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c r v <br />b H N <br />„I_ <br />H H <br />l4 n <br />H x1 <br />O W O <br />tl H N <br />N FHA� <br />z <br />N <br />Z H Z <br />H N <br />N <br />O ut <br />rrE <br />�. O rn <br />Dale <br />Application For <br />PU 3LIC WORKS <br />Print or Type Only <br />Owner <br />Applicant <br />Describe proposed Work .— <br />/ <br />PERMIT <br />Public Works Permll a <br />Bldg. Debt a — <br />Public Works Fee <br />Total Fee <br />Less APPl Fee Paid S �-- <br />Balance Due <br />Plan Check No: B 37755 SEPA <br />Applicat.Date: 08/19/92 Phone. <br />1-23 <br />Joh Addr-1.05495 SE EVERETT MALL WY 02 <br />Owner: ZAREMBRA GROUP <br />Tenant: CLOTHESTIME INC <br />roposed Use: RETAIL phone <br />t <br />+jesc. of Work: <br />T.I. — 3600SF <br />OFFICE SET JOB SETS= <br />APPRVD FOR PERMIT: DATE_/—/__ BY <br />W <br />Proiect Address lit known) t111111httillill o scale and note - <br />Mlach four (4) copies of plans for proposed work - Draw ta the <br />of ;trreet able: I <br />• Property Lines • Indicate North <br />• Outline and dimensions of all existing and • Show any proposed grading changes <br />proposed structures on the lot • Show measurements <br />• Existing and proposed utilities <br />DO NOT WRITE BELOW THIS LINE <br />ilmw <br />���� PERMIT CONDITIONS hone259.8810. <br />0 1. All calls for Inspection shall be made 24 hrs. in advance - p <br />1 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />ps 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800.424.5555. fa <br />AMAW 0 <br />P O <br />® r <br />�� • ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm* <br />f ,� less the City of Everett from any and all claims for damages, costs, <br />expenses, or causes Of action that may arise because of installation <br />and maintenance of the improvement or other right-of-way use hereto <br />appl <br />her agrees to <br />emove same <br />Approved for Construction <br />Dale City land to eplacuetPubl c property damaged n notice from the <br />damaged hereby. <br />Date Date <br />FINAL INSPECTION Signature of Applicant <br />Approved as Constructed WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />IVPUBLIC WORKS DEPARTMENT ISOBE DIDLIGENTLYAYS OFDATE PURSIEED TORM[ITICOMPLETTION.. TH SEPERMIT MAY BO <br />3200 Cedar Street <br />-7rEverett, WA 9820f CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />Phone: 259.3810 PROJECT OVER 90 DAYS DURATION. <br />