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Q,� � . . , n„m,��.vons r,.,��n. <br /> � � � Date q <br /> em oeo� • <br /> Applicalion For <br /> PUBLIt; WORKS PERMIT "°°',""°,""°° <br /> � � � iala�Fee S <br /> � � � <br /> lea ROD���ec Pe�d $ <br /> Dalance Uue S <br /> � � Print or Type Only <br /> N , • <br /> � H Plan Check No: B 37997 SEPA <br /> Ap licat.Date: 09/14/92 2ip Phone <br /> q Owner �ob Addreee: 1812 HEWITT ' <br /> 0 q Ownet: LANGABEER KENT <br /> C Tenant: DUANE ICZRBY JENSEN <br /> po � . Proposed Uae: BOORSTORE & GALLERY Z�p Phone <br /> M qpplicant Desc. of Work: <br /> p m TENANT IMPROVEMENT <br /> �escribe Proposed Work OFFICE SET JOB SET <br /> APPAOVED FOR PERMIT: DATE_/_/_ BY <br /> W <br /> Project Address Ii1 known) � <br /> Attach lour(4)copies ol plans lor proposed work• Draw to scale and note the followin9 as applicable: � <br /> • Pwperry Lines • Centerline ot streel /A <br /> • Outline and dimensions ot all existing and • Indicate North V� <br /> proposed structures on ihe lot • Show any proposetl grading changes <br /> ���\ • Existing and proposed utilities • Show mezsuremenis M <br /> w W <br /> DO NOT WFITE BELOW THIS LINE O <br /> 1 PERMIT CONDITIONS <br /> 1.All calls lor Inspectian she�l be made 24 hrs.in advance•phone 259•8810. � <br /> ,_� 2.All work shall be peAormed in accordance with this permit and current City oi Everett Design and Construction <br /> . '��� Stendards and Specifications. <br /> � , 3.Call Location Underground Service 48 hrs.betore you dig.70LL FREE NUMBER 1-800-424•5555. � <br /> I � O <br /> � � � l.l�C� L�C'2.h�a.� �(/ir� . e . . � <br /> � �- , � � � <br /> ����� ��-i� -i .� � <br /> i, � <br /> � �_,-, . a <br /> I1 ' ACKNOWLEDGEMENTOFCONDITIONS � <br /> The undersigned ownednpPliwnt hereby aqrees to hold and save hann- <br /> - less the Ciry ol EvereU lrom any and all claims tor damages, costs, <br /> ezpenses, or causes of action that may arise because ol installation <br /> and maintenance of Ihe improvemenl or other righFol�way use hereto <br /> applied lor and lurther agrees lo remove same upon nolice irom the <br /> qpproved for Construction Datr. City and to replace public property damaged lhereby. <br /> FINAL INSPECTION ���� Dale <br /> Approved a5 Construc�ed Signa�ure ol Applicanl <br /> WORK AUTHOPIZED BY THIS PEFMIT MUST BE STARTED WITHIN <br /> . ��� PUBIICWORKSDEPARTMENT 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Cedar Streel BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Evnrett,WA 98201 CANC[LLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Hhone:259�0810 PROJECT OVER 90 DAYS DURATION. <br />