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OR PRINT ONLY <br />Applicant <br />PUBLI� W�R�KS PEF�MIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 2; 9-8810 <br />(! <br />Date <br />Public Works Permit N <br />Building Permil N _ <br />Public Works Fee $ _ <br />Plan Check No: B 59115 SEPA , <br />Appllcat.Date: 06/10/98 — <br />Job Addrs: 8003 LbRIMER RD Phone <br />Owner: SPANE TONY <br />Tenant: <br />Propoeed Uee: AGRICULTURE _ <br />Deac. of Work: Phone � <br />STORAGE BLDG & SSLAS BUNKER <br />Describe Proposed Work _ oeFice sex <br />PRO;IECT ADDRESS (if known) <br />SET <br />APPRVD FOR PERMIT: DATE_/_/__ BY_ <br />Ariach four (4) coples o' plans ior proposed work - Draw to scale and �ote the lotlowing if applica6le: <br />•Property Llnes •Outline and dimensions of all existl�g and propcsed structures on the Iot •Exlsting and proposed utilities <br />•Centerline ot street •Indicate North •Show any proposed grading changes •Show measurements <br />DO NOT WRITE BELOW l HI5 LINt <br />PERMII 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 ac:.ordance 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 />°UQLIC WpflKs �ERMI'� <br />h'OT RGfJUIRE� <br />i Y�� —� <br />�nr�. 6J1�__.__. <br />Approved br Construction Date <br />PINAL INSPECTION Date <br />Approved as Constructed <br />�1�/� <br />V ♦ <br />0q <br />Li <br />ACKNOWLEDGEMENT OF CON�ITIONS <br />The undersiyned ��wner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and alt claims �or damages, costs, expenses, or <br />causes of action �hal may arise because of installation and maintenance of <br />the improvement or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice lrom !he Ciry and to replace pi:4lic pmperty <br />damayed thereby. <br />Signawre ol Applicanl Date <br />vVORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER �.^, TO BE DILIGENTLY PURSUED TO <br />COMPLE710N. Tf115 FERMIT PMY BE CA�:ELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PRU.IECT OVER 90 DAYS DURATION. <br />