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��� <br />ro <br />A C <br />C H <br />� H fn <br />K � n <br />H 71 <br />'�A M � <br />ff N <br />H [^ <br />� H � <br />°z n c <br />.+ cs o <br />N• n❑ <br />� H M <br />F+ H <br />C C N <br />�a � tra <br />Z H tn <br />H O m <br />Date <br />Application For <br />PIJBLIC WORKS PERMIT <br />Print or Type Only <br />Owner <br />� qpplicant <br />Describe Pr000sed Wcrk <br />Proiect Adtlress (il known) <br />Plan Check No: B 36951 SGPA <br />Applicat.Date: Oo/OB/92 <br />Job Ad�irees: 1402 SE EV MALL WAY SP 20 <br />Owner: TITANIC CORP <br />Tenant: CA!lELOT MUSIC <br />Propoeed Uee: MUSIC STOAE <br />Deec. of Work: <br />TENANT IMPAOVEMENT <br />OFYICE <br />JOB SET <br />APPROVED FOR PERMIT: DATE__/_I_ $Y <br />vuoim WorFe Pa�mi� + — — <br />aiee. oco�. • — _ <br />Puoi¢ worxa Fee 5 <br />TolalFea <br />LeSiPOPIFeeP.m 5 <br />eamncc.uo S <br />ZiP Phone <br />�iP Phane <br />Attach four (Q) copies of plans for proPosed work � Draw lo scale and note � Cenlierline d �Pee� able: <br />• Property Lines • Indicale Norlh <br />• Outiine and dimensions ol all existing and � Show any proposed grading changes <br />proposed struclures on the lot � Show measurements <br />• Existing and proposed ulilities , <br />� PER�11T CONDITIOtrS <br />_ � 1. All calis for inspection shall be made 24 hrs. in advance • phone 259•8810. <br />0 2. All v�ork shall be pedormed in accordance with this permit and current City of Eve'ett Design and Conslruction <br />! so SlandardsandSpecifications. <br />3. Call Lecation Underground Service 48 hrs. betore you dig. TOLL FREE NUMBE�A 1•800•424-5555. <br />' d <br />�� � <br />�j <br />1 r. !. r . . _ a �; . , _ . � �, . . . <br />tor Construction <br />� , c':: .c,� � :: ; . . f � <br />, ,/-;;: <br />�- <br />Date <br />FINAL INSPECTIUN Date <br />Approved as Construcled <br />���EL� PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone:259-8810 <br />F� <br />O <br />H <br />� <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersicned owner/applicant hereby agrees to hold and save harm- <br />less ihe City of Everett irom any and all claims lor damages, costs, <br />ezpenses, or causes of action that may arise hecause of installation <br />and maintenance ol the improvement or other right�ol�way use herelo <br />applied for and further agrees lo remove :ame upon notice Imm the <br />City and to replace public properry damaged lherehy. <br />Date <br />Signature ol APPlicant <br />BORDAYSTOF OATE PERMIT ISESSUED ANDB HEREAFT�ER ISHTO <br />BE DILICENTLY PURSUED TO COMPLETION. THiS PERMIT MAY BE <br />rqNCELLED BY THE CITY UPON ANY STOPPAGE OF N'ORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />