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Date ( . r�oi,�wu,.,rs,��,. _ <br /> AOGlication For a�ea.um�.. <br /> PUBLIC WORKS PERMIT °�°;;,:�«e`°• _ <br /> �n+eoo�reev��e 5 _ <br /> Bau�m.we 5 <br /> Print or Type Only <br /> Plan Check No: 8 39655 SEPA <br /> Ap��licat.Date: 02/23/93 <br /> Job Addreea: 17b5 SE E'JERETT MALL WY <br /> Ovner: EVERE'CT PACIFIC CORP <br /> Owner Tenant: WHIRLWIND Zip P�one <br /> Propoeed Uee: OFFICE SPACE <br /> Deac. of Work: <br /> T.I. - 1921 SF <br /> Ap01ic2ni Zip PhonC <br /> OFFICE SET JOB SET <br /> Describe ProOosetl Wo APPAOVEO FOR PEAMIT: DATE_/_/_ BY_ <br /> W <br /> Prolec�Address lil known) � <br /> Allach low�4)copies ol Olans br pmposeE work-Oraw lo scale and note IM1e lollowing:.s a0�licthle: � <br /> • Properiy Lines • Centedine ol stree� /^ <br /> •Outline ana tlimensions ol all ezisiing antl •Indicate Norih y� <br /> p�oposetl SI�uCIurP.S on Ne lot • Show any pm0osed gratling c�anges <br /> b Existing antl proposed ulilitles •Show measuremenis � <br /> DO v0T WRITE BELOW THIS LINE o <br /> PERMIT CONDITIONS <br /> 1.All calls tor Inspection shall be made 2d hrs.in ativanco•phono 259•8810. � <br /> 2.All work shall br�peAormed in accordance with this permil entl current City ol Everetl0osign ontl Consiructlon <br /> Standar�:antl Specilications. <br /> 3.CaIILucationUndergrountl5ervice48hrs.befareyoutlig.TOLLFREENOMBEF7•800-424•5555. � <br /> O <br /> FUBLIG WORKS PE'�M1T � <br /> NOT REOUIRED <br /> ��,G��/�.��/,�_ O <br /> D Al E_ —�:—.��-===— /� <br /> 'jo <br /> ACKNO\NLEDGEMENT OF CONUITION$ <br /> T�c unCerslgned owner/apPllcant�ereby a�rees�o hold anC save�arm� <br /> - ---' �I less Ihe Cily o� Fveretl Irom any antl all claims lor tlamages, costs, <br /> � e.pense;, or causes of eclion thal may arise because of installation <br /> antl mainleuanc:ol ihe improvement or other righPo4x�ay use herelo <br /> applietl Icr and lurtl;er agrees to removo samo apon nnlice Imm the <br /> %�rPmved for Conslmction Oale Ciry and Ic wplcce public Oropetly 4amaBeE ihereby. <br /> FIGAL INSPECTION Date -- <br /> �nGiovetl as Constmcted Signa�ure ol Appllcac� �ale <br /> � PUBLIC WOPKS OEPARTMENT WORN AUTHORI260 t7Y THIS PERMIT MUST BE STARTED WITHIN <br /> �z00CedarStreel 180 DAVS OF DNTE PEr7M1T IS ISSl1ED AND THEREAFTER IS TO <br /> Evaretl,WA9B201 BF.DIUGENTLV FURSUED TO COMPLETION.TMIS PERMIT MAY�E <br /> P�one:259�BB10 CANLELLED Bl'THE CITY UPON ANY STOPPAGE OF WORK ON TH13 <br /> PPOJECT OVER 90 DAYS OURAiION. <br />