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� <br />� <br />TYPE OR PRINT ONLY <br />Owner <br />Applicant <br />Applicalion For <br />PUBLIC WORKS PERMIT <br />Describe Proposed Work _ <br />PROJECT ADDRESS (if known) <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98207 259-8810 <br />Plan Check No: B 59758 <br />Applicat.Date: OB/OS/98 <br />Job Addrese: 50b SE EVERETT MALL <br />Owner: ROBINSON PROPERTIES <br />Tenant: ORECK FLOORS <br />Propoeed Uee: OFFICE/RETAIL <br />Desc. of Work: <br />TENANT IMPROVEMENT <br />OFFICE SET J08 <br />oa,e <br />Public Works Pertnit # <br />Building Permtt q_ <br />Public Works Fee $ <br />55PA <br />WAY tA-5 phone <br />Phone <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />Attach four (4) copies oi plans for proposed work - Draw to scale and note ihe follcwing if applicable: <br />•Property Lines •Outline and dlmensions o( all existing and proposed structures on the lot •Existing and proposed utilities <br />•Centerline of street •Indicate North •Show any proposed greding changes •Show measurements <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. • <br />2. All work shall be performed in accordance with this permit and current City of Everett Desiyn and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />' UCLIC '�YORICS� �ERMi� <br />�': 0�7/ IR 5.�i U I R�67� <br />Q 1'-_.LJ.�c� <br />ar.TE_����'_� <br />Approved lor Consiruction Date <br />FINAL INSPECTION Date <br />Approved as Constmcted <br />ACKNOWLEDGEMENT OF CONDRIONS <br />The undersigned ownedapplicant hereby agrees to hold and save hartnless <br />the City of Everetl (rom any and all claims for damages, costs, expenses, or <br />causes of action that may arise because ot installation and malntenance of <br />the fmpmvement or other right-of-way use herelo applied for and further agrees <br />to remove same upon notice from the City and to replace public property <br />damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN �180 DAYS OF DATE PERMIT IS ISSUED AND hIEREAFTER IS TO BE OILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. � <br />