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�. <br />TYPE OR PRINT ONLY <br />Owner <br />Aoplication For <br />PUBLIC � .�RKS PERMIT <br />APPiicant Me <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Evarett, WA 98201 259-8810 <br />Plan check No: <br />Applicat.Date: <br />Job Address: <br />Owner: <br />Tenant: <br />Proposed Use: <br />Desc. of Work: <br />T.I, <br />B 51551 <br />04/29/96 <br />906 SE EVERETT <br />PFLUEGER JAMES <br />INTERWEST BANK <br />OFFICE <br />Dati <br />Public Works Permit H <br />Building Permit k <br />Public Works Fee <br />SEPA <br />MALL WY BLD 3 <br />OFFICE SET JOB SET <br />APPROVED FOR PERMIT: DATE �__�_ BY <br />Phone <br />Phone <br />Attach tour (4) copies of plans for proposed work - Dra�v fo scale and note the following if appilcable: <br />•Property Lines 'Outilne and dlmensions of all exist(ng and proposed structures on the lot •ExlsUng and proposed utilities <br />'Centerline of street •Indicate North •Show any proposed yrading changes •Show measurements <br />PERMIT CONDlTIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be pertormed in accordance with this permit and current City of Everett Design 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 />'UBLIC WORKS PEpM�� <br />NOr EO IRE9� <br />3Y_'� /��_.. <br />AATE� ----.. . <br />Approved (or Construction Date <br />FINAL INSPECTION Date <br />Approved as Cons;rucled <br />� <br />O <br />/i/� <br />V♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicant hereby agreas to hold and save harmless <br />the CITy of Everett from any and ail claims for damages, costs, expenses, or <br />causes of action that may arise because of Installation and maintenance of <br />the improvement or other right-of-way use hereto applied for and turther agrees <br />to remove same upon notice from the City and to replace public property <br />damaged thereby. <br />Signature of Applicanl Date <br />WORK AUTHORIZED BY THIS PEqMIT MUST BE STAqTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT NAY BE CANCELLED BY THE CIlY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />