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Dale__.--.- <br />ApPhroti0n FOr <br />erm Fex S <br />PUBLIC WORKS PERMIT "°""°"'""' <br />1..••;SPyN Rm P:nes <br />a;pnnn! Dur: S <br />Print or T pe Only Plan Check No: B 40879 SEPA <br />Y Applicat.Date: 06/09/93 <br />Job Addrs: 811 SE EVERETT MALL WAY <br />Owner: BRAND-BROADWAY C/O NKARNO <br />Tenant: SILO <br />Proposed Use: RETAIL ip Phone <br />Desc. of Work: <br />Owner INTERIOR REMODEL <br />_ OFFICE SET JOB SET •ip Phone <br />Applicant <br />APPRVD FOR PERMIT: DATE _/_/_ BY <br />Describe Proposed Work _ <br />u <br />Project Address (if known) <br />copies of plans for proposed work • Draw to scale and note the following as applicable: <br />s <br />Attach four (4) <br />• Centerline of streetCIO <br />• Property Lines <br />• Outline and dimensions of all existing and • Indicate rlh <br />• Show anyy pproposed grading changes <br />proposed structures on the lot <br />• Show measurements <br />/y <br />• Existing and proposed utilities <br />Y <br />DO NOT WRITE BELOW THIS LINE <br />l\tom <br />PERMIT CONDITIONS <br />-phone 259. <br />be made 24 hrs. in advance 8810. <br />1. All calls for inspection shall <br />in with this permit and current City of Everett Design and Construction <br />2. All work shall be performed accordance <br />Standards and Specifications. <br />dig. TOLL FREE NUMBER 1-800-424.5555. <br />3. Call Location Underground Service 48 hrs. before you <br />CC <br />���NBTw -�IRpE�p�MIT <br />r <br />BY- <br />AATI / s <br />Approvrn for Construction Dale <br />FINAL INSPECTION Date <br />Apprnvad as Constructed <br />PUBLIC WORKS DEPARTMENT <br />Evef Cedar Street <br />EvonelL WA 98201 <br />Phone: 2159-dlt W <br />"i <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save h ai <br />less the City of Everett from any and all claims for damages. co - <br />expenses, or causes of action that may arise because of installall <br />and maintenance of the improvement or other right-of-way use her, <br />applied for and further agrees to remove same upon notice from I <br />City and to replace public property damaged thereby. <br />Si, nalule of Applicant <br />Dale <br />7 <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITH <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAN <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON TI <br />PROJECT OVER 90 DAYS DURATION. <br />