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Date 10/5/92 P°bhc Work. Permit• 9a' le3 / <br />Application For Bldg Dept <br />PUBLIC WORKS PERMIT P°°TWOFee`°° <br />Lea. Appl Fee POW S <br />4al.ec. all. S <br />Print or Type Only <br />act - 9ZZst ci/s_7/ <br />WM. P. BRUST 1701-41st street /#103 Everett, Wa. 259-6622 <br />Owner Mailing Address City Zip 98201 Phone <br />WM. P. BRUST 1701-41st STREET /# 103 EVTRTT, WA. 98201 259-6622 <br />Applicant Mailing Address City Zip Phone <br />Describe Proposed Work Extend Parking Lot capacity for 41 st St Bar & Grill at 1510-41st St.as per plans (4 copies) attached hereto along with Landscape Plan (reduced) (4 copies) <br />attached hereto. <br />W <br />4117 Hoyt Avenue / Everett <br />Project Address (if known) - <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: <br />• Property Lines • Centerline of street <br />• Outline and dimensions of all existing and • Indicate North v <br />proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />DO NOT WRITE BELOW THIS LINE O <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 Ins. in advance- phone 259.8810. <br />2. All work shall be performed In accordance with this permit and current City of Everett Design and Construction i <br />Standards and Specifications. <br />3. Call Location Underground Service 4B hrs. before you dig. TOLL FREE NUMBER 1.800-424-5555. <br />`�. /!/� �z/uw(/L/Acat/��/ <br />'ye <br />•41 ,C2e Ia071 . <br />�� dep7F m. /O-/Fi-92 �udL'� wc7<h- ort� /0/1 A <br />cow {i <br />0 <br />3200C WORKS DEPARTMENT <br />320D Cedar Street <br />Everett, WA 98201 <br />Phone: 259-8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the City of Everett from any and all claims for damages, costs, <br />expenses, or causes of action that may arise because of installation <br />and maintenance of the improvement or other right-of-way use hereto <br />applied for an further agrees ove same upon notice from the <br />Cit o replace p arty da aged thereby. <br />a� <br />10W92 <br />TrginalillreBI Ap li v �'' Date <br />WORK AUTHORIZED BY THIS PERMIT UST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />