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i�.� ` � <br />k.�:' <br />� � _. <br />� Date 6/6/84 <br />� <br />Applicetion For <br />PI�BLIC WORKS PERMIT <br />Print or 7ype Only <br />�, <br />PuClie Works Permll Y <br />eiao. oao� • 84 13430 <br />Puciic worw Fea s <br />Totel Fae <br />Le6s ApPI Fee Pa10 S <br />BelanCe Due S <br />Bill Robinson 607 S.E. Everett Mall Way Everett 98204 355-6171 <br />Owner Mailing Addres:• City Zip Phone <br />O'Conner & Oehler 9210 Evergreen k'ay Everet�: <br />Applicant Malling Address City <br />Describe Proposed Work Tenant space i.m�rovement_for post office annex <br />Pro�ect Address (if known) <br />98204 353-7700 <br />Attach four (4) copies of plans for proposed work • Draw to scale and note the foliowing as applicable: <br />• Property Lines • Cenlerline of street <br />• Outlire and dimensions oE all existing and • Indicate North <br />proposed struclures on the lot • Show any proposed grading changes <br />• Existing antl proposed utilities • Show measurements <br />Phone <br />F'ERMIT CONDITIONS <br />i. All calls for inspection shall be made 24 hrs. in advance - phone 259-881 5. <br />2. All work shall be pertormed in accordance with thts permit and current City ot Everett Design and Construction <br />Standards and Specificationa <br />3. Call Location Underground Service 48 hrs. belare Nou dig. TOLL FREE NUMBER 1•800•424•5555. <br />: A+„' <br />'a <br />�� <br />IVU 1 K�'J��� wo�l�> �Crw..,� 1�?�WV2�C.c.� <br />Q5 �OK` Q9 V�o G�a�.��� <br />Qr< w.�.0.d'2 � ��.✓��,�VG,�„S �h O� o <br />G,� / <br />o� � �l e� i <br />W <br />�:J <br />0 <br />� <br />� <br />v <br />���e�� -G-�r -- <br />� ACKNOWLEDGEMENT UF CONUITIONS <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />everett PUBLIC WORKS DEPARTMENT <br />� 3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259•8815 <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the Cily of Everett from any and all claims lor damages, costs, <br />expenses, or causes of action that may arise because of installation <br />and maintenance of ihe improvement or other right•ot-way use hereto <br />applied for and further agrees tu remove same upo�, notice from the <br />City and to replace public property damaged ihereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIu PERMIT MAY BE <br />CANCELLED BY THE CITY UPO�J ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVFR 90 DAYS DURATION. <br />