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� ~ <br />�a <br />� <br />i0� C <br />��7m <br />� � � <br />oao <br />�q H �tl <br />N M <br />� H � <br />"'R <br />H� <br />5 y �� I-1 H <br />O t9 <br />N <br />O N <br />� � [rC <br />O N <br />; �vs i <br />Date � <br />qpplication ror <br />PUBLIC WORKS PFRMIT <br />Print or Type Only <br />Owner <br />ppplicant <br />Descri6e Proposed Work _ <br />�;-.�� I Po01ic WoiAe Pe�m�� • <br />PiOp. DeOt a __. <br />Plan Check No: B 38401 SEPh <br />Applicat.Date: 10/16/92 <br />Job AOwner:9PEMBR OKEMGTT MALL WY #200 <br />Tenant: G.T.E DIkECTORiES <br />Propoeed Uae: OFFICE <br />Desc. of Work: <br />21855E' T.I. — ADD OFFICE WITH DOOR & <br />RELOCA':E CPT <br />OFFICE Si'�T JOB SET �� <br />pppRVD FUR PERMIT: DATE_/_/� 3Y— <br />� 7' <br />_--- <br />Pubilc Worka Fea S _ <br />Talal Fee <br />LesaADO� Fea Paid S — " <br />6alance Due g —�— <br />P Phone <br />P Phone <br />Project Address (if known) <br />Allach �our (4) copies of plans for proposed work • Draw �o scale and nole � Cenlerline ol s�ree�cable: <br />O Properly Lines • Indicate Nor�h <br />.� Outline and dimensions ol all existing and O Show any proposed grading ch�nges <br />proposed structures on the lot • Show me2suremenls <br />• Exisling and proPosed utililies <br />PERMIT CONDITIONS <br />1. All calls lor inspection shall 6e made 24 hrs. in advan:e - phone 259•8810. <br />2. All work shall be pedormed in accordance with this permil and currenl City of Everelt Design and Construction <br />Standards and Specifications. <br />3. Call Localion Underground Service 48 hrs. belore You dig.TOLL FREE NUMBER 1•800•424•555 . <br />; �v��� u'°'-`��-- <br />,ae�,.,,�,=7� �Z��,��-w.� <br />� �p 10/9Z <br />Dale <br />qpproved lor Conslruction <br />Daie <br />FINAL INSPECTION <br />ApProved as Conslructed <br />e� PUBLIC WORKS DEPARTMENT <br />/ 3200CedarSlreet <br />! Everell,WA9B201 <br />Phune: 259•8810 <br />Z <br />O <br />� <br />V / <br />O <br />a <br />ACKNOWLEDGEMENT O� CONDITIO�S <br />The undersigned owner/applicant hereby agrees to hcld and save harm- <br />less lhe Cily of Everetl from any and all claims lor damages, costs, <br />expenses, or causes ot xclion that may arise because of inslallation <br />and maintenance ot the improvemen� or olher right-of-way use hereto <br />applied lor and further agrees to r�move same upon nolice Irom lhe <br />City and lo replace public property damaged thereby. <br />Date <br />SignaWre ol Applicanl <br />80RDAY5 OFRDATE PERMIT ISEStSUEDIAND3 HEREA TER ISHTO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />PROJECT OVER 90 DA S DURAT ON. STOPPAGE OF WOFK ON THIS <br />