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Date l <br />AppliCatian For <br />�tJBLIC WORKS PERMIT <br />Pfl�f OfType Oflly Plan Check No: B 41849 <br />Appllcat.Uate: OB 30/93 <br />Job Addreee: 50 SE EVERETT NALL <br />Ownez: HUNA TOTEH CORP <br />Tenant: PREVIEW PROPEATIES <br />PYopo6ed Uee: OFFICE SPACE <br />Owner Deec. of Wotk: <br />TENANT IHPROVENENT <br />pwuc wan. c.rmn . <br />BWp. o.o�. • <br />rueimwo,�.im S <br />ioul he <br />Lau ApOI Gee P�iE S <br />BabrK�pue S <br />SEPA <br />WAY f5 <br />Appllcant �FFICE SET J03 SET p Phone <br />APPHOVED FOR PERMIT: DATE_/_/_ BY_ <br />Describe Proposed Work _ <br />Prolect Address lil known) <br />AIIac� lour (4) copies ol plans lor proposetl work - Drew to stale and note Ihe lollowing as applicable: <br />• Pmperty Lines • Centetlina al slreel <br />• Outline and dimensions ol all existing and • Intlicale Norih <br />proposed siructures on Iha Ict • S�ow any proposed gradin8 changes <br />1 Existing and proposed uillilies • Show mexsuremenis <br />PERMIT CONDITIONS <br />7, All calls lor Inspactian shall bv mada 24 hrs In advance- phone 259•8810. <br />2. All wqrk chall be peAormed in accorUance with ihis permit and current Ci1y ol Eve�etl DeSiB� antl Consiruction <br />Slantlartls and Specllications. <br />3. Call Locuelon Untlerground Servico 48 hra. belore you dig. TOLL FflEE NUMBER 1•800-424•5555. <br />PUBLIC WORKS PERMIT <br />NOT REOUIHED <br />BY 8 . / 9 <br />OATE � ___ <br />Approvetl lor Consiruttlon �ate <br />FINAL INSPECTION Oute <br />ApO�ovCO as Cons�mcted <br />�PUBLICWOflK50EPARTMENT <br />3200 CeOa� Slreet <br />EverMt, WA'J9201 <br />P�unc:259-BB10 <br />ACKNOWLE�GEMENT OF CONDITIONS <br />W <br />H <br />_ / <br />Z <br />O <br />'H^ <br />Y/ <br />O <br />a <br />The undersigned owner/applicant �ereby ag�,:es to hold an� save harm� <br />less Ihe Ciry or Everetl Irom any and all claims lor Camages, cost; <br />ezpenses, or causes ol aCtian Ihal may ari^e bewuse ol Installation <br />and mainicnance ol Na improvemenl o� o!her righM1o4way use �ereto <br />applied lor and Iurlher agrees lo remove same upon notice I�om ihe <br />Clly and to replace public proper:y tlamaged I�ereby. <br />Signaturb olApF�itanl �7ale <br />1YORK Al1THOR12ED BV TMI$ PERMIT MUST BE STAPTEU WITHIN <br />180 DAV i OF �ATE PERMIT IS ISSUED AND THCREAF:: F IS TO <br />BE DILIG.NTLY PURSUED TO COMPLETICP! 'fH15 F�R1'.T MAV BE <br />CANCELLED BV THE CITV UPON ANY STOF?AGE OF WC7K JN THIS <br />PflOJECT OVER 90 DAYS DURATION. <br />