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� n N <br />� a <br />10 � C <br />C H <br />b H m <br />4 <br />K n <br />H A <br />�V � '9 <br />N M <br />� z <br />L9 y <br />Q N <br />x n o <br />M b7 O <br />c� • nC <br />b H tA <br />�~ H H <br />CJ N <br />°ncv~i <br />� � � <br />H O tn <br />Date < �'' '_ <br />Applitation For <br />PI�BLIC WORKS �'ERMIT <br />Print or Type Only <br />A�plicant <br />Describe PraPcsed Work <br />Project Address (it known) <br />PubLc Clo�1.5 Pmm�l • <br />O�tlg. Oeo�. � ��_� � <br />Fubl¢::^�'.eFoe g <br />iotal Feu <br />Less Apo�. fce Paia $ <br />Da6��ccooe 5 __ <br />6953 SEPA Phone <br />Plan Cneck No. B 3 <br />Applicat.Date: 06/08/92 <br />Job Addre: 1402 SE EVERETT MALL WAY d�297 <br />Owner: TITANIC ASSOC <br />Tenant: MhUR10E5 <br />Propoeed Use: RETAIL <br />Deac. of Woric: <br />TENANT IMPROVEMEN7 <br />OFFICE SET JOB SET_ <br />APPRVD FOR PERMZT: DATE_/_/_ <br />Altach four (4) copies of plans tor proposed work - Draw to scale and note the fallowing as applicable: <br />• Property Lines �� • Centerline of street <br />• Clutline and dime`nsions of all existing and • Indicate North <br />proGosed slructures on ihe lot • Show any proposetl gredmq r,hanges <br />• Existing and proposed utilities • Show measuremenis <br />,L� <br />Phone <br />PERMIT CONDITIONS <br />i. Atl calis for inspection shall be made 24 hrs. in advance - phone 259-8810. <br />2. All work shall be pedormed in accordance with this permit and wrrent City of Everetl Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 4B hrs. 6efore you dig, TOLL FREE NUMBER 1•800-424-5555. <br />Ap, roved lor Conslruction <br />, �., <br />, ... _ �_, �, <br />� , ! <br />�,� J <br />�: �_�;. <br />�� <br />.' <br />J <br />L <br />Q <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/app�ir.ant here6y a9rees to hold and save harm- <br />less Ihe City ot Everetl Irom any and all claims lor damaqes, costs. <br />expenses. or causes of action ihat may arise 6ecause of installation <br />antl maintenance ol the improv,ement or other ri9ht-ol�way use heretc <br />applied tor and lurthe� a9rees to remove same upon notice Irom tne <br />Date City and to replace public properry damaged Ihereby. <br />FINAL INSPEr,TICN �ate <br />Appmved as ConslrucD�d <br />PUBLIC WOPKS DEPAFTMENT <br />320P Cedar Street <br />EveretL VJA 99201 <br />Phone:259-8810 <br />Signature oi Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT A1UST �E STARTED WITHIN <br />180 DAYS OF DATE FERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUEU TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WOfiK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />