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TYPE OR PRINT ONLY <br />Owner <br />Applicant <br />A( .lion For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />c <br />Date <br />Public Works Permit N <br />Building Permit N <br />Public Works Fee S _ <br />Plan Check No: B 58169 SEPA <br />Applicat.Date: 03/16/98 <br />Job Address: 7825 LARIMER RD <br />Owner: QUL.ST NEII. <br />Tenant: <br />Proposed Use: STORAGE <br />Desc. of Work: <br />ADDITION TO EXISTING STORAGE BLDG <br />Describe Proposed Work — OFFICE SET <br />PROJECT ADDRESS (if known) <br />SET <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />Phone <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following !f applicable: <br />-property Lines -Outline and dimensions of all existing and proposed structures on the lot 'Existing arld proposed utilities <br />•Centarline of street `Indicate North -Show any proposed grading changes 'Show measurements <br />M <br />LI <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed 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. betore you dig. TOIL FREE NUMBER 1-800-424-5555. <br />"UDLIC WORKS I•ERM1l <br />NOT tRECUIREA <br />*ATE.. ��-- <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />Ul <br />IMI <br />V <br />titer <br />M <br />INN <br />0 <br />b <br />0 <br />U <br />0 <br />am <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arise because of installation and maintenance of <br />the improvemeni or other right -of way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace public property <br />damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERIAIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY RE CANCEL! ED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />