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�a�e � PUEIic Works Permll• <br /> � BICq.OeO�+' <br /> Application For <br /> PUBLIC WORKS PERMIT ruOTotlFeaFee � <br /> Less FppL Fee Paitl S <br /> Balance Due $— <br /> Print or Type Only <br /> Plan Check No: B 46671 SEPA <br /> Owner Applicat.Date: O1/06/95 Phone <br /> Job AOwner:1TRF PACIFICEINC�LL WY #F <br /> Tenant: PETCO <br /> qpplicant Proposed Use: RETAIL Phone <br /> Desc. of Work: <br /> T.I. <br /> Describe Proposed Work ,7pg SET <br /> OFFICE SET <br /> APPRVD FOR PERMIT: DATE_/_I_ BY — <br /> . W <br /> Prolecl Address(if known) � <br /> Altach Four(4)copies of plans for proposed work• Draw to scale and note the following as applica6le: �� <br /> • Property Lines • Centerline of street ♦^ <br /> • Outline and dimensions of all existing and • Indicate North V� <br /> proposed structures on the lot • Show ary proposed grading changes <br /> • Existing and proposed utilities • Show measurements � <br /> DO NOT WR1TE BELOW THIS LINE � <br /> PERMITCONDITIONS <br /> 1.All calls for inspeclion shall he made 24 hrs.in advance-phone 259•8810. �\ <br /> 2.All work shall be pert�rmed in accordance with this permil and current City of Everett Design and Construction ♦ <br /> Standards and Specificalions. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> O <br /> TUBLIC WORKS PERMIT � <br /> NOT EOUIRE� <br /> qv �_--. � <br /> ; <br /> �nT e � -�--- - O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicanl hereby agrees to hold and save harm- <br /> less the City ol Everelt irom any and all claims for damages. costs, <br /> expenses, or causes of action that may arise because of installation <br /> and maintenance of the improvement or other ri,qht�o4way use hereto <br /> applied f�r and further agrees to remove same upon notice from the <br /> Approved(or Construction �a1e City and �o replace public properry damaged thereby. <br /> FINAL INSPECTION Date Date <br /> Approved as Constructed Signature ol Applicant <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLICWORKSDEPARTMEPlT 780 DAYS OF DATE PERMIT IS ISSUED AND 1'HER�AFTER IS TO <br /> 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMI7 MAY BE <br /> Everelt,WA 98207 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259-8810 PROJECT OVER 90 DAYS DURATION. <br />