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Date <br />Application For <br />PUBLIC WORKS PERMIT <br />Print rr'iype Only <br />� Owner <br />Applicant <br />Plan Check No: <br />Applicat.Date: <br />Job Address: <br />Owner: <br />Tenant: <br />Proposed Use• <br />Desc. of Work: <br />REVISE STORE <br />B 39074 <br />12/22/92 <br />1402 SE EVERETT <br />TITANIC ASSOC <br />SWEIIS INC <br />RESTAURANT <br />PUEIic Warks Permit r <br />Bidp. DeO�. � _ <br />Pubfic Workf Fen <br />Total Fee S — — <br />Less Aoo� Fae PaiE .R — <br />I Balanca Due S <br />SEPA <br />MALL WY #2 <br />FRONT – RESTAURANT REVISION <br />Descrihe Proposed Work — OFFICE 3ET JOB SET <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />Proiect Address (if known) <br />Attach four (3) copies of pians for proposed work - Draw to scale and note the following as applicable: <br />• Property Lines • Cer�terline of street <br />• Outline and dimensions ot all existing and • Indicate North <br />proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measuremerils <br />ph�ne <br />Phone <br />PERMIT CONDITIONS <br />1. All calls for Inspeclion shall be made 24 hra In advance - phone 259•881 O. <br />2. All work shall be perTormed in accordance with this permit and current City of Everett Design and Construct(on <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800•424•5555. <br />PUBLIC WORKS PERMIT <br />NO� EOUIRED / <br />8Y ✓ <br />DATE �2 2.=� %� <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />S�R�PUBLIC WORKS DFPARTMENT <br />3200 CedarStreet <br />Everett, WA 58207 <br />Phone:259-8810 <br />AG<NOWLEDGEMEM1T OF CONDITIONS <br />The undersigned owner/applicant heneby agrees to hold and save liarm• <br />less Ihe City of Everett from any and all claims for damages. costs, <br />expenses, or causes of actior that may arise because of installation <br />and maintenance of lhe improvement or other righl-ol-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to replace public property damage, thereby. <br />Signature of Applicant Date <br />WORK AIITHORIZED BY THIS �ERMIT N�UST BE STARTED WITHIN <br />780 DAY'i OF DATE PERMIT IS ISSUEO AND THEREAFTER I� �TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT DAAY BE <br />CANCELLED BY THE CITY i�PON,a.D'Y 5TOPPAGE OF WORK ON THIS <br />PRDJ ECT OVER 90 DAYS C U RA i IJP:. <br />