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�'i E"'� <br />� <br />C�H <br />9 � q� <br />M <br />0 �� <br />� VJH <br />h7 �p � <br />H �7 <br />�^�g <br />Y. V �C <br />� H t�J <br />HH <br />ti <br />c7C7[n <br />� �y C�l <br />HO�� <br />Date_--- � <br />qpplication For <br />PUBLIC WORKS PERMIT <br />Print or Type Only � <br />C-^"n I pu0lic W.u�ke Fermil • <br />ema. oeoi.. — <br />P�o���wo,wFa> S <br />Tolai Foe <br />Less ApD� Fea PaiE S <br />9alance0ue a <br />p:an Check No: B 4C339 <br />SEPA <br />ppplicat.Date: 04t/�22/93 Phone � <br />Owner Job Ad�ne�: KEYlINV�ATMENT�PR PERTZES K :ip <br />Tenant: GREAT CLIPS <br />Propoaed i)ee: HP.IR SALON <br />0^y�, of Work: IN�� pLIIG, �.ip Phone <br />AOPlicant I, – 11655F LIGHT FRAH <br />ELECTRICAL� DRYWALLr FAINT AND FLOORING <br />�pg SET— <br />Describe Proposed Work _ OFFICF. SET�� <br />ppPROVED FOA PERMIT: DATE__I__�-- BY — <br />Prolect Address (il known) -- � � <br />Altach lour (A) �opies of plans lor p�oposed work - Draw to scale and note the lollowing as applicable: � <br />• Proparty Lines • Gantedino 01 s�reet <br />• Outline and dimensions ol all existing and • Indicate North <br />praposed struclures on ihe lot • Show any proposed grading changes <br />f Existin9 a�d proposed utilitles • Show measurements <br />r PERMIT CONDITIONS <br />1. All calls for inspection sfiall be made 24 hrs. in advance - phone 259•8810. <br />, 2. All work shall be pedormed in accordance wilh ihis permit and wrrent City of Everetl Design and Conslruclion <br />I � � Standards and Specificatlons. <br />I 3. Call Location Underground Service 48 hrs. betore you dig. TOLI FREE NUMBER 1•800-424•5555. <br />�� <br />Approvad for ConstruGtion <br />PUBLIC WORKS PGRMIT <br />NOT EiEOUIFED <br />6Y�DATE `� - , % �' <br />, <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />� <br />� <br />� <br />� <br />♦ <br />L� <br />� <br />� <br />� <br />a <br />The undersigned owner/applican! hereb� a9rees to hold and save harm- <br />less Ihe Gity ol Everett trom any and all claims br damages, cosls, <br />ecpenses, or causes ot action that may arise because of installation <br />and maintenance of the impruvement or olher righl-of�way �se herelo <br />app�ied lor and further agrees lo remove same upon notice Irom the <br />Date City and lo replace pubiic property damaged lhereby. <br />FINAL INSPECTION Date <br />Approved as Construcled <br />PUBLIC WORKS OEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phona:259•AB10 <br />Signature ol ApPlicant Date <br />WORK AUTHORIZED 8Y THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PEriMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIC;� NTLY PURSUED TO COMPLETION. THIS PERMIT MAY RE <br />CANCELL.LG BY THE GITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECi C`!ER 90 DAYS DURATION. <br />