> �OF�oved as ConslmcleC SignaNre ol AOP�iwnl Date <br /> w,/� PUOLIC WOPNS DEPARTMENT WORK AUTHJRIZED BY THIS PF 1"AIT MUST BE STARTED WITHIN <br /> �v 9200CCdarStreet 180 DAYS OF �ATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Evere4VJA98201 �E DILIGENTLY PURSUEO TO COMPLETION.THIS PERMIT MAV BE <br /> Phone:259�8810 CANCEILED EV THE CITY UPON ANY STOPPAGE OF WORK ON TMIS <br /> PI70JECT OVER 90�AVS DUPATION. <br />