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Date <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Owner <br />APPlicaM <br />Describe Proposed Wmk <br />Protect Address tit known) <br />Pu06c WVAr Fermi+• <br />BIN 0.0 <br />PUN�c Wo�Mt Fea <br />TOISI Fee S <br />Leu Am,'Fee P.1d S <br />Bnanc. Dun S <br />P!.an Check No: B 40418 SEPA <br />Applicat.Date: 04//29/93 <br />.oto Add race: 1205 BE EVERETT MALL WY (A <br />Owner: KEY INVESTMENT PhIPERTIES <br />Tenant: YUEN LUI STUDIO <br />Proposed Use: PHOTO STUDIO <br />Deee. of Work: <br />7.1- — 1935SF — CONVERT WAREHOUSE SPACE TO <br />STUDIO <br />OFFICE SET JOB SET _ <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />Attach four (4) copies of plans for proposed work- Or. <br />• Property Lines <br />• Outline and dimensions of all existing and <br />proposed structures on the lot <br />• Existing and proposed utilities <br />to scale and note the following as applicable: <br />• Caroliina of sheet <br />• Indicate North <br />• Show any proposed grading changes <br />• Show measurements <br />Phone <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hm In advance- phone 20.8810. <br />2. All work shall be performed in accordance with this permit and current ^.ity of Everett Design and Construction <br />Standards and Specifications. <br />a Call Location Underground Service 48thee. before you dig. TOLL FREE NUMBER 1.800-424.5555. � <br />PUBLIC WORKS PERMIT <br />NOT REOUIRED <br />BY �6 <br />DATE S"3'99 <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />CLPUBLIC WORKS DEPARTMENT <br />0200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259-8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />CM <br />W <br />si <br />z <br />O <br />�� <br />F- <br />A <br />Cn <br />0 <br />0. <br />The undersigned owner/applicant hereby agrees to hold and save harm <br />less the City of Everett from any and all claims for damage% costs, <br />expense% or causes of action that may arise because of Installation <br />and maintenance of the improvement or other right-cf-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to replace public property damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />